Academic Information
* Subject You Are Interested in Studying -- Select an Area of Study -- Arts and Sciences Business Criminal Justice Environmental Policy Fire Science and Emergency Management Health Sciences Higher Education and Adult Learning Information Technology Legal Studies Nursing Special Military Programs Teacher Education
* Program You Are Interested In (You can change this later) -- Select a Program -- BS in Communication BS in Early Childhood Development BS in Human Services BS in Human Services - Child and Family Welfare BS in Human Services - Human Services Adminstration BS in Human Services- Gerontology BS in Psychology BS in Psychology - Child Development BS in Psychology - Substance Abuse BSPY/Applied Behavior Analysis Emphasis Area Master of Health Care Administration Master of Public Administration Master of Public Health MPA - Criminal Justice MPA - Fire and Emergency Services MPA - General MPA MPA - Governmental Management MPA - Health Care Management MS in Environmental Policy AAS in Accounting AAS in Business Administration AASBA - Banking Service AASBA - Business AASBA - Customer Service AASBA - Health Club Operations AASBA - Hospitality Management AASBA - Meeting and Event Planning AASBA - Office Management AASBA - Retail Management AASBA - Sales AASBA - Small Business Management BS in Accounting BS in Business Administration BSA - Auditing/Forensic Accountancy BSA - Managerial Accountancy BSA - Public Accountancy BSA/Tax Accountancy BSBA - Business Process Management BSBA - Financial Analysis BSBA - Human Resources BSBA - Management BSBA - Marketing BSBA - Procurement BSBA - Project Management BSBA - Risk Management BSBA - Sales Management Master of Business Administration Master of Science in Management MBA - Finance MBA - Human Resources MBA - Marketing MBA - Project Management MS in Finance MS in Finance - Financial Analysis MS in Finance - Financial Planning MS in Accounting MS in Accounting - Audit Specialization MS in Accounting - Finance Specialization MS in Accounting - Government Specialization MS in Accounting - Tax Specialization MS/Management - Human Resources MS/Management - Leadership MS/Management - Organizational Design and Development MS/Management - Project Management AAS in Criminal Justice BS in Criminal Justice BSCJ - Crime Scene Investigation BSCJ - Forensic Psychology BSCJ - Homeland Security BSCJ - Juvenile Justice BSCJ - Law Enforcement BSCJ – Corrections MS in Criminal Justice MS in Homeland Security and Emergency Management MSCJ - Corrections MSCJ - Global Issues in Criminal Justice MSCJ - Law MSCJ - Leadership/Executive Management BS in Environmental Policy and Management AAS in Fire Science BS in Fire and Emergency Management BS in Fire Science AAS in Health Information Technology AAS in Medical Assisting AAS in Medical Office Management AAS in Medical Transcription BS in Health and Wellness BS in Healthcare Administration BS in Nutrition Science Master of Science in Health Education MBA - Health Care Management MS in Psychology MS in Psychology - Addictions MS in Psychology - General Psychology MS/Management - Health Care Management MSPY/Applied Behavior Analysis Specialization MS in Educational Psychology MS in Higher Education - College Administration and Leadership MS in Higher Education - College Teaching and Learning MS in Higher Education - Educational Assessment and Evaluation MS in Higher Education - Online College Teaching MS in Higher Education - Student Affairs AAS in Information Technology AASBA - Information Processing AASIT - Application Development AASIT - Help Desk Administration AASIT - Network Administration AASIT - Web Development BSBA - Information Assurance BSBA - Information Systems Management BSIT/Applied Technology Track BSIT/Applied Technology Track - Information Systems Management BSIT/Applied Technology Track - Network Administration BSIT/Applied Technology Track - Project Management BSIT/Applied Technology Track - Web Development BSIT/Information Systems Track BSIT/Information Systems Track - Application Development BSIT/Information Systems Track - Database Management BSIT/Information Systems Track - Information Security and Forensics BSIT/Information Systems Track - Mobile Computing MBA - Information Technology MS in Information Technology MS/Management - Information Technology MSIT - Business Intelligence MSIT - Information Security and Assurance MSIT - Project Management AAS in Paralegal Studies BS in Legal Studies BS in Paralegal Studies MS in Legal Studies MSLS - Education and the Legal System MSLS - Health Care Delivery MSLS - Legal System and the Media MSLS - State and Local Government Pathway to Paralegal Postbaccalaureate Certificate Master of Science in Nursing - Adult Gerontology Practitioner Master of Science in Nursing - Family Nurse Practitioner MS in Nursing MSN - Nurse Administrator MSN - Nurse Educator MSN - Nurse Informatics RN to MS in Nursing ASHS - Army Dental Specialist ASHS - Behavioral Health Technician ASHS - Dental Laboratory ASHS - Dental Laboratory Advanced ASHS - Independent Duty Medical Technician ASHS - Navy Dental Assistant ASHS - Physical Therapy Assistant ASHS - Preventive Medicine ASHS - Surgical Technologist ASHS - Ophthalmic Technician MA in Teaching (for Aspiring Teachers Grades 5-12) MS in Education (for Existing Teachers Grades K-12) MSE in Instructional Technology (K-12)
Other Information
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* Select Your Age -- Age -- 16 or Under 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70
* High School Graduation Year -- High School Graduation Year -- 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945
* Select Highest Level of Education -- Level of Education -- Still in High School High school diploma GED Some College Associate's Degree Bachelor's Degree Post-graduate Study Masters Degree Doctorate None of the above
* Please enter your GPA.
* Are you associated with the United States military? Yes No
* Gender Male Female
* Do you possess a current US license as a registered nurse without restriction or expect to receive your US RN license in the next 20 weeks? Yes No
* Are you a United States citizen? Yes No
* How many years of work experience do you have?
* When do you plan to enroll? -- Start Date -- Immediately 1 month 2 months 3 months 4 months 5 months 6 months 7 months 8 months 9 months or more
* Date of birth Month January February March April May June July August September October November December Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
* Do you possess a bachelor's of science degree in Nursing? Yes No
* In what state was your current or primary RN license issued? -- State -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Montana Missouri Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Africa Armed Forces Americas Armed Forces Canada Armed Forces Europe Armed Forces Middle East Armed Forces Pacific Palau
* Do you possess a current license as a registered nurse without restrictions to practice in one of these states? No Alabama Alaska California Colorado Connecticut Delaware District of Columbia Iowa Idaho Indiana Michigan Mississippi Montana Minnesota Nebraska Nevada Ohio Oklahoma Rhode Island South Carolina South Dakota Virginia Vermont
* Do you have 1000 hours of clinical practice as a RN? Yes No
Personal Information
* First Name
* Last Name
* E-mail Address
* Phone Number
* Street Address
* City
* state -- State -- Alabama Alaska Arizona Arkansas Armed Forces Africa Armed Forces Americas Armed Forces Canada Armed Forces Europe Armed Forces Middle East Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
* Postal Code
* country -- Country -- Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armed Forced- Americas Armed Forced- Europe Armed Forces- Pacific Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Caribbean Netherlands Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Curacao Cyprus Czech Republic Democratic Republic of the Congo (Zaire) Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Federated States of Micronesia Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia International Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar (Burma) Namibia Nauru Nepal Netherlands Neutral Zone New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa (Independent) San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City State (Holy See) Venezuela Vietnam Virgin Islands (British) Virgin Islands (U.S.) Wallis and Futuna Islands Western Sahara Yemen Zambia Zimbabwe
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