Harding University Physician Assistant (HUPA)
Early Assurance of Interview (EAI)
for Harding Undergraduates
Name: (last) (first) (mi)
H# email: Graduation Yr: ______
Year entered Harding: Current Year in School: Declared Major:
Current Advisor(s):
Have you begun your health care experiences and PA shadowing? (give a brief description and approximate hours)
Complete the chart below with term/year/grade if course has been completed. If you know when you anticipate
taking the remaining courses, put in term/year, remember only 1 of these courses can be left for completion during
your senior fall term. If course not taken at Harding, please indicate where it was taken and when.
Course Prefix &
number
Term & year
taken or planned
If not taken at HU then where
General Chemistry I
General Chemistry II
Organic Chemistry OR
Biochemistry
Microbiology
A&P I
A&P II
Math
Medical Terminology
General Or Developmental
Psychology
Additional Psychology
course
Upper level Biology course
(University)
Briefly describe your motivation to pursue becoming a PA:
By signing below, you agree to the following:
Harding’s PA program can access your grades and test scores (ACT/SAT) through Pipeline.
You have read the requirements for acceptance into this program and what is required to remain in this
status.
Harding’s PA program can inquire with Student Services that you have remained in good ethical standing
during your time with the University.
You agree to remain in timely communication with your advisor, the pre-PA advisor and the PA admissions
director as needed.
You will submit a completed application through CASPA by August 15
th
of your application year. If you have
met the criteria of EAI, the supplemental application fee will be waived and you will be guaranteed an
interview. The interview date will be at our discretion.
If you no longer meet the outlined requirements, you may still apply to HUPA through CASPA and your
application will be given fair consideration.
Electronic Signature: Date:
Checking this box constitutes a legal signature confirming that I acknowledge and agree to all of the above.