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2nd Degree Nursing Program Application for Summer 2022 Admission

Applicants are encouraged to submit the application for admission consideration early to allow for evaluation and notification of application status before application deadline.

Transfer applicants are encouraged to contact the nursing department for an evaluation of transfer credits before applying.

The application cannot be saved, so it must be completed in one session. For more information regarding the application, please refer to the appropriate section:

 

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All fields marked with asterisk (*) are required.

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List any other names you have used in a legal capacity, separating entries with a comma
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MM/DD/YYYY
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Include apartment # if applicable (e.g. 123 Nursing Way, Apt #4)
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Please type the initials of your state in capitals (e.g. TX)
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xxx-xxx-xxxx
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xxx-xxx-xxxx
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II. Military Service*
Includes Active Duty, Reservist, and Veterans
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II. Military Commissioning Applicant*
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List all, separating with a comma
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List all courses, separating with a comma. Provide course code and name (e.g. NUR 2324 Pathophysiology). If all prerequisites are complete, type "N/A"
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List all courses, separating with a comma, you still need but are not currently taking. Provide course code, name and term you intend to complete required prerequisite (e.g. NUR 2324 Pathophysiology, December mini 2016). If all prerequisites are complete, type "N/A." Please note: All prerequisites must be completed before start of the nursing program if admitted.
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List any prior diplomas or degrees, date received, school degree completed through
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List any healthcare-related certifications (e.g. CNA, LVN, EMT, RT, Pharmacy Tech, etc.)
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List all national honor society or honors program membership at the collegiate level, school attending at time of recognition/induction, date
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II. Have you ever been enrolled in an A.A.S.N. or B.S.N. Nursing Program and taken nursing courses at any university/college?*
If yes, you are required to submit the following information: 1) Letter of good standing from the Head of the Nursing Program and 2) Letter of recommendation from your last clinical instructor (if applicable).
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II. Previous Nursing School*
If you answered "Yes" to the question above, provide name of school, city, state, and dates of attendance
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II. Do you wish to have these nursing courses, only if B.S.N.-level, evaluated for possible transfer credit?
If yes, you must submit copies of course descriptions, course syllabi, and course work. This material must be submitted a minimum of two months prior to application deadline to allow time for review. See section 'II. Educational/Professional Experience' at the top of this application form for more details regarding possible transfer credit and conditions for review of possible transfer credit.
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III. Licensure Eligibility, Q1*
Have you been convicted, adjudged guilty by a court, plead guilty, no contest or nolo contendere to any crime in any state, territory, or country, whether or not a sentence was imposed, including any pending criminal charges or unresolved arrest (excluding minor traffic violations)? This includes expunged offenses and deferred adjudications with or without prejudice of guilt. Please note the DUI’s, DWI’s, PI’s must be reported and are not considered minor traffic violations. (One time minor in possession (MIP) or minor in consumption (MIC) do not need to be disclosed, therefore you may answer “No.” If you have two or more MIP’s or MIC’s, you must answer “Yes.”)
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III. Licensure Eligibility, Q2*
Do you have any criminal charges pending, including unresolved arrests?
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III. Licensure Eligibility, Q3*
Has any licensing authority refused to issue you a license or ever revoked, annulled, cancelled, accepted surrender of, suspended, placed on probation, refused to renew a professional license or certificate held by you now or previously, or ever fined, censured, reprimanded or otherwise disciplined you?
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III. Licensure Eligibility, Q4*
Within the past five years, have you been addicted to and/or treated for the use of alcohol or any other drug?
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III. Licensure Eligibility, Q5*
Within the past five years, have you been diagnosed with, treated or hospitalized for schizophrenia and/or psychotic bipolar disorder, paranoid personality disorder, antisocial personality disorder or borderline personality disorder?
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IV. Statement of Understanding, Q1*
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IV. Statement of Understanding, Q2*
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IV. Statement of Understanding, Q3*
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IV. Statement of Understanding, Q4*
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IV. Statement of Understanding, Q5