Nursing Inquiry Form

*indicates required field

Student Information

First Name*

Preferred Name (this will display in emails, text messages, mailings, etc.)

Last Name*

Student Email Address*

Student Cell Phone*

Date of Birth*

I give my permission to Indiana State University to send me text messages related to my intended major, admission decision, etc.*

Yes

No

Mailing Address*

Country

Street

City

Region

Postal Code

State - Hidden, for LPN eligibility

Academic Information

Expected Start Term (If you are unsure, please choose the next available fall term)*

In which program / track are you interested?*

LPN - BSN Track - Online (must be licensed LPN/LVN to be eligible)

Nursing Traditional 4-Year Track (BSN) - On Campus (must have high school diploma to be eligible - not eligible if you are LPN)

Nursing 2nd Degree Accelerated - Online/Hybrid (must have previous bachelor's or master's degree to be eligible)

MSN - Nursing, Family Nurse Practitioner - Online (must be licensed RN with a nursing bachelor's degree to be eligible)

Post-MS - Family Nurse Practitioner Certificate - Online (must be licensed RN with a nursing master's degree to be eligible)

DNP - Nursing Practice - Online (must have a nursing master's)

DNP - Nursing Practice - Online (must have BSN)

I am an incoming:*

The Indiana State University LPN to BSN track is only available to residents of and licensed in these listed states. Students residing outside these states may NOT apply for the program. Indiana State University's program is only recognized by the specified boards of nursing.

The Indiana State University Family Nurse Practitioner MSN is only available to residents of and licensed in these listed states. Students residing outside these states may NOT apply for the program. Indiana State University's program is only recognized by the specified boards of nursing.

The Indiana State University Family Nurse Practitioner Certificate is only available to residents of and licensed in these listed states. Students residing outside these states may NOT apply for the program. Indiana State University's program is only recognized by the specified boards of nursing.

The Indiana State University Nursing Practice DNP is only available to residents of and licensed in these listed states. Students residing outside these states may NOT apply for the program. Indiana State University's program is only recognized by the specified boards of nursing.

The Indiana State University Nursing Practice DNP (from BSN) is only available to residents of and licensed in these listed states. Students residing outside these states may NOT apply for the program. Indiana State University's program is only recognized by the specified boards of nursing.

I would also like to receive information about the following program: