RN to BSN Application – Online program

RN to BSN Application – Online program

Please review and read the content carefully on the page linked to below before submitting this form.


Fields marked with an * are required

Please Identify Yourself

In order to identify transcripts and/or other supporting documents, please list any other name(s) (aliases) by which you have been known:

Field will not accept less than the full 10 digit IU Student ID#. DO NOT ENTER YOUR SOCIAL SECURITY NUMBER!

Contact Information

Current Address

Phone / Email

Please include area code.

Required if an Indiana University Student.

Choose Cohort

Policy Compliance and Signature

Please read the statements below and indicate your agreement with each by initialing the box to the left:

INITIALS


I have read and understand the following policies (opens in new window):

INITIALS


INITIALS


 Incomplete Application WILL NOT be accepted!


I certify that all of the information I have provided on this application is true and accurate.  BY ELECTRONICALLY SIGNING BELOW you understand that you must meet all School of Nursing admission requirements and deadlines in order to be considered for admission:

Type your full name.