RN-BSN Online Application

To apply, please answer the following questions to the best of your ability.
Upon completion, a confirmation will be sent to the email address you've specified within the form.

* Required. Please ensure you complete the entire form before submitting.


Applicant Information
   
*First Name :
*Middle Initial:
*Last Name:
Maiden Name:
*UWF ID Number:
(970123456)
*Have you previously applied
to the UWF Department of Nursing?
*Email Address:
*Telephone Number:
(8501234567)
*Mailing Address:
*City:
*State:
*Zip Code:
*Date of Birth:
(mm/dd/yyyy)
Florida RN License #:
Exp. Date:
Non-Florida RN License #:
State (Non-Florida RN License #):
Exp. Date:
*Gender:
*Ethnic Origin:





Program Information
Indicate term for which you are applying to enter:
Partner Code (if applicable):
*Semester
*Year
*Term
*Do you plan to attend:
*Have you ever attended UWF?


If Yes, level and area of interest (i.e., FNP, Nursing Education, Nursing Administration, CRNA):
High School Information
*High School Name & Location:
*Year of Graduation:
(yyyy)

The following may be used as proof of completion of the UWF Foreign Language requirement: 2 years of a foreign language in High School, 8 college credits of a foreign language, or CLEP testing to obtain college credits in a foreign language. NOTE: Official High School Transcripts must be sent to UWF Undergraduate Admissions** if they are needed to document completion of the Foreign Language Requirement.

** All official transcripts (high school, colleges, and universities) must be submitted in a sealed envelope, as prepared by the sending institution, to:

University of West Florida Admissions
11000 University Pkwy
Pensacola, FL 32514

Academic and Work History

*Completion of an Associate of Science in Nursing (ASN) Degree or a Diploma Nursing program. Indicate institution and date degree earned:

*ASN program accreditation through:
*Completion of an Associate of Arts (AA) Degree from a Florida community college, OR completion of UWF General Studies requirements (see the UWF Catalog for a list of General Studies courses and requirements):

*Minimum cumulative GPA of 2.75 in all college credit course work.

*Minimum grade of "C" in all 8 Florida Common Course Prerequisites applicable to the BSN degree program.

Florida Common Pre-requisites for Nursing Coursework:

The following UWF courses or their equivalent must be completed with a minimum grade of "C"

BSC 1085/L Anatomy & Physiology I with lab (4 semester hours)
BSC 1086/L Anatomy & Physiology II with lab (4 semester hours)
MCB 1000/L Microbiology with lab (4 semester hours)
DEP 2004 Human Growth & Development (3 semester hours)
STA 2023 Statistics (3 semester hours)
HSC 2577 Nutrition (3 semester hours)
Choose one 3 semester hour course with the following UWF departmental prefixes: CHM, BSC, BCH, PCB, PHY
Choose one 3 semester hour course with the following UWF departmental prefixes: PSY, SOP, SYG

List all colleges, universities and professional schools you have attended or are currently attending, including the University of West Florida.

University/College

Dates Attended

Degree Earned

Graduation Date

Transcript Sent**

List all professional work experience in reverse chronological order.

Agency (name & address)

Dates Employed

Department/Unit

Position

Describe any volunteer activities and level of participation (i.e., organized HeartWalk, participated in Relay for Life)

Event and Location

Date

Level of Participation

 

Disclosure of Criminal Background
*Have you ever been convicted of, or charged with, a criminal offense (felony or misdemeanor) or are you currently the subject of any criminal proceeding?
***
If ***YES, you must provide in this packet a written explanation of the incident
Locate the file you want to upload
and copies of all official documentation explaining the final disposition of the proceedings.
Locate the file you want to upload
or mail to:
Department of Nursing Online
11000 University Pkwy
Building xx, Room xx
Pensacola, Fl 32514

You do not need to disclose information about minor traffic violations. However, you must disclose information if the traffic offense involved illegal drugs or alcohol or if any person was killed or hospitalized as a result of an accident in which you were charged for a traffic violation. You do not need to disclose information regarding any criminal offense record which has been expunged according to applicable law. You must disclose information if charges were dropped or not prosecuted because you were granted any type of pretrial diversion. Failure to disclose this information may result in a revocation of admission.

The Florida Board of Nursing requires the disclosure of conviction records for misdemeanors and/or felonies; therefore, this information is required at the time of admission.

I understand that providing false information regarding my criminal history, failing to disclose requested information regarding my criminal history, or not successfully passing any required criminal history check may result in my inability to progress through the UWF Department of Nursing program.

If at any time during the course of my participation in the RN to BSN program I am either arrested, charged, or convicted, I understand and agree that I must disclose such an event to the Program Coordinator or Department Chair in writing regardless of the nature or the seriousness of the offense for which I am arrested, charged, or convicted no later than 48 hours after such an event. Failure to do so may result in my dismissal from the program.

Application Checklist and Agreement

Deadline for receipt of departmental application is 4 weeks prior to the beginning of the semester. Check that all items have been completed:

  • University admission, receipt and accurate recording of all transcripts on degree audit
  • University Health Clearance
  • University transfer student online student orientation

I certify that the information recorded on this application is true and correct. I understand that failure to give complete and accurate information on the application may result in immediate cancellation of my application for admission, or, if enrolled, dismissal from the Department of Nursing. I agree to abide by the rules, policies and regulations of the University of West Florida Department of Nursing, if I am admitted. I will notify the Office of Admissions, in writing, of any changes affecting my application data.

*I have read, understand and agree to the statements above.

*Today's Date:
(mm/dd/yyyy)
*Upload a copy of your nursing license: (.jpg or .pdf)
Locate the file you want to upload
 

Type characters from the image below

The University of West Florida and the Department of Nursing subscribes to an equal educational opportunity policy for people of all races, creeds, and ethnic origins. The University is required by federal regulatory agencies to supply admission and enrollment information by racial, ethnic and gender categories. Submission of this information by the applicant is voluntary and will not be used to determine eligibility for admissions. Program and course availability, application deadlines, and admissions criteria are subject to change.

After verifying the accuracy of this information, please click the SUBMIT button.