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	MIDWESTERN STATE UNIVERSITY College of Health Sciences and Human Services WILSON SCHOOL OF NURSING 3410 Taft Boulevard, Wichita Falls, TX, 76308 (940) 397-4331 Application for Admission to the Bachelor of Science in Nursing (BSN) for Licensed RN's (RN to BSN Program)

Name:*

2.	Have you previously taken classes at MSU?
	Yes No

If yes, when was the last semester you took a class at MSU?

Semester:
Year:

Which semester and year do you plan to begin your Nursing (NURS) course work?

Semester:
Year:

	University application deadlines are: Spring application deadline: December 1 Summer application deadline: May 1 Fall application deadline: August 1

Home Address:

Texas:*
A Texas Nursing License is required and must be maintained throughout the course of study.

License Number:
Expiration Date:

Phone Number:

In Case of Emergency, Please Contact: