Use this form if you have questions or comments, or if you wish us to send you an information packet by postal mail.  Your information will be used solely for the purpose of sending you the requested information.  It will not be shared with or sold to any third parties. 

Current students:  use the contact information on the Faculty-Staff page or the Helpful Links page to contact your instructors or obtain information.

Please provide the following contact information:

First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone (e.g. 555-555-5555)
E-mail (e.g. user@yourhost.com)

Select any of the following options:

Please mail me a program brochure.
Please mail me a Basic Program Info Pack.
Please mail me an LVN-RN Program Info Pack.
I have more questions. Please call me.
Other (see comments)

Comments:


Home |School of Health Sciences | UTB-TSC Home Page
 © 2008 The University of Texas at Brownsville & Texas Southmost College. All rights reserved
For more information, contact Mr. Joe Lacher, Director, or
Balbie Garcia, Administrative Secretary, (956) 882-5072

For comments about this website, please e-mail the ADN Webmaster

 

Revised: 04/04/2008 05:36 PM