Student Life Forms

On behalf of the Office of Student Life, congratulations on your acceptance to the university and welcome to the HPU community!

Please complete and submit the forms listed below. These forms should only be completed by students who have been admitted to Howard Payne University. If you have questions about your admittance status, please contact the Office of Admission at (325) 649-8020. If you have questions about the forms, please contact the Office of Student Life at (325) 649-8017 or slife@hputx.edu.

Enrollment Deposit
$200 total ($100 tuition deposit and $100 housing deposit)
If approved to live off-campus, only $100 is required for the tuition deposit.

Housing Application/Agreement
Needed to apply for residence hall housing. Eligible transfer students interested in on-campus apartment housing should contact the Office of Student Life.

Student Health Form (online version)
Click here for a print version to mail or fax.
This form is required for all HPU students and will be maintained by the University Nurse. Certified shot records must accompany the form, but they can be mailed to HPU (University Nurse, 1000 Fisk Street, Brownwood, TX  76801) or faxed (325-649-8819). Please review the health form carefully for required vaccinations.

Shot Records
Shot records must be validated by a physician, public health clinic or transcript from school records. Please take note of the following requirement regarding the state-mandated bacterial meningitis vaccination requirement:
 Per Texas state law, new students enrolling at HPU beginning in the Spring 2012 semester – and former students who are returning to HPU after an absence – must be vaccinated against bacterial meningitis prior to scheduling classes or Day 1 events. A hold will be placed on the student’s records preventing class scheduling until proof of the vaccination has been supplied to the University Nurse.
 Click here for additional information about the bacterial meningitis vaccination requirement.

Other State Required Vaccinations
In addition to the Bacterial Meningitis Vaccination Record, a complete Shot Record of all vaccinations received is also required.

Required immunizations include:
Bacterial Meningitis Vaccine/Meningococcal (MCV4 or MPSV4) – Booster is required if initial dose was received before 16th birthday or more than 5 years ago.
Tetanus/Diphtheria (DPT, DTaP, Td, DT) – Required every 10 years
Polio
Hepatitis B – 3 doses
MMR (Measles, Mumps, Rubella) – 2 doses
Varicella (Chicken Pox) – Illness month & year (estimate) or vaccination date
TB Skin Test – Only required if you have been outside the United States in the last 12 months.
Please include any additional vaccinations that have been received (ie. HPV, Hep A, HIB, etc.).

Submit shot records in one of three ways:

E-mail: jskaggs@hputx.edu
Fax: 325-649-8819
Mail: Jamie Skaggs
University Nurse
1000 Fisk Street
Brownwood, TX 76801

Consent to Treat Minor Form for Students Under 18 (PDF)
This form is required for new students who are under the age of 18. The form should be printed, signed by a parent or guardian, notarized and returned to the University Nurse. Please attach a front and back copy of the student’s current insurance card and responsible party information.

Request for Permission to Live Off-Campus
Students are required to live in the residence halls for four long semesters unless they meet one or more of the university approved exemptions.
This form is required for students desiring to live off campus due to an approved exemption.
Exemptions include:

  • living with parents
  • 60 academic credit hours
  • married
  • 22 years of age

Student Meal Plan Change Form
Use this form to make changes to your existing meal plan.

Jacket Journey 2017 Registration Form
Students beginning their HPU experiences in August 2017 will participate in Jacket Journey from Thursday, Aug. 17. – Sunday, Aug. 20.

Chime In Postponed

Due to inclement weather, Chime In, previously scheduled for tonight, has been postponed until Monday, August 21, at 4:30 p.m.