Nursing Nursing Degrees BSN Program BSN Program Learning Outcomes BSN Application Process Traditional BSN Application / Confirmation of Intent to Enroll Nursing Faculty and Staff Menu Contact or visit us Brittney Fritzinger Nursing Department Chair and MSN Program Director bfritzin [at] nebrwesleyan.edu (bfritzin[at]nebrwesleyan[dot]edu) Traditional BSN Application / Confirmation of Intent to Enroll This application is for current ¶¶ÒõÊÓƵ and transfer students applying for the traditional BSN option.Per the Nebraska State Board of Nursing guidelines (accessed 12/05/2017), ¶¶ÒõÊÓƵ Nursing Programs require self-disclosure of any misdemeanor or felony convictions. If you have ever been convicted of a felony or misdemeanor, you must report that conviction. This may have occurred in traffic or criminal court settings. This type of conviction does not necessarily mean that you will forfeit admission to the nursing program or that you will not be able to obtain the RN license following graduation and successful completion of the NCLEX. Student applicants are required to successfully complete the required background check and drug screen for final acceptance into ¶¶ÒõÊÓƵ Nursing Programs.This application will close February 1, 2025. Personal Information First name Middle name (Optional) Last name Gender Male Female Birthdate Birthdate: Month Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Birthdate: Day Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Birthdate: Year Year 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 Marital status (Optional) Single Married Divorced Widowed Social security number (Optional) Current Address Address Address 2 (Optional) City State - Select - 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 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 Zip Phone (Optional) Type (Optional) - Type - Home Cell Phone (Optional) Email Emergency Contact Name (Optional) Phone (Optional) Type (Optional) - Type - Home Cell Phone (Optional) Ext: (Optional) Relationship (Optional) Citizenship/visa type Are you a U.S. citizen? (Optional) Yes No Indicate your visa type (Optional) Student Permanent Other Ethnicity/Race The following is needed by the University for use in a report required by the federal government. Please select the correct category. Are you Hispanic/Latino? (Optional) Yes No Select one or more of the following race categories, if applicable (Optional) American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Military Service Have you served, or are you currently serving as a member of the U.S. Military? (Optional) Yes No High School Information High school (Optional) Graduation year (Optional) Disciplinary History Have you EVER had a misdemeanor or felony conviction? You are required to list ALL convictions (regardless of when they occurred) Yes No Please list all convictions (Optional) You are NOT required to list infractions, diversions, or dismissals. Convictions can be processed through traffic or criminal court. You should check with both county and district courts for misdemeanor and/or felony convictions. Colleges Previously Attended In order to complete the admission application process, all colleges/universities you have attended must send an official academic transcript. College 1 College name (Optional) Address (Optional) Dates of attendance (Optional) College 2 College name (Optional) Address (Optional) Dates of attendance (Optional) College 3 College name (Optional) Address (Optional) Dates of attendance (Optional) College 4 College name (Optional) Address (Optional) Dates of attendance (Optional) College 5 College name (Optional) Address (Optional) Dates of attendance (Optional) College 6 College name (Optional) Address (Optional) Dates of attendance (Optional) Experience with Nebraska Wesleyan Are you a current ¶¶ÒõÊÓƵ student? (Optional) Yes No Where did you learn about Nebraska Wesleyan? (Optional) - None - My Employer Friend/Co-worker Job/Education Fair or Event Classroom Speaker Mail/Flier/Postcard Newspaper Ad Online Search Online Ad Facebook Ad Radio Ad Work and Volunteer Experiences Please list any work or volunteer experiences (Optional) Admission Questions Please record and attach a video (3 minutes or less) with your answers to the following questions:All students can contribute to the creation of a diverse and inclusive environment when diversity is defined most broadly. Whether by a personal attribute, characteristic, culture, experience, or behavior please tell us how you believe you will contribute to the diversity of ¶¶ÒõÊÓƵ Nursing and to the nursing profession.Describe how your personal strengths, experiences, and aptitude will contribute to your success in nursing school and career in nursing (community service, leadership, experience, healthcare experience). Attach video Upload One file only.100 MB limit. Admissions Essay Please prepare a 1-2 paragraph essay answering the following question: Obtaining a nursing degree requires persistence and the ability to stay focused on the end result. Share with us a long-term goal that you had, the steps/process you took to obtain that goal, and how you overcame any obstacles that you encountered. This goal could be academic, personal, or extracurricular in nature. Essay Submit Application Leave this field blank
