Nursing - Masters Program Application (New)
School of Nursing Masters Program Application
The School of Nursing does not admit any students with pending citations, misdemeanors, or felony charged. You may apply again at a later time if you no longer have any pending charges. You must present case closed court document when applying to the School of Nursing. A letter from your lawyer is not sufficient; you MUST have case closed court documents.

Items with an * indicate a required field.
Today's Date *    
First Name *
Middle Initial *
Last Name *
Maiden or Former Name(s)
Address Line 1 *
Address Line 2 *
City *
State *
Zip *
County *
Phone *
Email *
 
If admitted into the School of Nursing and the program or semester of entry below does not match your Graduate School application, you may be required to submit a new Graduate School application and fee as part of securing your seat in the program.
I am seeking entry for: *
My Preferred Semester of Entry is: *
 
Admission Requirement Verification: (if you are unsure of what classes you took that meet these requirements please contact the school you graduated from to find out)
Undergraduate research course number: *
Undergraduate assessment course number: *
 
Do you have a pending citation, misdemeanor, or felony charge? *  Yes
  No
Have you ever been convicted of a misdemeanor or felony? *  Yes
  No
If YES, list what misdemeanor or felony and when:
If YES, explain. List Dates, Specific Charges, County/State, and Status of Charge(s):
Have you ever been arrested or received a citation for any misdemeanor or felony charge? *  Yes
  No
Do you have an Associate's degree in Nursing? *  Yes
  No
Do you have a Bachelor's degree in Nursing? *  Yes
  No
Do you have a Bachelor's degree in a non-nursing field? *  Yes
  No
Do you have a Master's degree in Nursing? *  Yes
  No
Do you have a Master's degree in a non-Nursing field? *  Yes
  No
Have you ever been enrolled in a Nursing Master's Program anywhere *  Yes
  No
If yes, list where and years, and apolose provide an explanation for the Admission and Progression Committee as to wh you are wishing to transer to Ball State University's Master's Nursing Program:
Have you been dismissed from a Master's Nursing Program? *  Yes
  No
If yes, list where, year dismissed, reason for dismissal, and also provide an explanation for the Admission and Progress Committee as to why you are wishing to transfer into Ball State University's Master's Nursing Program:
Are you currently enrolled in a Nursing Master's Program at a different school? *  Yes
  No
If yes, please provide an explanation for the Admission and Progress Committee as to why you are wishing to transfer into Ball State Universityís Masterís Nursing Program.
 
List Nursing Experience in Reverse Chronological Order:
Employer/Dates/Job Title (#1)
Employer/Dates/Job Title (#2)
Employer/Dates/Job Title (#3)
Employer/Dates/Job Title (#4)
For current employment, describe your role:
 
Education: List in chronological order all college-level institutions attended. Clearly indicate dates and degrees granted or to be granted:
Official Name of Institution/Inclusive Dates/City & State/Degree and date granted (#1)
Official Name of Institution/Incluive Dates/City & State/Degree and date granted (#2)
Official Name of Institution/Inclusive Dates/City & State/Degree and date granted (#3)
Official Name of Institution/Inclusive Dates/City & State/Degree and date granted (#4)
Are you a member of Sigma Theta Tau? *  Yes
  No
 
Current RN License Information:
RN License # *
State of Practice *
Expiration Date *
Have you submitted an application to the Graduate School? *  Yes
  No
---SIGN NAME HERE--- *

By typing my name above, I acknowledge and understand that in order for my School of Nursing application to be reviewed that, in addition to submitting the School of Nursing application and supplemental materials by the school of Nursing application cycle deadline, I must also apply and be cleared for graduate studies by the Graduate School by the School of Nursing application cycle deadline. (Please allow a minimum of 2-4 weeks to be cleared by the Graduate School once they have received all of the required materials.) If I do not meet all of the above requirements I will not be considered for admission into the Nursing Masterís Program. For information about the application cycle deadlines and the required supplemental materials for the School of Nursing please visit: http://cms.bsu.edu/academics/collegesanddepartments/nursing/academics/mastersdegrees/onlinemastersprog