Park Student Admission Application

Park Student Admission Application

Bachelor of Science in Nursing
Name*

First NameMiddle InitialLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Park ID Number*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Park Email
1234567@park.edu
Personal Email
example@gmail.com
I would like to begin the Park University nursing pre-licensure program in*

FallSpring
of*

2027202820292030
Have you ever been convicted of, plead guilty to, a felony?*

YesNo
Have you ever attended another nursing program?*

YesNo
Do you have previous healthcare experience, licenses, or certifications (EMT/LPN/MA/etc.)?*

YesNo
If yes to any of the above questions, please explain.
Student Expectations after Acceptance

Students must complete all pre-requisites courses while maintaining an Overall GPA of 2.8 or higher.

Students must take the TEAS exam and receive a score of 60 or higher. An official score report should be provided to the Nursing Department at nursingdept@park.edu.
- I certify that the information contained in this application is accurate.
- I understand that the early entry decision is based on my current academic record and GPA.
- I understand I must complete all admission requirements prior to entry.
Signature*
Date*

MonthDayYear
Date
Should be Empty: