Colorado State University Pueblo | | CSU-Pueblo



* First Generation means that neither of your parents has earned a Bachelor’s degree.Undergraduate Baccalaureate Nursing ApplicationSchool of Nursing and Health SciencesColorado State University – Pueblo2200 Bonforte Blvd. T221CPueblo, CO 81001 ? note: Application to the nursing program is a 2-part process:All applicants: Must submit an application and be accepted to CSU-Pueblo with a personal identification number (PID) before applying to the School of NursingAll applicants: Must submit an application to the School of Nursing by the deadline before being considered for acceptance into the program.Basic Applicants: Submit application to the School of Nursing before May 25th of the year preceding January admission. Accelerated applicants: Submit application to the School of Nursing before October 1st of the year preceding May admission. Date Submitted:CSU-Pueblo Student Identification Number (PID): Last NameFirst NameMIMaiden NameMailing AddressCityStateZip CodePermanent AddressCityStateZip CodeeMail AddressHome PhoneCell Phone / / Male Female Other Yes NoYes NoDate of BirthAge GenderFirst Generation*:Veteran: County of ResidenceEthnicity (Check one):Black/African American:Caucasian/White:Hispanic/Chicano(a):Asian/Pacific:Other:Check the program you are applying for and indicate the desired admission date:Current Health Care Provider Status: (Check one if applicable) Spring 20___Basic Baccalaureate Nursing (BSN)RNSummer 20___Accelerated BSNLPNIF you do not have a Baccalaureate, AS, or AA degree complete page 2.IF you have a prior Baccalaureate degree or AS/AA degree from an accredited Colorado community/junior college complete page 3. If you have an AAS or AGS degree – complete page 2.The following prerequisite courses are required for all undergraduate nursing students with no prior Baccalaureate degree or AS/AA degree from an accredited Colorado community/junior college. Fifty percent (23 credit hours) of the prerequisite courses must be completed by the application deadline. Complete information on this table. All course grades must be a C or better. Submit a copy of your transcripts with this application. Highlight, on your transcript, courses listed below. Unofficial transcripts are acceptable for screening purposes. If you are not sure a course you have taken meets any of the requirements listed below, contact the School of Nursing. Check the CSU-Pueblo catalog ( for specific School of Nursing admission requirements and curriculum information.Course#Course TitleCreditsGradeInstitutionPlan to takeSummerFallEng Comp IEng Comp IISpeechWorld Language **Humanities**Statistics*HistorySocial Science**Human Development #A/P I #A/P I Lab #A/P II #A/P II Lab #MicrobiologyMicrobiology/Lab ChemistryChemistry/LabPathophysiology(RN to BSN exempt)* Statistics taken with a Math or Statistics department prefix will satisfy the CSU-Pueblo institutional math requirement. Statistics taken from business or other liberal arts departments will NOT satisfy CSU-Pueblo institutional math requirement. A separate math course will then be necessary on your transcript.** Check CSU-Pueblo catalog to clarify which courses meet institutional general education requirements in this area. World Language must be college level (not high school). # Must be completed within 5 years prior to date of application.NON-DISCRIMINATION POLICY: Colorado State University-Pueblo does not discriminate on the basis of race, color, national origin, sex, age, or handicap in admission or treatment of employment in their educational programs or activities. Inquiries concerning Title VI, Title IX and Section 504 may be referred to the affirmative action officer at CSU-Pueblo.Have you ever been convicted, pled no contest/nolo contendere, pled guilty to or been granted deferred judgement of sentence with respect to a felony, misdemeanor or petty offense?? You may exclude minor traffic offenses that do not involve alcohol or drugs.? (The fact that a conviction has been pardoned, expunged, dismissed, deferred or that civil rights have been restored does not mean that you answer this question no; you should answer YES). YES___ NO___ If yes, attach an explanation. ____________________________________________________________ ________________Signature of Applicant Date The following prerequisite courses are required for all undergraduate nursing students with a prior Baccalaureate degree or AS/AA degree from an accredited Colorado community/junior college. Fifty percent (14 credit hours) of the prerequisite courses must be completed by the admission deadline. Complete information on this table. All course grades must be a C or better. Submit a copy of your transcripts with this application. Highlight, on your transcripts, courses listed below. Unofficial transcripts are acceptable for screening purposes. If you are not sure a course you have taken meets any of the requirements listed below, contact the School of Nursing. Check the CSU-Pueblo catalog ( for specific School of Nursing admission requirements and curriculum information.Course#Course TitleCreditsGradeInstitutionPlan to takeFallSpringWorld Language **Statistics*Human Development #A/P I #A/P I/Lab #A/P II #A/P II/Lab #MicrobiologyMicrobiology/Lab ChemistryChemistry/LabPathophysiology(RN to BSN exempt)* Statistics taken with a Math or Statistics department prefix will satisfy the CSU-Pueblo institutional math requirement. Statistics taken from business or other liberal arts departments will NOT satisfy CSU-Pueblo institutional math requirement. A separate math course will then be necessary on your transcript.** Check CSU-Pueblo catalog to clarify which courses meet requirements in this area. World Language must be college level (not high school).# Must be completed within 5 years prior to date of application.Year and Institution of Prior Degree: (AAS or AGS - complete page 2)Associate of Science (AS)Associate of Arts (AA)BaccalaureateYearInstitutionHave you ever been convicted, pled no contest/nolo contendere, pled guilty to or been granted deferred judgement of sentence with respect to a felony, misdemeanor or petty offense?? You may exclude minor traffic offenses that do not involve alcohol or drugs.? (The fact that a conviction has been pardoned, expunged, dismissed, deferred or that civil rights have been restored does not mean that you answer this question no; you should answer YES). YES___ NO___ If yes, attach an explanation. I believe the above information is accurate and complete and I give CSU-Pueblo permission to contact all previously attended institutions for information regarding academic and/or disciplinary records. _________________________________________________________________ ________________Signature of Applicant Date Revised 11/2019 ................
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