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College of Nursing & Allied Health

MSN ONLINE APPLICATION

There is a $25 application fee.  You do not have to submit any other application at UNA.  This application will suffice for admittance to the College of Nursing MSN Program, the Graduate College and the University.  Please note: Your application will not be considered until your application fee is received.  Applications will be processed when all criteria are received.  Make your check payable to the University of North Alabama and mail it to:  College of Nursing Online Program, University of North Alabama,  Box 5127, Florence, AL 35632.  Attention: Mrs. Sandra Thompson.

  

Applicants will be accepted based upon the following criteria: the date that all application components are received including the application fee, transcripts, official GRE or MAT scores, reference letters, and written statement (essay) of your goals.  Additional criteria include a BSN, minimum undergraduate GPA of 3.0, an unencumbered RN license, and a faculty review of the essay and letters of reference.  Applicants will be notified upon approval.

Date:     I am most interested in the:   Teaching-Learning Track    Leadership Track

I am applying for the fall semester of   (YEAR)  Note:  Fall semester begins in  late August.

Legal Name:  
                              Last                                                     First                                                   Middle                                    Maiden (Optional) 

Date of Birth:             City and State of birth:
                   (Ex: 01/01/1982)

Other name(s) in which permanent record or transcripts may be listed:

Address:       City:      County:   State:    Zip:   

Country:        Are you a resident of Alabama?  Yes     No

Phone (please include area codes)     Home:   Cellular:   Work:

Email address: (Preferred)     (Alternate)

Country of Citizenship 
                                         
Ethnic group (optional):  Black Non-Hispanic     American Indian/Alaskan Native     Asian or Pacific Islander     Hispanic
                                         White Non-Hispanic     Nonresident Alien

Do you have a Bachelor's degree in nursing?  Yes     No     Year of graduation  

If you are currently enrolled in a BSN program, what is your expected graduation date?  

Do you have an unencumbered Registered Nurse license?  Yes     No   In what state(s):

RN License #1     RN License #2     RN License #3
                                   (state/number)                                                      (state/number)                                                     (state/number)                                            

Are you currently employed? Yes     No    How many years of full-time nursing experience?

 Place of employment:      address:     

  Have you taken the GRE or the MAT?   Yes     No    If yes, have your scores been sent to UNA? Yes     No   
                                                                                                     If no, do you have a scheduled date? Yes       No  
                                                                                                                                                                                     (Date)

List all Colleges & Universities Attended (including UNA) Dates Attended
From                    To 
Degree Awarded Date Awarded 

Have you requested that official transcripts be sent to us?   Yes     No  
(Please note that official transcripts should be sent to: College of Nursing Online Program, University of North Alabama,  Box 5127, Florence, AL 35632.  Attention: Mrs. Sandra Thompson.
). 

Are there any potential restrictions, medical or otherwise, that may prevent you from meeting the program requirements at the University of North Alabama?
 Yes     No     (If "yes" briefly explain below.)

It is the policy of the University of North Alabama to afford equal opportunities in education and employment to qualified persons regardless of age, color, creed, disability, national origin, race, religion, or sex, and valid regulations.  The coordinators for nondiscrimination policies are for students, the Vice President for Student Affairs and University Counsel, Room 217, Bibb Graves Hall or telephone 256-765-4325; for employees, the Director of Human Resources and Affirmative Action, Room 222, Bibb Graves Hall or telephone 256-765-4291.

06/22/2007