Master of Science in Nursing Application

Family Nurse Practitioner (FNP) Certificate Program Application
Date

MonthDayYear
Date
Full name

PrefixFirst NameLast NameSuffix
Have your student records been listed under a different name?
Please list other name(s) used for student records
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number

Area CodePhone Number
Cell Phone Number

Area CodePhone Number
Email address 1
example@example.com
Email address 2
example@example.com
Best Method to Contact You
Gender
Please write how you identify.
Race
Please write how you identify.
Ethnicity
Please write how you identify.
Please select your age range
What is your first language?
What is your country of origin?
What is your city and state of residence?
Will you consider yourself an International student?
Military information
Do you have a Bachelor's degree?
Please specify which Bachelor's degree you hold.
Do you hold a valid unencumbered U.S. Registered Nurse (RN) license?
What is your license number
What is your license state(s)?
Please explain. Please note that you may not be admitted to this MSN program without an earned (equivalent) of a MSN degree.
How many years have you spent working as a Registered Nurse?
Have you earned/hold the equivalent of a Master of Science in Nursing (MSN) degree?
From which academic institution/nursing program did you earn the MSN degree?
Approximate Date 00/00/000 degree was earned.
Do you plan on enrolling in the program on a full-time or part-time basis?
Do you plan to apply for Federal Funding from WNMU?
Which types(s) of financial aid do you plan on applying for?
Do you plan to participate in a tuition reimbursement program through your employer?
What is the name of your employer?
Do you currently work as an RN?
How many hours a week do you work?
How did you learn about our Family Nurse Practitioner Certificate Program?

Other
For which semester are you requesting admission?
Letters of Recommendation

Applicants must have three letters of recommendation submitted directly from the authors to the following e-mail address: Nursing.Graduate@wnmu.edu
Upload your goal statement essay here. Instructions are found on the FNP webpage.

Browse Files

Cancelof
Upload your recent CV here.

Browse Files

Cancelof
Should be Empty:

Family Nurse Practitioner (FNP) Certificate Program Application