Nursing RN-BSN Application

This application is only for students who have their RN and are looking to get their BSN. If you have any questions regarding the application process, please contact the Admissions Office at undergraduate_admissions@emich.edu or 734.487.6453.

Name

First Name

Preferred First Name

Middle Name or Initial

Last Name

Suffix

Previous Last Name

Biographical Information

Birthdate

Gender

Preferred Pronouns

Colleges and universities are asked by many groups, including the federal government, accrediting associations, college guides, and newspapers, to describe the ethnic/racial backgrounds of their students and employees. In order to respond to these requests, we ask you to answer the following two questions.

Ethnicity - Hispanic/Latino

Race

Citizenship Information

Primary Citizenship

Please provide your social security number. This is optional and is not required for application submission. Please note that the Federal Department of Education requires that our Financial Aid Office verify your social security number, if you apply for financial aid. Additionally, the University's tax department will require Social Security Number to issue necessary tax forms for tuition credit that is applicable for personal income tax. If you elect not to supply your social security number this may delay processing of your financial aid and issuance of tax forms.

Social Security Number

Are you a US Permanent Resident (Green Card Holder)

Yes

No

Current Visa

Expected Visa

What is your birth country?

Contact Information

Cell Phone

Text Opt-In

Yes

Home Phone

Email Address

Permanent Address

Country

Street

City

Region

Postal Code

Is your current mailing address different than your permanent address?

Mailing Address

Same as Permanent Address

Country

Street

City

Region

Postal Code

Are you a resident of Michigan?

Would you like to provide any Parent/Guardian information?

Yes

No

Parent Information

Parent/Guardian Type

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email

Parent/Guardian Phone

Would you like to provide an additional Parent/Guardian?

Yes

No

Parent/Guardian Type

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email

Parent/Guardian Phone

Program Information

Entry Term

Student Type

Preferred Start Date for RN to BSN Program

Nursing License Number
(If you have multiple please provide most recent)

Nursing License Expiration Date

Please upload a copy of your Nursing License:

School Information

Please list each college or university you have previously attended or attempted coursework, beginning with the most recent.

Current or Last enrolled institution:

Do you have another school to add?

Yes

No

Previous college/university attended:

Do you have another school to add?

Yes

No

Previous college/university attended:

Do you have another school to add?

Yes

No

Previous college/university attended:

Do you have another school to add?

Yes

No

Previous college/university attended:

Additional Information

Have you completed any courses at EMU?

Yes

No

Are you an EMU employee?

Yes

No

Have you served in the U.S. Armed Forces?

Application Submission

By clicking the submit button, I agree, via my digital signature, that Eastern Michigan University (EMU) may email me or contact me regarding educational services by telephone and/or text message utilizing automated technology at the telephone number(s) provided above.

I certify that all information in this form is complete and accurate to the best of my knowledge, and that I have listed ALL institutions previously attended. I understand that misrepresentation or omission of any requested information may be cause for denial of or cancellation of my admission OR may result in my being suspended or dismissed from Eastern Michigan University, if discovered subsequently. I understand that all pertinent rules and policies of Eastern Michigan University apply to me immediately upon admission and that it is my responsibility to become knowledgeable about them. I understand that all credentials submitted in support of this application become the property of the University and are not returnable.

Click to Sign...

HIDDEN: Nursing RN2BSN Major