The Gail & Richard Lumpkin School of Nursing (RN to BSN Program) Course Request

Please submit this form to request enrollment in Nursing Courses

Date Date * / MM / DD YYYY
Enter your E# *
Name Name * First Last
Phone Phone * - ### - ### ####
Enter your EIU/Panther Email, or your request will not be processed. *
Please Select Course Requesting *
What is your academic rank? *
When do you plan to graduate? *
Semester/Year of Course *
Can you please provide a rationale for requesting to be added to a course. The response that says, "the course is full" is NOT sufficient. *