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- Date
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Format: (000) 000-0000.
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- Country*
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- Are you an International Student?*
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- My Anatomy & Physiology (A&P) series was*
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- Were PSYC 198 and/or PSYC 298 needed to make up credits?
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- I have completed all support courses and have*
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- I requested transcripts from my previous schools on:*
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- Date TEAS test was taken*
- I began associate degree nursing course work at another college or university:*
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- I wish to demonstrate proficiency in another language:*
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- Multilingual Point*
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- Service District Point*
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- Date of previous eligible application cycle*
- Previously Eligible Applicant Point*
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- Have you completed any of the Nutrition, English Composition II, Public Speaking, or Humanities/Diversity support courses?*
- Have you completed NUTR& 101 Nutrition?*
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- Have you completed one or more communications courses?*
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- Have you completed Humanities and/or Diversity courses?*
- I have completed:
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- I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that falsification or omission of information may result in disqualification or withdrawal of admission consideration.*
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- Today's Date*
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- Should be Empty: