Get Southern Illinois University Edwardsville Rn To Bs Employer Partnership Program Admission Application

This guide will assist you in completing the Southern Illinois University Edwardsville RN to BS Employer Partnership Program Admission Application online. With clear instructions, you will navigate each section of the application confidently.

Follow the steps to successfully complete your application.

1. Press the ‘Get Form’ button to access the application form electronically.
2. Begin by indicating your employment status with an SSM hospital. Check the appropriate box for 'Yes' or 'No'.
3. Enter your Nursing License Number in the provided field.
4. Select the term and year you are applying for by checking the options for Fall, Spring, or Summer and filling in the year.
5. Provide your legal name, ensuring to fill in your Last, First, and Middle names in the designated spaces.
6. If applicable, indicate any other names under which your credentials may be received.
7. List your permanent home address, ensuring to include the street number, street name, apartment number, city, state, and ZIP code.
8. If your mailing address differs from your permanent address, fill out the mailing address section.
9. Provide your work and home telephone numbers.
10. Enter your email address accurately.
11. Indicate your gender by checking the corresponding box.
12. Fill in your date of birth using the format MM/DD/YY.
13. If comfortable, enter your Social Security number in the designated field.
14. Identify your citizenship status by answering whether you are a U.S. citizen or a permanent resident immigrant.
15. Complete optional demographic questions to assist SIUE’s compliance efforts, understanding that these responses will not affect your application outcome.
16. List any nursing and other schools attended, including the name of the school, city, state, and the degree earned.
17. Specify your state of residence and the duration you have lived there, along with any request for consideration as an 'undocumented' student.
18. Indicate if you have served or are currently serving in the United States armed forces.
19. Disclose any felony convictions or current indictments if applicable, following the instructions provided.
20. Complete the student consent form regarding access to education records, ensuring you provide your printed name, signature, and date.
21. Finally, sign and date the certification indicating all information is accurate and truthful.
22. Once all fields are completed, save your changes, and you may choose to download, print, or share the application form.

Complete your application online today to begin your journey towards obtaining your RN to BS degree!