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Department of Nursing

Graduate Nursing Program

Application for Admission
Post-Master's in Nursing

First name
M.I.
Last name
Street address  
City
State
Zip Code
Home phone
Cell phone
Email address

 

Currently licensed as an R.N.    
State
License Number
Expiration Date

 

Do you have a Master's degree    
Master's from
Master's degree in
Year

 

When do you plan to enter    
Year

 

Plan to Attend  

 

Track in which you wish to enroll  

 

List all previous post-secondary education starting with latest: (Masters, Bachelor's and all college coursework).
Please have official transcripts forwarded to:
Fort Hays State University
Nursing Department
600 Park Street
Hays, KS 67601-4099

 

Name of School  
Address
Major
Degree Date

 

Name of School  
Address
Major
Degree Date

 

Name of School  
Address
Major
Degree Date

 

Name of School  
Address
Major
Degree Date

 

List your RN experiences starting with the most recent. (You may email a resume or addendum to jdechant@fhsu.edu)

 

Name of Agency  
Address
Work Type
Years
Responsibilities  

 

Name of Agency  
Address
Work Type
Years
Responsibilities  

 

Name of Agency  
Address
Work Type
Years
Responsibilities  

 

Have you taken an (undergraduate/graduate) health assessment course?  
Course Number
Title
Semester/Year
From
Credit hours
Grade

 

Have you taken an (undergraduate/graduate) statistics course?  
Course Number
Title
Semester/Year
From
Credit hours
Grade

 

For FNP applicants only:  

 

Have you taken an (undergraduate/graduate) pathophysiology course?  
Course Number
Title
Semester/Year
From
Credit hours
Grade

 

Submit evidence of 2,080 hours work experience as a professional nurse (provided by employers) to address listed below.
 
Department of Nursing
Fort Hays State University
600 Park Street
Hays, KS 67601