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SaharaYemenZambiaZimbabweYour Social Security Number * Required Your Social Security Number (Leave blank if unknown) Your AddressStreet Address * Required City * Required State * RequiredAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFEDERATED STATES OF MICRONESIAFloridaGeorgiaGuam, US TerritoryHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNORTHERN MARIANA ISLANDSOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasU.S. MINOR OUTLYING ISLANDSUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingState / Province / Region / Capital * Required ZIP / Postal Code ZIP / Postal Code * Required Country * RequiredAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and 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Privacy Policy and Terms of Service.Program of StudyPlease choose online or on-campus to see available programs.Online Programs * RequiredPlease Choose Area of StudyAccountingAccounting – CPA TrackAccounting – Master's TrackAlcohol and Drug CounselingBiologyBusiness AdministrationBusiness Intelligence and AnalyticsBusiness PartnersBusiness Partners (Graduate)Child StudiesClinical Mental Health CounselingCommunication and Media StudiesComputer Information SystemsCorporate InnovationCounseling and Human ServicesCriminal JusticeData ScienceEarly Childhood EducationEmergency Management and Homeland SecurityEntrepreneurshipEquine StudiesFinanceForensic AccountingGaming and Esports ManagementHigh School AcademyHigher Education AdministrationHigher Education LeadershipHuman Resource ManagementHuman ServicesLeadershipLearning Design and TechnologyLegal StudiesManagementMarketingMaster of Business AdministrationMaster of Business Administration – SIBEMaster of EducationMaster of Public AdministrationNon Degree (Graduate)Non-DegreeNon-Profit ManagementNursing- Infection Prevention and Control CertificateNursing- Infection Prevention and Control Certificate (SIMPath)Nursing-Digital CredentialNursing-Digital Credential (SIMPath)Nursing-DNP Educational LeadershipNursing-DNP Executive LeadershipNursing-DNP Executive Leadership BridgeNursing-DNP Informatics LeadershipNursing-DNP Informatics Leadership BridgeNursing-DNP Professional LeadershipNursing-Early Admissions Bachelor of Science NursingNursing-MBA HealthcareNursing-MBA Healthcare (SIMPath)Nursing-MSN Adult Gerontology Primary Care Nurse PractitionerNursing-MSN Case ManagementNursing-MSN Case Management (SIMPath)Nursing-MSN EducationNursing-MSN Education (SIMPath)Nursing-MSN Family Nurse PractitionerNursing-MSN Infection Prevention and ControlNursing-MSN Infection Prevention and Control (SIMPath)Nursing-MSN InformaticsNursing-MSN Informatics (SIMPath)Nursing-MSN Management and Organizational LeadershipNursing-MSN Management and Organizational Leadership (SIMPath)Nursing-MSN Psychiatric Mental Health Nurse PractitionerNursing-MSN RN to BSN (Master's Track)Nursing-MSN RN to BSN (Master's Track) (SIMPath)Nursing-MSN/MBA HealthcareNursing-MSN/MBA Healthcare (SIMPath)Nursing-RN to BSNNursing-RN to BSN (SIMPath)Nursing-Single Course Study (Graduate)Nursing-Single Course Study (Graduate) (SIMPath)Nursing-Single Course Study (Undergrad)Online TeachingParalegalProfessional CounselingProject ManagementPsychologySport ManagementOnline Degree * RequiredPlease Choose a Degree Level– Fill Out Other Fields –HiddenOnline Degree Code HiddenLegacy Online Code HiddenOnline Nursing code On Campus Programs * RequiredPlease Choose Area of StudyAccountingAccounting – Master's TrackBiologyBusiness AdministrationBusiness Intelligence and AnalyticsBusiness PartnersBusiness Partners (Graduate)Child StudiesCommunication and Media StudiesComputer Information SystemsCriminal JusticeData ScienceEarly Childhood EducationEmergency Management and Homeland SecurityEmerging PathwaysEnglish Langauge InstituteEquine Veterinary AssistantFinanceForensic AccountingGaming and Esports ManagementHigh School AcademyHuman ServicesLegal StudiesManagementMarketingMaster of Business AdministrationNon-DegreeNon-Degree (Graduate)ParalegalPsychologySport ManagementUniversity PathwaysWorkshopOn Campus Degree * RequiredPlease Choose a Degree Level– Fill Out Other Fields –This program is for people who have their RN license and a ASN or ADN degree. If you are currently in an ASN or ADN program, we do offer an Early Admission BSN program.This program is for people who have their RN license and would like to earn both a BSN and MSN in an accelerated program. If you already have your BSN, please select an MSN option.This program is for people who have their RN license and a BSN degree. If you don’t have a BSN, please select the RN-BSN or RN-BSN/MSN option.This program is for people who have a bachelor’s degree. This program is for people who have their RN license and a BSN degree. If you don’t have a BSN, please select the RN-BSN or RN-BSN/MSN option.This program is for people who have their RN license and a BSN degree. If you don’t already have your BSN, please select the RN-BSN program.This program is for people who have their RN license and a Master of Science in Nursing degree. If you have your RN license and a master’s in another discipline, please select one of the DNP bridge program options.This program requires a Bachelor’s degree in a healthcare-related field such as public health, nursing, microbiology, etc.).HiddenOn Campus Degree Code HiddenOn Campus Code Do you plan to live on or off campus? * Required On Campus Off Campus Are you under the age of 18? * Required Yes No Parent/Guardian #1 Name * Required First Name Last Name Parent/Guardian #1 Phone Number * RequiredParent/Guardian #1 Email * Required Emergency Contact Name First Last Emergency Contact PhoneEmergency Contact Email Emergency Contact Address Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor-Leste)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmar (Burma)NamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Is your first parent's address the same as your address? Yes No Parent/Guardian #1 AddressStreet Address * Required City * Required State * RequiredAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFEDERATED STATES OF MICRONESIAFloridaGeorgiaGuam, US TerritoryHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNORTHERN MARIANA ISLANDSOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasU.S. MINOR OUTLYING ISLANDSUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingState / Province / Region * Required State / Province / Region / Capital * Required State / Province / Region / Capital * Required ZIP / Postal Code ZIP / Postal Code Country * RequiredAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor-Leste)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmar (Burma)NamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweParent/Guardian #2 Name First Name Last Name Parent/Guardian #2 Phone NumberParent/Guardian #2 Email Is your second parent's address the same as your address? Yes No Parent/Guardian #2 AddressStreet Address * Required City * Required State * RequiredAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFEDERATED STATES OF MICRONESIAFloridaGeorgiaGuam, US TerritoryHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNORTHERN MARIANA ISLANDSOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasU.S. MINOR OUTLYING ISLANDSUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingState / Province / Region * Required State / Province / Region / Capital * Required State / Province / Region / Capital * Required ZIP / Postal Code * Required ZIP / Postal Code * Required Country * RequiredAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor-Leste)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmar (Burma)NamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweEducation InformationFinancial Aid cannot be disbursed to your account without proof of high school graduation or its equivalent.Highest Level of Education Completed * RequiredPlease ChooseHigh School / GED / Home SchoolCollege – Associate's DegreeCollege – Bachelor's DegreeMaster's DegreePHDDo you plan on transferring in credits? * RequiredPlease ChooseYesNo High School High School InformationHigh School Type: * RequiredPlease ChooseHigh School DiplomaGEDHome SchoolHigh School State * RequiredSelectForeign CountryAlabamaAlaskaAmerican SamoaAPO-AE Armed ForcesArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaForeign CountryGeorgiaGuam, US TerritoryHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingEnter High School Name High School * RequiredPlease Choose– Fill Out Other Fields –HiddenHigh School Code HiddenHigh School Address GED Testing CenterAlaska GedAlabama GedArkansas GedArizona GedCalifornia GedColorado GedConnecticut GedDelaware GedFlorida GedGeorgia GedHawaii GedIowa GedIdaho GedIllinois GedIndiana GedKansas GedKentucky GedLouisiana GedMassachusetts GedMaryland GedMaine GedMichigan GedMinnesota GedMissouri GedMississippi GedMontana GedNorth Carolina GedNorth Dakota GedNebraska GedNew Hamphire GedNew Jersey GedNew Mexico GedNevada GedNew York GedOhio GedOklahoma GedOregon GedPennsylvania GedRhode Island GedSouth Carolina GedSouth Dakota GedTennesse GedTexas GedUtah GedVirginia GedVermont GedWashington GedWisconsin GedWest Virginia GedWyoming GedLocation No ListedLast Name at Time of Graduation? * Required Did you graduate high school, or earn your GED? * RequiredPlease chooseYesNoGraduation Year * RequiredPlease choose20302029202820272026202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900Expected Graduation YearPlease choose20302029202820272026202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900 College InformationCollege State * RequiredSelectForeign CountryAlabamaAlaskaAmerican SamoaAPO-AE Armed ForcesArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaForeign CountryGeorgiaGuam, US TerritoryHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonOut of the USAPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingCollege Institution * RequiredPlease Choose– Fill Out Other Fields –HiddenCollege Institution Code Degree * RequiredAssociate of ArtsAssociate of ScienceBachelor of ArtsBachelor of ScienceMaster of Business AdministrationMaster of EducationMaster of Public AdministrationMaster of ScienceNon DegreePost-Baccalaureate CertificateGraduate CertificateUndergraduate CertificateDid you graduate? * RequiredPlease chooseYesNoGraduation Year * RequiredPlease choose20302029202820272026202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900GPA * RequiredSelect4.03.93.83.73.63.53.43.33.23.13.02.92.82.72.62.52.42.32.22.12.0To qualify for the Nurse Practitioner program, you must have a GPA of 3.0 or higher. Expected Graduation Year * RequiredPlease choose20302029202820272026202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900Did you attend another college ? Yes No Second College InformationSecond College State * RequiredSelectForeign CountryAlabamaAlaskaAmerican SamoaAPO-AE Armed ForcesArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaForeign CountryGeorgiaGuam, US TerritoryHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonOut of the USAPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingSecond College Institution * RequiredPlease Choose– Fill Out Other Fields –HiddenSecond College Institution Code Degree * RequiredAssociate of ArtsAssociate of ScienceBachelor of ArtsBachelor of ScienceMaster of Business AdministrationMaster of EducationMaster of Public AdministrationMaster of ScienceNon DegreePost-Baccalaureate CertificateGraduate CertificateUndergraduate CertificateDid you graduate? * RequiredPlease chooseYesNoGraduation Year * RequiredPlease choose20302029202820272026202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900Second College GPAPlease select your GPA4.03.93.83.73.63.53.43.33.23.13.02.92.82.72.62.52.42.32.22.12.0To qualify for the Nurse Practitioner program, you must have a GPA of 3.0 or higher. Expected Graduation YearPlease choose20302029202820272026202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900Did you attend another college ? Yes No Third College State * RequiredSelectForeign CountryAlabamaAlaskaAmerican SamoaAPO-AE Armed ForcesArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaForeign CountryGeorgiaGuam, US TerritoryHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonOut of the USAPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingThird College Institution * RequiredPlease Choose– Fill Out Other Fields –HiddenThird College Institution Code Degree * RequiredAssociate of ArtsAssociate of ScienceBachelor of ArtsBachelor of ScienceMaster of Business AdministrationMaster of EducationMaster of Public AdministrationMaster of ScienceNon DegreePost-Baccalaureate CertificateGraduate CertificateUndergraduate CertificateDid you graduate? * RequiredPlease chooseYesNoGraduation Year * RequiredPlease choose202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900Expected Graduation YearPlease choose20302029202820272026202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900Third College GPA4.03.93.83.73.63.53.43.33.23.13.02.92.82.72.62.52.42.32.22.12.0To qualify for the Nurse Practitioner program, you must have a GPA of 3.0 or higher. Additional InformationIs Hispanic/Latino * RequiredPlease ChooseYesNoEthnicity * RequiredPlease ChooseAmerican Indian or Alaska NativeAsianBlack or African AmericanHispanicNative Hawaiian or Other Pacific IslanderWhiteTwo or more racesRace and Ethnicity UnknownNot SpecifiedNonresident AlienAre you currently employed? * RequiredPlease chooseYesNoAre you employed part time or full time? * RequiredPlease choosePart timeFull timeAdmission Policy: Admission to Post University is dependent solely upon the applicant’s qualifications. Post University does not discriminate on the basis of race, religion, color, sex, national and ethnic origin, or disability in the administration of this educational, admissions, or scholastic and financial assistance process.Are you affiliated with US military? * Required No affiliation. I am currently serving active duty. I am a veteran. I am a dependent (child under the age of 24 or spouse) of an Active Duty or Veteran Member of the U.S. Military. Please choose your affiliation with the armed forces.Veteran – Air ForceVeteran – ArmyVeteran – Coast GuardVeteran – DependentVeteran – Marine CorpsVeteran – National GuardVeteran – NavyVeteran – SpouseActive Duty * RequiredPlease ChooseMilitary – Air ForceMilitary – ArmyMilitary – Coast GuardMilitary – MarineMilitary – NavySelect Dependent Category * RequiredPlease ChooseMilitary – DependentMilitary – SpouseDo You Plan to Use Military Benefits? * RequiredPlease ChooseYesNo Confirmation and DisclosuresPlease Read and Acknowledge * RequiredTransfer Request Notice and Acknowledgement I agree in order to have credits for previous training considered for transfer, I must submit all required transcripts and documentation as stated within the Transfer of Credit policy stated in the catalog. The catalog can be found at University Catalog FA Advisor Notice I agree to consult with a Financial Aid Advisor to discuss funding options for which I may quality and submit all required documentation. I understand that by enrolling and participating in classes I am financially responsible regardless of whether I complete the financial aid process or not. Electronic Course Disclaimer I agree to use the electronic course materials provided or order my books once I receive my login and password through the Online Book Portal. Computer Literacy Disclaimer I agree to take responsibility for my computer literacy and have reliable internet/computer access by the first day of class. Microsoft Office 365 is provided through the student’s email account with additional software available at a discounted rate through the University’s Software Hub by clicking HERE. Academic Integrity Disclaimer I agree to maintain academic integrity by completing and submitting my own coursework and adhering to the plagiarism and civility policies as stated in the catalog. California Disclaimer (Applies to California Residents Only) I confirm that I have read and understand the following information regarding the Student Tuition Recovery Fund (STRF). The state of California established the STRF to relieve or mitigate economic loss suffered by a student in a qualifying institution, who is or was a California resident when enrolled, or was enrolled in a residency program, if the student enrolled in the institution, prepaid tuition, and suffered an economic loss. Unless relieved of the obligation to do so, you must pay the state-imposed assessment for the STRF, or it must be paid on your behalf, if you are a student in an educational program, who is a California resident, or are enrolled in a residency program, and prepay all or part of your tuition. You are not eligible for protection from the STRF and you are not required to pay the STRF assessment, if you are not a California resident, or are not enrolled in a residency program. At this current time, the State of California does not require you to make payments to STRF. Social Security Number/ Taxpayer Identification Number Confirmation A Taxpayer Identification Number (TIN) is a number used by the Internal Revenue Service (IRS) in the administration of tax laws. For most students, this number will be their Social Security Number (SSN). Or, if you are not eligible to obtain an SSN, please provide your IRS issued Individual Taxpayer Identification Number (ITIN). The law requires individuals to furnish a TIN so that it may be included on information returns filed by the college to the IRS and to furnish a statement to you. An example of a return the college may be required to file includes Form 1098-T, which contains information about qualified tuition and related expenses. The information provided on Form 1098-T will help to determine whether you, or the person who can claim you as a dependent, may be eligible for deductions or tax credits to reduce federal income tax. Any individual who is required but fails to furnish a correct TIN may incur a penalty of $50.00 under IRS Internal Revenue Code 6723. Consent to Electronic Communications You consent to receive disclosures from us electronically through the Post website, portal or email. By consenting to the electronic delivery of disclosures, you agree that we may provide electronically any and all communications concerning your application for admission, financial aid eligibility and documentation, our privacy policy, the status and history of your enrollment as a student and any further disclosures required by federal or state law (the “Disclosures”). The Disclosures may include disclosures pursuant to: (1) the federal Equal Credit Opportunity Act and Regulation B; (2) the federal Fair Credit Reporting Act; (3) the federal Truth in Lending Act and Regulation Z; (4) the federal Electronic Funds Transfer Act and Regulation E; (5) the federal Gramm-Leach-Bliley Act; (6) the Family Educational Rights and Privacy Act (FERPA); and (7) any other applicable federal, state or local law or regulation. Your consent applies to all electronic documentation to or from Post University. Prior to submission of your application and the execution of any agreements, you may withdraw your consent to the receipt of electronic disclosures by exiting this website. To withdraw your consent after this time, send an email stating that you withdraw your consent to receipt of electronic disclosures to [email protected]. Include your name, address, and student identification number in any such request. I Agree to the Notices and Disclosures The checkbox will be available after you read the entire Notices and Disclosures text. Practice Experience * RequiredStudents are required to secure availability and access/permission to an acceptable location/site to fulfill the practice experience and DNP project requirements of the program. As part of the DNP Program, students must provide proof of employment reflected on their current resume. Unemployed applicants must verify access to a suitable work environment to be able to complete classroom assignments. CastleBranch American Sentinel has partnered with CastleBranch, one of the top ten background check and compliance management companies in the nation. Students are required to complete a CastleBranch account in order to participate in practice experience hours. As a DNP student, you will need to complete your CastleBranch account by the end of the first week of your first course. I attest that I have access to a facility to complete any required practice experience hours and DNP Project requirements for the Doctor of Nursing Practice program, and I understand that we must complete a CastleBranch account prior to beginning our practice experience hours. I agree to the notices and disclosures of the Doctor of Nursing Practice program. Work Experience * RequiredAdmission to the Nurse Practitioner specializations requires a minimum of one year of full-time work experience in a nursing clinical role in the last three years. Your resume should reflect this work experience. CastleBranch Background Check, Drug Screening, and Clinical Requirements: CastleBranch compliance must be maintained throughout the NP program. This includes annual updates for ALL requirements. Students are not permitted to register for any NP course (other than 3P courses) or accrue clinical hours unless all components are up to date. This includes: Residential History and Criminal Background Check 10-Panel Urine Drug Screening Clinical Requirements: Measles, Mumps, and Rubella (MMR) Influenza (flu) Varicella (chicken Pox) Physical Examination Hepatitis B Professional Liability Insurance Tuberculosis (TB) RN license (unencumbered) Tetanus & Diphtheria (Td) HIPAA Certification CPR OSHA Certification Health Insurance Clinical Fees As noted on the American Sentinel College of Nursing & Health Sciences at Post University website a clinical fee of $750 is associated with each of the clinical courses in the MSN – Nurse Practitioner program. These fees are required to help cover the University’s costs related to the following: Preceptor approval Documents for students to begin clinicals (Affiliation agreements, CastleBranch compliance and letters of attestation) Preceptor orientation Preceptor communication within each course Midterm and final course evaluation Preceptor issues as warranted Typhon clinical log maintenance of documentation, preceptor approvals ongoing evaluations, and final reports Verification and paperwork associated with national certification application and state board APRN licensure Attestation of graduate completion for certification exam and state board licenses Accreditation reports on program/clinical outcomes Assist with state-specific board of nursing requirements, education, and document submission Student clinical experience education and orientation Please note: The Clinical Fee is not intended to cover costs related to finding a clinical preceptor. Each student in the MSN – Nurse Practitioner program is required to find their own clinical preceptor. Our Clinical Coordinator is available to assist and guide you in securing an appropriate preceptor. Students struggling to find a clinical preceptor may choose to contract with a company that specializes in finding the nearest available clinical preceptors. Students should understand, however, that there is typically a service fee charged by these companies that is not covered by the Nurse Practitioner Program Clinical Fee described above. Depending on preceptor availability, you may be required to travel to find an appropriate clinical and preceptor. Any costs associated with obtaining a Clinical Preceptor or Clinical Site for the NP program are the sole responsibility of the student. If these costs are billed directly to the university, the university will request payment from the student for the amount invoiced. Residence Requirements: NP students must reside in and hold an active unencumbered RN license in an approved NP program state. Please review the list of currently approved states here. The student may only participate in clinical activities in an approved NP state in which they also hold an active unencumbered license. Prior program approval is required to attend clinical activities in a state in which the student does not have a primary residence. (Note: Legal Residence is defined as the residence where you have your permanent home or principal establishment and to where, whenever you are absent, you intend to return; every person is compelled to have one and only one domicile at a time.) Failure to notify the College of any changes to your legal residence or RN license status may result in dismissal from the program. I agree to the notices and disclosures of the Nurse Practitioner program. Please Read and Acknowledge * RequiredAttestation of High School Graduation or GED Completion (Applies to the Bachelor Accelerated Degree Programs, Associates Degrees and Undergraduate Certificates Only) Applicants seeking to apply for admissions to an Accelerated Degree Program online undergraduate program must be a high school graduate or meet one of the following requirements: Possess a General Education Development (GED) certificate or state-specific equivalent diploma. Possess a Home Study certificate or transcript from a Home Study program that is equivalent to high school level and recognized by the applicant’s home state, and they must be beyond the age of compulsory attendance in that state. Applicants must attest to high school graduation or equivalent. Acceptable forms of attestation may include proof of graduation included on the FAFSA, or any document deemed acceptable by the US Department of Education. Post University has opted to accept attestation as proof of graduation. In addition to attestation Post University will request any proof of graduation as outlined by the U. S. Department of Education and will evaluate the students that are not able to produce documentation. Post University relies on the students’ attestation of high school completion and will not mandate a separate document for all students. However, those students who do not produce a proof of graduation will be subject to a provisional acceptance until academic readiness is able to be assessed. Students who are provisionally accepted will not receive financial aid disbursements until their proof of graduation has been received or their academic readiness has been assessed. If for any reason, the attestation of high school graduation or GED completion is found to be false or untrue, the student will not have met an admissions requirement of Post University and will not be considered a regular student and will be subject to immediate dismissal from Post University. Further, if the attestation is found to be false or untrue, all Title IV financial aid and state or institutional financial aid that was disbursed on the student’s behalf must be refunded to the appropriate source. The student will be responsible to Post University for any and all money refunded. I Agree to the Notices and Disclosures The checkbox will be available after you read the entire Notices and Disclosures text. Transcript Request To Whom It May Concern: I have applied for admission to Post University (“Post”). Post requires an official academic transcript from the institutions identified in the written request. If your institution is identified below, I hereby authorize Post to request from you, and for you to send to Post on my behalf, an official academic transcript. Student Information Email Name Gender Date of Birth Address Mobile Phone High School Information HS Name Address Last Name at time of Graduation? Graduate? Graduation Year Expected Graduation Year College Information College Name Degree Graduate? Graduation Year Expected Graduation Year Second College Information College Name Degree Graduate? Graduation Year Expected Graduation Year Third College Information College Name Degree Graduate? Graduation Year Expected Graduation Year Please forward the transcript to Post University, ADP Admissions, 800 Country Club Road, P.O. Box 2540, Waterbury, CT 06723-2450. Post University will remit any reasonable transcript fee on my behalf. If you have any questions, do not hesitate to contact me at the telephone number listed, above.Statement of Applicant By signing this Application of Admission, I confirm that the information provided on this document is accurate and complete. I agree to receive email communications and phone calls from Post University for the purpose of enrolling into Post University at the numbers provided on this application, including wireless numbers if provided.Please forward the transcript to Post University, ADP Admissions, 800 Country Club Road, P.O. Box 2540,Waterbury, CT 06723-2450. Post University will remit any reasonable transcript fee on my behalf. If you have anyquestions, do not hesitate to contact me at the telephone number listed, above.Name Signature * RequiredAdmissions Counselor First Last HiddenDownload TRF Form? Yes CommentsThis field is for validation purposes and should be left unchanged. Your information provided is secure and protected. 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