The Gail & Richard Lumpkin School of Nursing (Traditional Program) Application
The Gail & Richard Lumpkin School of Nursing (Traditional Program) Application
Deadline March 1, 2024
Name
Name
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First
Last
Maiden/Former Last Name
Date of Birth
Date of Birth
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E-Number
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EIU Email Address (Notification of submitting this application will be sent to the EIU Email Address)
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Cell Phone
Cell Phone
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Have you previously earned another degree? If yes, please provide your degree, year earned, and institution.
Do you currently have or have had a certification or license? Examples include Certified Nurse's Aide, Pharmacy Technician, or Medical Technician, etc. If yes, please provide the type of license/certification and number.
Please select the option below that best explains your situation.
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Please select the option below that best explains your situation.
All pre-requisite pre-nursing courses are completed.
Pre-requisites will be completed after the fall semester of your sophomore year.
What classes are you enrolled in this semester?
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In pursuit of goals, one frequently encounters obstacles. Please describe a time when you faced a challenge, obstacle, setback, or failure. How did it affect you and what did you learn from the experience?
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Maximum of
300
words allowed.
Currently Entered:
0
words.
Reference Letter (This reference can be from a teacher, coach, employer, counselor, etc.)
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Attach Files
This letter is required to complete the application.
Reference Letter (This reference can be from a teacher, coach, employer, counselor, etc.)
Attach Files
Reference Letter (This reference can be from a teacher, coach, employer, counselor, etc.)
Attach Files
Academic Advisor Email Address
*
Completion of this application confirms my interest in entering the traditional on-campus Bachelor of Science in Nursing program at Eastern Illinois University. I certify that the information provided is true. Please print your name below as signature for the application.
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Please date the completion of this application.
Please date the completion of this application.
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