Department of Nursing Academic Spotlight

Email Address*

*Verify Email Address

First/Given Name*

Last/Family Name*

Birthdate*

Gender

Mailing Address*

Country

Street

City

Region

Postal Code

Parent/Guardian:

Parent/Guardian Email Address

Student Type*

Current high school or other institution*

CEEB Code (hidden)

*When do you plan to enroll in college?

Intended minor(s): (If applicable)
You may select more than one.

Intended pre-professional program(s): (If applicable)
You may select more than one.

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