Could I get into UT Austin my first year?

<p>Is there any possible way I could get CAPed or even offered the PACE program at UT? Also would A&M accept me? I am currently a junior in HS wanting to go pre med or into nursing:</p>

<p>GPA: 3.9 on a 5.0 scale
Rank: 223 out of 650
In all PreAP, AP, and Honors classes
200+ community service hours @ hospital
Varsity orchestra for six years
Orchestra officer
Held a job at a fancy restaurant for a year (planning to switch for bttr job)
Shadow program at hospital
National Spanish honor society
HOSA
Baseball hostess
-first generation grad student
-Brazilian nationality (probably irrelevant in application process)</p>

<p>Also can someone give me a list of well known, fantastic colleges I could get into?</p>