Request More Information
First Name
*
Last Name
*
Street Address
*
Apt #
City
*
State
*
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Alberta
British Columbia
Manitoba
New Brunswick
New Foundland and Labrador
Northwest Territories
Nova Scotia
Nanavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Zip
*
Email Address
*
Phone Number
Program of Interest
*
RN-BS (On-campus)
RN-BS (Online)
How did you hear about us?
*
Direct Mail
Online Ad
Word of Mouth
TV
Radio
Newspaper
Web Search
Please check all that apply:
Please send an admissions packet via regular mail
I would like an admissions advisor to contact me
I prefer electronic communications
I need to apply for financial aid
*Required