Follow the steps to successfully complete your application online.

1. Press the ‘Get Form’ button to access the application and open it in your preferred editor.
2. Fill in your personal information, including first name, middle name, last name, birth date, and the last four digits of your Social Security number or tax ID.
3. Provide your contact information, including your phone number, email address, and full street address, ensuring all necessary fields are completed.
4. Select the program of interest and specify the length of the program (standard or bridge) along with the semester you intend to start (fall or spring).
5. List all relevant medical training, schooling, certificates, certifications, job titles, or diplomas, up to five entries. Be honest, as verification documents will be required.
6. Provide demographic information, including gender, whether you are Hispanic or Latino, citizenship status, and race, as appropriate.
7. Enter your payment information to authorize the non-refundable application fee of $65. Include the name on the card, expiration date, card number, security code, and card mailing address.
8. Read the certification statement regarding the accuracy of your information. Sign and date the application to confirm your understanding and agreement.
9. Finally, print your completed application, making sure to include the cover page at the front before submission.

Take the next step in your nursing career by completing your application online today!