This is the Graduate MSN and Post Grad MSN Application. It is also the correct application if you are seeking acceptance into our combined BSN/MSN program. If you are seeking only a BSN degree, use the Undergrad BSN to RN application.
PERSONAL INFORMATION Please enter your full legal name:
Preferred Greeting Name (Liz for Elizabeth, Bill for William, etc.) Previous Last Name (Maiden name for example) Other names (Please list any name that could be on one of your past transcripts) Email* Confirm Email* Home Address*
Social Security Number (U.S.) or Canadian SIN Example: 111-22-3333
Have you previously applied for admission to Graceland? Yes No What Year How did you hear about this program?* Have you ever served in the US Armed Forces? Yes No If yes, discharge date Are you a registered nurse? Yes No If yes, state where licensed Outside U.S. & Canada Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces America Armed Forces Europe Armed Forces Pacific American Somoa Fed. St. Micronesia Guam Marshall Islands Northern Mariana Is. Palau Puerto Rico US Minor Outlying Is Virgin Islands Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest/Nunavat Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Yukon Territories RN License Number Renewal Date Was baccalaureate nursing program NLNAC or CCNE accredited? Yes No Institution
Graceland University Admissions1 University PlLamoni, IA 50140
admissions@graceland.edu
Professional Goals Statement of 150 words or less.
CONTRACT I understand that withholding information requested on this application or giving false information will make me ineligible for admission to Graceland University or subject to dismissal. I also understand that the submission of fraudulent academic records by a student for undergraduate admission, transfer of credit, or any other purpose shall be cause for dismissal from the University. I certify that the information given in this application is complete and accurate, and if admitted, I agree to comply with the regulations of the University.
PLEASE NOTE: Other admission requirements, as listed in the university catalog, must be met before your application is considered complete. Additional application information, including transfer credit, can be found in the Application Requirements.
APPLICANT'S NAME*
POLICY ON NONDISCRIMINATION
Graceland University does not discriminate against any student or prospective student on the basis of race, color, religion, age, sex, national origin, disability, or sexual orientation. We are a caring community dedicated to the physical, intellectual and spiritual well-being of each individual. Gracelanders join together to create an atmosphere of openness, mutual respect and diversity.