Nursing Nursing Degrees BSN Program BSN Program Learning Outcomes BSN Application Process Traditional BSN Application / Confirmation of Intent to Enroll Faculty and Staff Menu Contact or visit us Brittney Fritzinger Nursing Department Chair and MSN Program Director bfritzin [at] nebrwesleyan.edu (bfritzin[at]nebrwesleyan[dot]edu) Traditional BSN Application / Confirmation of Intent to Enroll This application is for current Nebraska Wesleyan University and transfer students applying for the traditional BSN option. Per the Nebraska State Board of Nursing guidelines (accessed 12/05/2017), NWU Nursing Programs require self-disclosure of any misdemeanor or felony convictions. If you have ever been convicted of a felony or misdemeanor, you must report that conviction. This may have occurred in traffic or criminal court settings. This type of conviction does not necessarily mean that you will forfeit admission to the nursing program or that you will not be able to obtain the RN license following graduation and successful completion of the NCLEX. Student applicants are required to successfully complete the required background check and drug screen for final acceptance into NWU Nursing Programs. This application will close February 1, 2024. Personal Information First name Middle name (Optional) Last name Gender Male Female Birthdate Birthdate: Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Birthdate: Day Day12345678910111213141516171819202122232425262728293031 Birthdate: Year Year20092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954 Marital status (Optional) Single Married Divorced Widowed Social security number (Optional) Current Address Address Address 2 (Optional) City State - Select -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Phone (Optional) Type (Optional) - Type -HomeCell Phone (Optional) Email Emergency Contact Name (Optional) Phone (Optional) Type (Optional) - Type -HomeCell Phone (Optional) Ext: (Optional) Relationship (Optional) Citizenship/visa type Are you a U.S. citizen? (Optional) Yes No Indicate your visa type (Optional) Student Permanent Other Ethnicity/Race The following is needed by the University for use in a report required by the federal government. Please select the correct category. Are you Hispanic/Latino? (Optional) Yes No Select one or more of the following race categories, if applicable (Optional) American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Military Service Have you served, or are you currently serving as a member of the U.S. Military? (Optional) Yes No High School Information High school (Optional) Graduation year (Optional) Disciplinary History Have you EVER had a misdemeanor or felony conviction? You are required to list ALL convictions (regardless of when they occurred) Yes No Please list all convictions (Optional) You are NOT required to list infractions, diversions, or dismissals. Convictions can be processed through traffic or criminal court. You should check with both county and district courts for misdemeanor and/or felony convictions. Colleges Previously Attended In order to complete the admission application process, all colleges/universities you have attended must send an official academic transcript. College 1 College name (Optional) Address (Optional) Dates of attendance (Optional) College 2 College name (Optional) Address (Optional) Dates of attendance (Optional) College 3 College name (Optional) Address (Optional) Dates of attendance (Optional) College 4 College name (Optional) Address (Optional) Dates of attendance (Optional) College 5 College name (Optional) Address (Optional) Dates of attendance (Optional) College 6 College name (Optional) Address (Optional) Dates of attendance (Optional) Experience with Nebraska Wesleyan Are you a current NWU student? (Optional) Yes No Where did you learn about Nebraska Wesleyan? (Optional) - None -My EmployerFriend/Co-workerJob/Education Fair or EventClassroom SpeakerMail/Flier/PostcardNewspaper AdOnline SearchOnline AdFacebook AdRadio Ad Work and Volunteer Experiences Please list any work or volunteer experiences (Optional) Admission Questions Please record and attach a video (5 minutes or less) with your answers to the following questions: All students can contribute to the creation of a diverse and inclusive environment when diversity is defined most broadly. Whether by a personal attribute, characteristic, culture, experience, or behavior please tell us how you believe you will contribute to the diversity of NWU Nursing and to the nursing profession. Describe how your personal strengths, experiences, and aptitude will contribute to your success in nursing school and career in nursing (community service, leadership experience, healthcare experience). Obtaining a nursing degree requires persistence and the ability to stay focused on the end result. Share with us a long-term goal that you had, the steps/process you took to obtain that goal, and how you overcame any obstacles that you encountered. This goal could be academic, personal, or extracurricular in nature. Attach video (Optional) Upload One file only.100 MB limit.Allowed types: avi, mov, mp4, ogg, wav, webm. Submit Application Leave this field blank
