Appalachian Regional Healthcare Partnership Interest Form

Thank you for your interest in the Appalachian Regional Healthcare partnership with Transylvania University!
Complete the form below to receive information and communication.

I am a...

Prospective Student

Current Student

Have you applied for admission to Transylvania University?

Yes

First Name:

Preferred Name:

Last Name:

Email Address:

Transy Email:

Birthdate:

When do you plan to enroll in college?

I will be a ...

Current or Most Recent High School:

Current or Most Recent College/Institution:

Please select the ARH service county in which you reside or the one closest to you.

Which Appalachian Regional Healthcare area most interests you?

By clicking submit, you are agreeing to receive communication from Transylvania University in the form of print, email, phone call and/or text message. You may update your preferences any time by contacting us.