BRG School of Nursing Application

School of Nursing Admissions Application
Applications for the Fall 2023 semester will only be accepted January 15 - May 15, 2023.
Personal Information
Have you ever applied to this school?*

YesNo
Name*

First Name Last Name
Email Address*
Home Address*

Street Address

Street Address Line 2

City State

Zip Code
Mailing Address (If different than Home Address)

Street Address

Street Address Line 2

City State

Zip Code
Phone Number*
Social Security Number*
no dashes
Are you a US citizen?*

YesNo
If no, what country?
Visa Number
Visa Type

Emergency Contact Information

Persons to be notified in case of an emergency
Emergency Contact #1*

First Name Last Name
Relationship*
Phone Number*
Address*

Street Address

Street Address Line 2

City State

Zip Code
Emergency Contact #2*

First Name Last Name
Relationship*
Phone Number*
Address*

Street Address

Street Address Line 2

City State

Zip Code

How did you become interested in Baton Rouge General School of Nursing?*
Do you now hold or have you ever held a license in a health care discipline (i.e. Practical Nursing, Pharmacy, etc.)?*

YesNo
If Yes, please specify:

List below previous education information:*

List below previous employment information:*

Would you like to upload your Core Performance Standards for Admission and Progression?*

YesNo
Core Performance Standards for Admission and Progression

Browse Files

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What contacts have you had in the healthcare field that are not listed under school or employment?*
Why do you want to be a nurse?*
What qualities do you have that make you a good candidate for nursing?*
What personal accomplishments have given you the most satisfaction?*
You may add any additional information about yourself that you think would be helpful to the Admissions Committee in evaluating your application for admission:

Payment*

BRG School of Nursing Application Fee$50.00

Total $0.00

I verify that the information in this application is correct and complete to the best of my knowledge. I understand that if it is later found to be otherwise, my application will be invalid, or in the event that I am enrolled, I will be subject to dismissal from the Baton Rouge General School of Nursing.

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School of Nursing Admissions Application