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NURSING SCHOOL APPLICANTS

 Please take the time to read and answer EVERY question. Thank You!



IF YOUR PARENTS OR SPONSOR WILL PAY FOR YOU, PLEASE PROVIDE THE FOLLOWING INFORMATION:



IF THEIR ADDRESS IS THE SAME AS YOURS - DO NOT REPEAT THE INFORMATION (15 - 18)



STUDENT'S CONTACT INFORMATION: PLEASE ENTER THE INFORMATION



PROGRAM DESIRED



HAVE YOU TAKEN ANY ENGLISH LANGUAGE PROFICIENCY TESTS? IF YES, PLEASE GIVE THE SCORE AND DATE TAKEN



COURSES OF STUDY AVAILABLE:  PLACE AN "X" NEXT TO ALL THAT APPLY