Undergraduate Nursing Student Application

Please select which program you are applying for:

Select which degree you plan to pursue.

The School of Nursing program at Southern Adventist University now has two pre-licensure pathways to prepare to take and pass the NCLEX-RN and become a Registered Nurse!

PATHWAY 1: AS Nursing Degree (Offered both Fall & Winter Semesters)
PATHWAY 2: BSN Degree (Offered both Fall & Winter Semesters)

The School of Nursing program at Southern Adventist University has 3 tracks for the licensed RN to complete their baccalaureate degree.
Students interested in the consortium track (which meets once a week off campus at a reduced rate) should specify RN-BS Consortium when completing the Southern Adventist University application. This would be in addition to selecting that track below on this nursing application.

* Indicates required field

Personal Details

First Name *

Preferred First Name

Middle Name

Last Name *

Maiden name or other last name you have used

Birthdate *

Marital Status *

Contact Details

Mailing Address *

Country

Street

City

Region

Postal Code

Mobile Number *

Other Number *

Email Address *

Additional Details

Name of High School *

Graduation date from LPN program *

Graduation date from RN program *

Name of Educational Institution *

LPN or LVN License information:

RN License Information

License # *

State *

Expiration Date *

Nursing Employment:

Current Employer

Years of Nursing Experience

Student Status

If you plan to take nursing at Southern, you must also apply and be accepted to SAU.

SAU Student Status *

Student ID# *

Name and Year Attended Under *

Semester and Year (planning to enroll) *

When do you wish to be considered for clinical nursing courses? *

Semester *

Year *

Will you be transferring pre-nursing credits from another school? *

Yes

Have you completed any clinical nursing classes at another school? *

Yes

If yes to either question above, list name of school: *

Have you completed any other RN-BSN nursing classes at another school? *

Yes

Name of school: *

What BS program are you applying for: *

The School of Nursing reserves the right to deny admission or remove students from the nursing program based on results of the criminal background check.

Have you ever been convicted of a crime, other than a minor traffic violation? *

Yes

Please Explain *

Applicant's Signature (First, Middle, Last) *