Application for Admission
Masters of Science in Nursing
General Information

* Check the semester you want to begin Program

Fall
Spring		 Year Family Nurse Practitioner
Nurse Educator
Type of Admission Requested
Non-Degree Status Degree Status
Is this your initial request for admission to graduate study at Briar Cliff University? Yes No
If you have applied for admission to graduate studies previously, indicate term or year

Personal Information

*

 Last Name * First Name
Middle Name  

*

 Home Address   

*

 City * State * Zip

*

 Home Phone Cell Phone

*

 Social Security

*

 Date of Birth City of Birth State of Birth
  Country of Birth Country of Citizenship
If you are a permanent resident alien (PRA), list your PRA Number   

*

 Marital Status Maiden or Former Name

*

 Gender  Male  Female  
  E-mail Address  
    Ethnicity & Race
  Do you identify yourself as Hispanic/Latino?: Yes   No
  Select one or more of the following racial categories:
American Indian or Alaska Native Asian Black or African American
Native Hawaiian or Other Pacific Islander White
  Religious Affiliation (optional) 
Military Experience Veteran  Non-Veteran  Now in Service  Military Training Location Other
  Do you expect to receive any VA benefits while attending BCU?  Yes  No
Do you expect to be employed while attending graduate school? Yes No
Employer Office Phone
Position

City State Zip
Can you conveniently receive calls at work?  Yes No

Education

     College and Other Schools (including military training)
School City State   Years Attended
        to
       to
        to
       to
        to
What most influenced you to apply at BCU?  
Please indicate which of the following computer-based skills you feel competent in:
     Word Processing   Literature Searching    Web-based Searches   Spreadsheets or Databases

Before we are able to make a decision regarding your admission, we need the following:

  • Submit one copy of the formal application for admission to the Office of Admissions.
  • An official transcript from all prior undergraduate and graduate study documenting a baccalaureate degree in nursing from a CCNE or NLNAC accredited program, with an upper division major in nursing including the following courses :
    • Physical Assessment
    • Nursing Research
    • Ethics
    • Statistics
  • Evidence of Licensure as an RN in Iowa or a state participating in the licensure compact prior to enrollment in the first graduate nursing core course, and current CPR certification
  • Evidence of a minimum of 2000 hours of clinical nursing practice as a registered nurse within the two years prior to enrollment in the first graduate nursing core course, and current CPR certification
  • Demonstrate logical thinking and writing skills in the preparation of a two-to-three page personal/professional
    development statement. This document must detail personal and professional values, a nursing philosophy, goals for the next five years with an explanation of why a masters education in nursing is necessary for fulfilling those goals, and a commitment to practice at the ARNP level
  • Two letters of reference /recommendation from individuals within the profession;
  • A $25.00 non refundable application fee, which must accompany the application (waived for Briar Cliff Alumni).

It is hereby certified that the information given in this application is true and correct.  It is understood that misrepresentation, omission of information, or failure to answer any single question may cause delay or cancellation of admission.  For the purpose of determining admission, I hereby authorize any educational institution, which I have previously attended, and officials at such institutions to release academic and disciplinary records and to discuss these records with appropriate officials at Briar Cliff University.

I accept the right of the Graduate School to exercise academic sanctions against me in the event that I fail to:

  • Provide official transcripts as required.

  • Meet academic or other criteria for admission to the program of my choice as required by the academic department.  I fully understand that any waiver of admission requirements can only be granted by the Graduate school.  No statements made by any other person regarding waiver of admission requirements shall in any way bind the Graduate School.


This information is sought for the purpose of considering your request for admission to the University.  Only with your permission will information be released to a third party.

 

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