BRG School of Nursing Application

School of Nursing Admissions Application
Applications for the January 2025 semester will open June 1, 2024 - November 15, 2024.
Personal Information
Have you ever applied to this school?*

YesNo
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Email Address*
Home Address*

Street Address

Street Address Line 2

CityState

Zip Code
Mailing Address (If different than Home Address)

Street Address

Street Address Line 2

CityState

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 NameLast Name
Relationship*
Phone Number*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Emergency Contact #2*

First NameLast Name
Relationship*
Phone Number*
Address*

Street Address

Street Address Line 2

CityState

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

Cancelof

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

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

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.

Clear
Please allow a few moments for the submission to process after clicking Submit and do not click Submit more than once.
Should be Empty:

School of Nursing Admissions Application