Nursing - AASPN Application

DEPARTMENT OF NURSING
AASPN NURSING APPLICATION

(Application deadline is February 1)
Name:
Phone:
Address:
City:	State: Zip:
Social Security Number:		DSU EMPL ID Number:
High school graduation date:		OR Date of GED certificate:

Evidence of the following must be on file in the Department of Nursing by the application deadline of Feb. 1.
1. a. High school or college cumulative minimum GPA of 2.25 (college supersedes high school); OR 1. b. ACT composite score (20 or better if high school GPA is < 2.25); OR 1. c. GED Average Standard Score (minimum 50 or 450)
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2. High school or college equivalent Algebra (minimum of C) OR GED Math score (minimum 40 or 410)

3. High school or college equivalent Chemistry (minimum of C) OR GED Science score (minimum 40 or 410)

I plan to either: (select one* option)*
1. take only general education courses for: OR		(academic year)	(fall/spring)	I plan to attend	part time full time
2. request ADMISSION to the nursing program for: OR		(academic year)	Fall (fall)	I plan to attend	part time full time
3. request READMISSION to the nursing program for:		(academic year)	(fall/spring)	I plan to attend	part time full time
Have you PREVIOUSLY applied to this nursing program?
NO YES: date of PREVIOUS application:

College(s) attended and official transcript(s) sent to DSU Office of Admissions & Academic Records: (Include any previous nursing courses)
Name and address of college(s)		Courses that might transfer:
Please be advised all nursing students admitted or readmitted to our nursing programs are required to complete annual criminal background checks (necessary for clearance for participation in clinical) & functional ability assessments.