Pre-Licensure Admission Process

Name(Required)

First Middle Last

Address(Required)

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

BSU Email(Required)

Personal Email(Required)

Phone(Required)

BSU Tech ID(Required)

Higher Education Academic Record (outside of BSU)

Please list semesters/academic years attended, credits earned, and cumulative GPA from each institution

CNA/LPN Documentation(Required)

Max. file size: 16 MB.

Upload your CNA/LPN documentation

Enrolled in NRSG 2000 for Fall 2023?(Required)

Yes

No, I have already taken it

American Heart Association Basic Life Support CPR Documentation(Required)

Max. file size: 16 MB.

Upload CPR Certification

Are you a previous applicant?(Required)

No, this is my first application

Yes, I have applied once before

Date of Previous Application

Are you an international student?(Required)

Yes

Race/Ethnic Background

Are you Hispanic, Latino or Spanish (a person of Cuban, Dominican, Mexican, Chicano, Puerto Rican, South or Central American, or other Spanish culture regardless of race)?

American Indian or Alaska Native - A person having origins in any of the original peoples of North, Central, and South America who maintains cultural identification through tribal affiliation or community attachment.

Asian - A person having origins in any of the original peoples of the Far East, Southest Asia or the Indian subcontinent (e.g., Chinese, Vietnamese, Filipino, Asian Indian, Korean, Japanese).

Black or African American - A person having origins in any of the black racial groups of Africa, Jamaica, or Haiti (e.g., Somali, African American, Nigerian, Jamaican, Ethiopian, Haitian).

Native Hawaiian or Other Pacific Islander - A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands (e.g., Chamorro, Tongan, Fijian, Marshallese, Palauan).

Middle Eastern or North African - A person having origins in areas of northern Africa or the Middle East (e.g., Lebanese, Iranian, Egyptian, Syrian, Moroccan, Israeli, Algerian, Iraqi, Kurdish).

White - A person having origins in any of the original peoples of Europe (e.g., German, Irish, English, Italian, Polish, French, Dutch, Norwegian, Swedish, Finnish).

Gender

Male

Female

Other

Are you from a rural residential area?

Yes

Application Agreement(Required)

I hereby apply for the pre-licensure nursing program at Bemidji State University. By checking this box, I state and certify that the information, statement, and answers as herein recorded on all application materials are full, true and correct to the best of my knowledge and belief and that no information required to be given therein, either expressly or by implication, has been knowingly withheld. I understand the statements and answers/omissions are part of this application and, if contrary to fact, could constitute grounds for my dismissal from the nursing program. I understand that my application will not be considered for placement if all required documents, including references, are not submitted by the deadline.

Pre-Licensure Application 2023