First-Year Nursing Information Session

Tuesday, December 5, 2023 at 4:00 PMPacific Standard Time

Student Information

If you are completing this form on behalf of a student, please provide the student's information below.

Student's First Name

Student's Preferred First Name
If different from legal first name

Student's Last Name

Student's Email Address

Birthdate

Cell Phone

May we text you?

Yes

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Becoming a Student

Student Type

First Year (including Running Start)

Transfer

Current or Most Recent High School
If your school does not appear in the list, please type its name in the text box.

GPA

When do you plan to enter college?

Current or Most Recent College/University
If your school does not appear in the list, please type its name in the text box.

GPA

When do you plan to transfer?

What are you interested in studying?

Secondary Academic Interest

Additional Information

Will you require any special accommodations (e.g. closed captioning)?

Yes

Please describe your needed accommodations.