RN-BSN Application

This application is for students that have received an Associates Degree in Nursing and passed the NCLEX Exam.

Name (As stated on license) Name (As stated on license) First Last
T#
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone - ### - ### ####
TN Resident

TN Resident Yes No
I am applying for the semester that begins in (semester/year)
Ethnicity/Race (optional)
Associates Degree in Nursing obtained at:
Nursing Accreditation for this Institution
State in which you hold RN license
License in good standing

License in good standing Yes No
In "No" Please explain
Please upload unofficial transcripts from and college or university you have attended other than TTU

Attach Files
Resume

Attach Files
References: Please provide the names and contact information (address, phone, and email address) of 3 references (one must be from current or most recent employer)

Attach Files
Summarize in 250 words or less the circumstances and reasons motivating you to pursue the BSN Degree.
Maximum of 250 characters allowed. Currently Entered: 0 characters.
STATEMENT OF KNOLEDGE AND CONSENT (please read carefully)
I, understand that TTU must receive my complete, official transcripts before admission the RN-BSN (NURN) program. I understand that even if I am selected at this time for admission to the RN-BSN program, my actual admission is contingent upon successful completion of all requirements.
(You can sign using mouse pad)

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.