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College of Nursing Application

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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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Are you an LVN/LPN?

 
LVN/LPN License Number
 
LVN/LPN Licensing State
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Birthday
 
Language First Spoken
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Gender
 
Marital Status
 
Ethnicity
 
US Citizen
 
If no, what country?
 
Community service contributions and activities
 
Extracurricular Activities
 
Academic and Other Honors
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Have you attended classes at UMHB prior to Fall 2012?
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Do you plan to work after admission to the nursing program?
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How many hours per week will you work?
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Why did you choose the Scott and White College 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 College 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?
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Describe satisfying accomplishments within the last two years and state what made them rewarding.
ENGL 1321
 
College Where Course Was Taken
 
Semester When Course Was Taken
 
Grade Earned
ENGL 1322
 
College Where Course Was Taken
 
Semester When Course Was Taken
 
Grade Earned
BIOL 2440 (A&PI)
 
College Where Course Was Taken
 
Semester When Course Was Taken
 
Grade Earned
BIOL 2441 (A&PII)
 
College Where Course Was Taken
 
Semester When Course Was Taken
 
Grade Earned
BIOL 2480 (Micro)
 
College Where Course Was Taken
 
Semester When Course Was Taken
 
Grade Earned
CHEM 1441
 
College Where Course Was Taken
 
Semester When Course Was Taken
 
Grade Earned
PSYC 1301 (Intro)
 
College Where Course Was Taken
 
Semester When Course Was Taken
 
Grade Earned
PSYC 3310 (Dev)
 
College Where Course Was Taken
 
Semester When Course Was Taken
 
Grade Earned
SOCI 1311 (Intro)
 
College Where Course Was Taken
 
Semester When Course Was Taken
 
Grade Earned
COMM 1320 (Public Speaking)
 
College Where Course Was Taken
 
Semester When Course Was Taken
 
Grade Earned
College Algebra
 
College Where Course Was Taken
 
Semester When Course Was Taken
 
Grade Earned
MATH 3303 (Stats)
 
College Where Course Was Taken
 
Semester When Course Was Taken
 
Grade Earned
Old Testament (3 hrs)
 
College Where Course Was Taken
 
Semester When Course Was Taken
 
Grade Earned
New Testament (3 hrs)
 
College Where Course Was Taken
 
Semester When Course Was Taken
 
Grade Earned
Fine Arts (3 hrs)
 
College Where Course Was Taken
 
Semester When Course Was Taken
 
Grade Earned
Literature (3 hrs)
 
College Where Course Was Taken
 
Semester When Course Was Taken
 
Grade Earned
EXSS (activity course)
 
College Where Course Was Taken
 
Semester When Course Was Taken
 
Grade Earned
EXSS (activity course)
 
College Where Course Was Taken
 
Semester When Course Was Taken
 
Grade Earned
Upper Division (3 hrs)
 
College Where Course Was Taken
 
Semester When Course Was Taken
 
Grade Earned
World Ideas (3 hrs)
 
College Where Course Was Taken
 
Semester When Course Was Taken
 
Grade Earned
Contemporary World Issues (3 hrs)
 
College Where Course Was Taken
 
Semester When Course Was Taken
 
Grade Earned
Freshman Seminar (or 1 hr elective if not freshman)

 
College Where Course Was Taken
 
Semester When Course Was Taken
 
Grade Earned
Previous Employer 1
 
Place of Employment
 
Dates Worked
 
Type of Work
Previous Employer 2
 
Place of Employment
 
Dates Worked
 
Type of Work
Previous Employer 3
 
Place of Employment
 
Dates Worked
 
Type of Work
Previous Employer 4
 
Place of Employment
 
Type of Work
 
Dates Worked
 
Ready to submit?
Please ensure that all information is correct before submitting your application.