Nursing

 

  
   

Online Application Form

Updated 3/24/2008

Accelerated Track to the BSN Degree
Admission Application
Fay W. Whitney School of Nursing

Application Packet:

Applications are accepted starting September 15, 2007 for Summer 2008 admission consideration, and are due by the deadline of December 15, 2007. A completed application means that the applicant has completed/provided all of the Application Packet items listed on the Accelerated BSN Admission Criteria / Application Packet page. This application is only one item in the application packet. The applicant is responsible to make certain that our office is in receipt of all application materials/fees. Applications are reviewed on the information provided; therefore missing data may be the cause for admission denial.

What You Should Know Up Front:

Other Requirements:

  • All students must be able to perform the essential functions of a student nurse. Reasonable accommodations will be afforded to student nurses with disabilities as required under the Americans with Disabilities Act of 1990. Faculty and staff from the School of Nursing will work with staff from the University Disability Support Services to determine what constitute reasonable accommodations.

  • As part of the requirements for admission and progression in the program, students will need to undergo criminal background checks. Drug screening may be required by some clinical sites.

NCLEX Eligibility:

If you have been convicted of a misdemeanor or a felony, you should contact the Wyoming State Board of Nursing or the state in which you plan to take the NCLEX prior to accepting a position in the School of Nursing. State boards of nursing control who is eligible to sit for the NCLEX after completing the requirements of an educational program. If you cannot take the exam, you will not be licensed as a registered nurse.

NAME
First Name
 		Last name
Middle Name
 		Other Names used if different from above
ADDRESS - Current
Street/Box
 		City
State
 ZIP
 		 
ADDRESS - Permanent
Street/Box
 		City
State
 ZIP
 		 
PHONE & EMAIL
type WITH dashes (example:307-456-7890); Please include Area Code
Current Phone
 		Work Phone
Permanent Phone
 		UW E-mail Address
Cell Phone
 		NON-UW E-mail Address
OTHER PERSONAL INFORMATION
Social Security #
(type numbers WITH dashes)
 		UW ID #
(if known)
Gender (type F for Female or M for Male) State of Legal Residence:
Date of Birth (yyyymmdd)
High School from which you graduated:
(Type name of High School, City and State)
EDUCATION DATA
Complete the following information for ALL colleges/universities previously attended and currently attending, including the University of Wyoming, in order of attendance. Official transcripts must be on file with the School of Nursing from each individual school attended with the exception of UW, since we have access to that record.

If your transcripts were sent to the UW Admissions Office instead of to the School of Nursing, please check here:

College/University #1:
Name of Institution:
City/State of Institution:
Dates Attended:
Name of Degree Received or Anticipated (if applicable):
Date Degree Received or Anticipated (Month, Year) (if applicable):
GPA at Graduation (if applicable):
College/University #2:
Name of Institution:
City/State of Institution:
Dates Attended:
Name of Degree Received or Anticipated (if applicable):
Date Degree Received or Anticipated (Month, Year) (if applicable):
GPA at Graduation (if applicable):
College/University #3:
Name of Institution:
City/State of Institution:
Dates Attended:
Name of Degree Received or Anticipated (if applicable):
Date Degree Received or Anticipated (Month, Year) (if applicable):
GPA at Graduation (if applicable):
College/University #4:
Name of Institution:
City/State of Institution:
Dates Attended:
Name of Degree Received or Anticipated (if applicable):
Date Degree Received or Anticipated (Month, Year) (if applicable):
GPA at Graduation (if applicable):
College/University #5:
Name of Institution:
City/State of Institution:
Dates Attended:
Name of Degree Received or Anticipated (if applicable):
Date Degree Received or Anticipated (Month, Year) (if applicable):
GPA at Graduation (if applicable):
Additional Colleges/Universities:
If you attended more than 5 colleges or universities, please list those not mentioned above in the following text box. Please included City/State, Dates Attended, and name of any degrees received or anticipated from those schools.
PREREQUISITE COURSE DATA
Complete the following chart as indicated. Indicate semester & year prerequisite courses were completed or plan to be completed. If completing courses currently and/or plan to complete through UW Correspondence Study, please indicate that information as well.
Prerequisite Course Data - to be completed by application due date, December 15, 2007

Microbiology / 4 credit hours
Identify course completed or to be completed that fulfills the requirement:
Semester and year course completed or to be completed (flag any repeats)
Identify school where the course was/will be completed

ANATOMY & PHYSIOLOGY / 8 credit hours
Identify course completed or to be completed that fulfills the requirement:
Semester and year course completed or to be completed (flag any repeats)
Identify school where the course was/will be completed

PSYCHOLOGY / 3-4 credit hours
Identify course completed or to be completed that fulfills the requirement:
Semester and year course completed or to be completed (flag any repeats)
Identify school where the course was/will be completed

NUTRITION / 3 credit hours
Identify course completed or to be completed that fulfills the requirement:
Semester and year course completed or to be completed (flag any repeats)
Identify school where the course was/will be completed

STATISTICS / 4 credit hours of 2050 or 2070 level or higher
Identify course completed or to be completed that fulfills the requirement:
Semester and year course completed or to be completed (flag any repeats)
Identify school where the course was/will be completed
HONESTY STATEMENT / SIGNATURE

The University of Wyoming is built upon a strong foundation of integrity, respect, and trust.  All members of the University community have a responsibility to be honest and the right to expect honesty from others.  Any form of academic dishonesty is unacceptable to our community and will not be tolerated.

I understand that any attempt on my part to falsify answers or exclude pertinent data is cause for rejection of my application and/or dismissal from the program.  I hereby certify that the above statements are true to the best of my knowledge.

Part of the application packet includes 3 essays (see Application Packet/Admission Criteria Page). I certify that the essays I will be mailing in as part of my application packet are my own work.

Type in your name (as entered on the application) to agree with the above statements. This is considered your signature, which is required: 

FINAL INSTRUCTIONS

Once you submit this form, you will be presented with a confirmation screen where you will have the opportunity to pay the $30 application fee online or will be given an address to which you can mail your check.

Remember to have the following documents mailed to this address:

University of Wyoming
Fay W. Whitney School of Nursing
ATTN:  Accelerated BSN Application Records
Department 3065
1000 E. University Avenue
Laramie, WY  82071

  • Personal Essays

  • Official Transcripts from all colleges attended

  • 3 forms of recommendation (use the form linked in the application packet section)

  • ($30 Application Fee payable to the Fay W. Whitney School of Nursing if not paid online when submitting this form)

  • Proof of CNA Certification or LPN Licensure as follows:

    • Photocopy of CNA Certification or

    • Photocopy of LPN Licensure or

    • Note in comment section below of your plans for completing that certification.
      Note:       if proof of state board of nursing certification is not presented by       May 1, 2008, any provisional acceptance to the accelerated program track will be revoked.

Once our department finds your application information in our database, we will email you to confirm receipt.  If you do not receive an email from our department after 5 days, please email us (nurs.inq@uwyo.edu) to make sure we have received your information.

Date Submitted: