Nursing - BSN Application

DEPARTMENT OF NURSING
BSN NURSING APPLICATION

(Application deadline is February 1)
Name:
Phone:
Address:
City:	State: Zip:
Social Security Number:		DSU EMPL ID Number:

Evidence of the following must be on file in the Department of Nursing by the application deadline of Feb. 1.
Current nursing license number: RN or LPN ; State of licensure OR Nursing licensure pending passage of N-CLEX: RN or LPN ; State of licensure

College cumulative minimum GPA of 2.50 AND College cumulative nursing GPA of 2.50

I request ADMISSION to the nursing program for (year) fall semester.

I request READMISSION to the nursing program for (year) semester.

I plan to attend part time full time

Do you plan to apply for experiential learning credit? No Yes (contact Chairperson)

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.