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Nursing Application
 

Nursing Application

We strongly recommend use of a laptop or desktop to submit this application. Chrome or Firefox are recommended browsers. 

After you submit this application, you will receive an email confirmation.
If you do not receive a confirmation email, your application did not submit.

Instructions for submitting the Wesleyan College Nursing application:

To be considered for admission, submit the following requirements:

  • Application for admission
  • College transcripts from all institutions attended
  • Register to take the HESI A2 Nursing Entrance Exam at Wesleyan College

If you have questions about the admission process, contact us at admissions@wesleyancollege.edu or call 1-800-447-6610 or 478-757-3994.


STATEMENT OF NONDISCRIMINATION: Wesleyan College’s recruitment of students, awarding of financial aid, and operation of programs and facilities are without regard to race, color, religion, age, marital status, creed, disability, sexual orientation, and national or ethnic origin.

 
  
CONTACT INFORMATION
 
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First Name:

 

Preferred Name:

 

Middle Name:

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Last Name:

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Birth/Maiden Name:

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Address:

 

Address 2:

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City:

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State:

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Zip Code:

 

US County of residence

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Country:

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Birth Date:

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SSN:

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Home phone:

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Mobile/Cell:

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May we send you text messages using the cell phone number you provided?

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Email:

 

Ethnic heritage

 

Race (select all that apply)





 

Religious affiliation

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Gender

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Citizenship status

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Country of citizenship

 

Are you receiving veteran benefits?


Education history
 
 

High School Attended:

 

High School City:

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High School State: (1)

 

High School Graduation Date:

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Do you have a GED?

 

GED Test Date:

previously attended colleges
 
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How many colleges have you previously attended?

College #1
 

Most Recent College/University Attended:

 

State: (1)

 

City:

College #2
 

College/University Attended:

 

State:

 

City:

College #3
 

College/University Attended:

 

State:

 

City:

College #4
 

College/University Attended:

 

State:

 

City:

College #5
 

College/University Attended:

 

State:

 

City:

admission requirements
 
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Anticipated Academic Enrollment Year:

2020
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Anticipated Academic Enrollment Term:

Spring
 

List all courses that you are currently taking:
        Format as: Year/Term, School, Course Code
        Example:    SP2017, Georgia College, BIO 299:

 

What Wesleyan Pre-Nursing required classes do you still need to complete? Bachelor of Science in Nursing catalogue page
         Format as: Year/Term, Course Code 
         Example:   SP2017, BIO 299:

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Have you taken the HESI A2 nursing entrance exam for this application period at Wesleyan College?

 

If you have not taken the HESI A2 nursing entrance exam at Wesleyan College but registered to take it, what is your anticipated test date (leave blank if not registered)?

 

What is the highest level of education you have completed? (High School, Associates, Bachelors, etc)

NURSING BACKGROUND
 
 

Have you previously attended a RN or LPN program?    
(You are required to submit a copy of your license to the Nursing Division)

 

School Name:

 

Year of previous attendance:

 

Did you graduate from this program?

Division OF NURSING
 

Wesleyan College Nursing Program requires a background check and drug screening for admission. Failure to be honest in the completion of the application questions (below) regarding prior conviction may result in an honor code violation and could result in dismissal from the program.

CLINICAL AGENCIES
 

As a nursing student, you will be required to provide documentation of the following; satisfactory completion of health requirements including a complete health history, current physical examination, current immunizations (measles, rubella, varicella, hepatitis B, and influenza), and tuberculosis screening, a criminal background report and drug screening, at your own expense. If criminal background report and drug screening is required by the clinical agency to which you are assigned, results will be reported to the clinical agency. If the clinical agency finds the results of the drug screening or criminal background check to be unacceptable, the Wesleyan College Nursing program may not be able to provide further educational experiences, which could impede the student's progression and completion of the nursing degree. The Wesleyan College catalogue has additional information about clinical requirements.      

CRIMINAL BACKGROUND INFORMATION
 
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Have you ever been placed on probation, dismissed, or suspended from any college or university for reasons pertaining to academic integrity?


 

Provide Personal Statement that includes all facts that you believe bear the significance of this circumstance:

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Have you ever been convicted of, or pled guilty or no contest to any felony or misdemeanor (excluding minor traffic violations)?


 

Provide further details regarding your felony or misdemeanor:

Agree and SIgn
 

I understand that in order for my application to be considered I must submit this application form, take the HESI A2 entrance exam at Wesleyan College, submit official transcripts, and complete the Wesleyan Pre-Nursing course requirements by the required deadline. I have read the Core Performance Standards for Admission and Progression and can effectively and safely perform the competences listed. Submission of the application does not guarantee admission to the Nursing program. 

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Type your full name:

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Date:

3/20/2019 5:53:11 AM