BSN Program Application | Nursing | Southern Arkansas University

Spring Application Cycle – April 1-15th
Fall Application Cycle – November 1-15

It is recommended to complete this application using a laptop or desktop computer.

"*" indicates required fields

Applicants will need a HESI A2 score of 75% or greater to proceed with your application.

Name*

First Last

Date of Birth*

SAU Student ID Number*

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Race

American Indian/Alaska Native

Asian

Black/African American

Native Hawaiian/Pacific Islander

White/Caucasian

Please select all that apply.

Race*

White (non-Hispanic origin)

Black (non-Hispanic origin)

Hispanic

American Indian or Alaska Native

Asian

Hawaiian or Pacific Islander

Multiracial

Prefer not to respond

Please select all that apply.

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Are you of Hispanic descent?

Yes

Gender*

Male

Female

Other

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Working Home Phone*

Working Cell Phone*

Are you currently enrolled or have you previously attended SAU?*

Yes

Date First Entered SAU*

Last Date of Enrollment at SAU*

Working Email Address*

Have you ever had a license or certification for any profession (i.e. licensed practical nurse, teaching, social work, EMT/paramedic)?*

Yes

N/A

Have you had disciplinary action against your license or certification?*

Yes

N/A

Have you ever been enrolled in a nursing course?*

Yes

Which university or universities?*

List

COLLEGE/SCHOOL

DATES

DEGREE EARNED

Please mark below all that apply to your application.

I understand that the follow are admissions requirements.*

Meets Program Admission Requirements (See the SAU Undergraduate Catalog)

Admitted to SAU with regular admission status.

Meet general education requirements. Nursing Science Core Courses (NSCC) must be completed with a C or better. Students with Ds in these courses will not be admitted. Recognize that priority ranking will be given to students who have successfully completed all non-nursing support courses for the degree with a C or better.

Hold a minimum 2.85 GPA in Nursing Science Core Courses (will be recalculated once all pre-requisite courses are complete).

HESI A2 Score of 75% or greater

Copies of ALL unofficial college transcripts

Copy of academic schedule showing courses in progress (current class enrollment)

If you have received SAU credit via examination for a specific course, you must submit a copy of the test scores in order for the course credit to be calculated into the GPA and ranking.

Please upload a copy of your HESI A2 score of 75% or greater.*

Max. file size: 6 MB.

I understand that the following are requirements of BSN program:*

Travel may be required to Arkansas or Texas for clinical sites.

Attendance for evening or weekend clinical may be required.

Realize if an injury occurs in the clinical setting, the student is responsible for all applicable cost related to the injury. Students are strongly encouraged to obtain health insurance. Information concerning health insurance available for SAU students may be accessed at the following website: www.saumag.edu

The results of the Arkansas Child Maltreatment Central Registry request are required prior to enrolling in nursing courses.

The results of the criminal background checks, driving history record checks, and urine drug screens are required prior to the semester beginning and yearly thereafter

The state board of nursing in which you hold as primary state of residence may not approve the application for license with certain criminal offenses or revoked certifications/licensures.

Please indicate that you are enrolled in or have completed the following courses:*

	SAU (Enrolled)	SAU (Completed)	SAU Tech (Enrolled)	SAU Tech (Completed)	Other (Enrolled)	Other (Completed)
Freshman Seminar GSTD 1002
Composition I ENGL 1113
Composition II ENGL 1123
Philosophy PHIL 2403
World Literature I ENGL 2213 OR World Literature II ENGL 2223
World Literature I ENGL 2213 OR World Literature II ENGL 2223 OR Art Appreciation ART 1103 or 2013 OR Film Appreciation HUM 2003 OR Music Appreciation MUS 2003 or 2013 OR Theatre Appreciation THEA 2003 OR Foreign Language 3 hours
General Psych PSYC 2003
US History HIST 2013 OR US History HIST 2023 OR Amer Gov PSCI 2003
World Hist I HIST 1003 OR World Hist II HIST 1013
Col Chem/Lab CHEM 1011/1013 OR Univ Chem/Lab CHEM 1023/1021
A&P I BIOL 2061/2063
College Algebra MATH 1023 OR Pre-Calc MATH 1045 OR Calculus I MATH 1525
Math/Allied Health MATH 1001
Develop. Psych PSYC 3223
Intro to Professional Nursing NURS 2003
Statistics SOC 3183 OR MATH 3043 Introduction to Applied Probability and Statistics
A&P II BIOL 2071/2073
Microbiology Biology 3613/3611
Nutrition & Diet BIOL 2003
Unrestricted Elective 1 hour

Please attach copies of the following: All unofficial college transcripts*

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 12 MB.

By clicking submit on this form, I certify that all information is true and correct. I understand that withholding or submitting inaccurate information may make me ineligible for admission and enrollment and subject to administrative withdrawal.

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