Undergraduate Nursing Program Request for Information

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Ascension Via Christi – Wichita State University School of Nursing Undergraduate Program Information Request

Thank you for your interest in our undergraduate programs. Please complete and submit the form below.

First Name:*

Last Name:*

Street Address:

City:

State:

Zip:

Country:

Phone with area code: (xxx) xxx-xxxx

Email:*

Student Status:

Freshman

Transfer

Returning Adult

What semester would you come to WSU?

Birthdate:(mm/dd/yyyy)

School currently attending or last attended:

High School

College

Name of High School/College:

Graduation year:

What are you interested in studying?

Are you an LPN?

Yes

Are you an RN?

Yes

Materials requested?

BSN

LPN to BSN

MICT to BSN

RN to BSN

RN to MSN

Comments: