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Nursing Inquiry Form
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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*
Date of Birth*
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I give my permission to Indiana State University to send me text messages related to my intended major, admission decision, etc.*
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*
Mailing Address*
Country
Street
City
Region
Postal Code
State - Hidden, for LPN eligibility
AA
AE
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Academic Information
Expected Start Term (If you are unsure, please choose the next available fall term)*
Summer 2023
Fall 2023
Spring 2024
Summer 2024
Fall 2024
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Summer 2025
Fall 2025
Spring 2026
Summer 2026
Fall 2026
Spring 2027
Summer 2027
Fall 2027
Spring 2028
Summer 2028
Fall 2028
In which program / track are you interested?*
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:*
Freshman
Transfer student
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:
I would also like to receive information about the following program:
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)
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.
Education / degree(s) that I have include(s)*
Have you requested that your official transcript(s) (high school, other educational institutions) be sent to Indiana State?*
NOTE:
All electronic transcripts must be sent to:
admissions@indstate.edu
Have you requested that your official transcript(s) (high school, other educational institutions) be sent to Indiana State?*
NOTE:
All electronic transcripts must be sent to:
admissions@indstate.edu
Yes
No
When did you request your transcript(s) be sent to Indiana State?*
When did you request your transcript(s) be sent to Indiana State?*
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