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School of Nursing Application

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If you already have a login for UMHB please make sure to log in to myCampus. You may continue as a Guest
but you will not be able to save your progress.
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First Name
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Middle Name
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Last Name
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Permanent Mailing Address
 
Present Mailing Address (if different)
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Email Address
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Semester/Year of Application
 
Student ID
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Medical License?
 

If yes, what type? (EMT-P, LVN, RN)
 
LVN/LPN License Number
 
LVN/LPN Licensing State
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Birthday
 
Primary Language Spoken
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Gender
 
Ethnicity
 
US Citizen
 
If no, what country?
 
Community service contributions and activities
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Have you attended classes at UMHB?
 

If so, when?
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Do you plan to work after admission to the nursing program?
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Why did you choose the Scott and White School of Nursing over other schools?
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Please write a short statement (1 page) giving your reasons for wanting to make nursing your career.
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From whom/how did you learn about this School of Nursing?
(friend, employer, career-college program, advertisement, etc)
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Are you the first in your family to seek higher education at the college or university level?
ENGL 1321
 
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ENGL 1322
 
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BIOL 2440 (A&PI)
 
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BIOL 2441 (A&PII)
 
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BIOL 2480 (Micro)
 
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CHEM 1441
 
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PSYC 1301 (Intro)
 
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PSYC 3310 (Dev)
 
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SOCI 1311 (Intro)
 
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COMM 1320 (Public Speaking)
 
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College Algebra
 
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MATH 3303 (Stats)
 
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Old Testament (3 hrs)
 
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New Testament (3 hrs)
 
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Fine Arts (3 hrs)
 
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Literature (3 hrs)
 
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EXSS (activity course)
 
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EXSS (activity course)
 
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Upper Division (3 hrs)
 
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World Ideas (3 hrs)
 
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Contemporary World Issues (3 hrs)
 
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Freshman Seminar (or 1 hr elective if not freshman)

 
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Off-Site Components

UMHB’s nursing programs require the student’s successful completion of off-site clinical components.  These off-site
components are typically operated by separate institutions or organizations which are not controlled by the University
and which may establish their own rules and conditions for participation.  A student may be unable to complete a program
of study and obtain a degree if he or she is unable to complete an off-site component after being excluded
from participation by the University’s off-site providers.  Students who have reason to believe that they may be barred from
participation by any of the off-site providers in their program of study are encouraged to determine early in the enrollment
process what, if any, alternatives may be available.

Note: Applicants who have been previously enrolled, but unsuccessful, in a professional nursing program must
secure a letter of standing from the Dean or Director of that nursing school in order to be considered for
acceptance into the UMHB nursing program. The letter must be mailed directly to the UMHB School of Nursing

If you wish to save the form and complete at a later time, press Save Form (only if you are logged in to myCampus,
otherwise the progress will be lost). If you are ready to submit, please review the application to ensure all information
is correct, then press Submit Application