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To submit an application to our school, please complete the following form and select Submit Application.

= Required

Please select the type of Nursing degree you want to pursue.

Personal Information
Address Information
Student Contact Information
  1. Phone Type Country Phone Number Primary
Demographic Information
Ethnicity and Race Information
  1. Are you of Hispanic/Latino ethnicity or descent? Yes No
    Select one or more races with which you identify yourself:
    American Indian or Alaska Native
    Black or African American
    Native Hawaiian or Other Pacific Islander
Citizenship Information
Academic Information
  1. Program Commitment
Academic Interests
  1. Interests
Residency Preference
  1. Employer Name Position Start Date End Date
Student Educational Background

  1. Degrees



Emergency Contacts

Discipline/Eligibility History

If you have ever been dismissed for academic or disciplinary reasons, if you have a police record for anything other than minor traffic violations, or you are not eligible to return to a school for any reason, please select “Yes” below and send an email to with an explanation of each of them. Please include your full given-name in that email.

Application Fee Payment

If you paid the application fee ONLINE, you must enter your “Receipt Number” on the application. Your application will not be processed after you submit your application if you did not enter a valid “Receipt Number.”

If you DID NOT pay the application fee online, please indicate what payment method you will use.

School Policy
  1. Select "I accept" to confirm that you have read and fully understand the terms and conditions set forth in our Application Policy

    I do not accept I accept