Student Status
Degree
Non-Degree
Post-Masters

What semester would you come to WSU?
Fall
Spring
Summer

Year

Name:

Address: Country:

City: State: ZIP:

Telephone with area code:

Email:


Have you ever attended WSU?
Yes
No

Do you have a BSN?
Yes
No

Do you have a degree in another field?
Yes
No
Name of Degree

If you have a degree in another field, are you also an RN?
Yes
No

For Post-Masters Students Only: Do you have an MSN?
Yes
No

What are you interested in studying:
Adult Clinical Nurse Specialist
Family Nurse Practitioner
Acute Care Nurse Practitioner
Midwifery
Pediatric Nurse Practitioner
Pediatric Clinical Nurse Specialist
Psychiatric Mental Health
One or Two Electives Only
Undecided

Materials requested?:
Admission Requirements/Curriculum Brochure
Application
Both

Comments?: