University of West Georgia School of Nursing

2011 APPLICATION FOR ADMISSION

RN-BSN PROGRAM APPLICATION FOR ADMISSION

Please Note:This application is for Registered Nurses seeking admission to the RN-BSN program.

Instructions

Applicants seeking admission to the RN-BSN Bachelor of Science in Nursing (BSN) program must submit the following information to the School of Nursing by the following deadlines:

March 15, to be considered for Fall admission (Carrollton and Rome campuses).

Evidence of Admission to the University of West Georgia. If not currently enrolled at UWG, please send evidence of admission to the School of Nursing. Please note: When applying to the university, please mark the application for entrance in the semester your nursing courses will begin. If you were admitted to UWG but never attended, please contact the admissions office regarding your status. If you are returning to UWG, please contact the Registrar’s Office regarding readmission.

Evidence of licensure as a Registered Nurse in Georgia. If you are a new graduate applying for admission, please attach a letter indicating when you expect to complete NCLEX-RN.

Submission of transcripts. It is the responsibility of the applicant to see that ALL TRANSCRIPTS, for coursework done at a school other than the University of West Georgia, are sent to the Admission’s Office. These transcripts must be received in the Admission’s Office to be considered for admission to the RN-BSN Program.
Please send all documents to:
RN-BSN Admissions Committee
University of West Georgia
School of Nursing
1601 Maple Street
Carrollton, GA 30118-5180

Last Name
First Name
UWG ID# (If available)
Middle Name
Maiden Name
Street Address/P.O. Box Include/Apartment #
City
State
County
Zip
Email Address
Home Phone #
Cell Phone #
In case of emergency, notify
Relation
Emergency Phone #
Presently attending a college or university?	Yes No
If yes, identify the school
Nursing Program attended:
Date of Graduation:
NLNAC Accredited:	Yes No
Please indicate preferred campus and term you plan to begin nursing courses:	Carrollton- Year: Fall Admission Only (March 15 Application Deadline) Rome- Year: Fall Admission Only (March 15 Application Deadline)
College(s) Attended	College Name Dates Attended Diploma/Degree College Name Dates Attended Diploma/Degree College Name Dates Attended Diploma/Degree College Name Dates Attended Diploma/Degree College Name Dates Attended Diploma/Degree
Georgia RN license number
Employer
Employer Address
Employer City
Employer State
Has any state board of nursing ever imposed disciplinary action against you?	Yes No
If “Yes,” please attach a notarized letter explaining the details of the action.
Please send supporting application documents to: RN-BSN Admissions Committee University of West Georgia School of Nursing 1601 Maple Street Carrollton, GA 30118-5180

School of Nursing | University of West Georgia | 678-839-6552 | nurs@westga.edu

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2011 APPLICATION FOR ADMISSION

RN-BSN PROGRAM APPLICATION FOR ADMISSION

Instructions