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WICHITA STATE ONLINE

RN to BSN PROGRAM

REACTIVATION APPLICATION

This application is for students who desire to begin the Wichita State University School of Nursing's RN to BSN Professional Phase Coursework. 


Choose Starting Semester:   Fall 2018    Spring 2019    Fall 2019    Spring 2020


PART 1: PERSONAL INFORMATION

myWSU ID#: 

Date of Birth (DD/MM/YYYY)

First Name: 

Middle Name: 

Last Name: 

Gender:  Male Female

Current Address: 

City: 

State (use two-letter abbreviation): 

Zip Code: 

Email Address: 

Home Phone: 

Cell Phone: 

What is the best time of the day to contact you regarding advising, enrollment, progress and coursework throughout the program?
8 a.m. to Noon
Noon to 5 p.m.
5 p.m. to 7 p.m.
Any time 


PART 2: EDUCATION

College/University where Associate Degree in Nursing was earned:

Date degree was earned: 


Have you passed the NCLEX?  Yes No

If yes, date was the NCLEX taken? 

If no, date NCLEX is anticipated: 


List all Colleges, Universities or Vocational Schools you have attended:

NOTE: You will need to update your transcripts by submitting official transcripts to the WSU Registrar Office. Hard copies or secure digital downloads will be accepted. Below you will find the contact information for the WSU Registrar Office.

Mailing Address:
Office of the Registrar
Wichita State University
1845 Fairmount St.
Wichita, KS 67260-0058


Phone: (316) 978-3055
Email Address: academic.records@wichita.edu
Website info for Incoming transcripts


PART 3: PROFESSIONAL EXPERIENCE

Please list your employers and employment dates below:

Agency 1: 

Employment Dates:  


Agency 2: 

Employment Dates:  


Agency 3: 

Employment Dates:  


NOTICE OF NONDISCRIMINATION: Wichita State University does not discriminate in its programs and activities on the basis of race, religion, color, national origin, gender, age, sexual orientation, marital status, status as a Vietnam Era Veteran or disability.

The following person has been designated to handle inquiries regarding nondiscrimination policies:

Director, Office of Equal Employment Opportunity
Wichita State University
1845 Fairmount, Wichita, KS 67260-0145
(316) 978-3186.

 

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