Facebook
Twitter
Gplus
Pinterest
Youtube
Request Info
Apply Now
College Catalog
☏
Call Us: (801) 689-2160
Programs
Associate Degree in Nursing (ADN)
Bachelor’s Degree in Nursing (BDN)
RN-to-BSN
Areas
Enrollment Areas
Become a Partner
Admissions & Financial Aid
Admissions
Apply to Nightingale
Financial Aid
Scholarships
Satisfactory Academic Progress
Frequently Asked Questions
Request Information
Academic Resources
Safety & Security
Academic Calendar
College Catalog
Learner Services
Academic Coaching
Request Transcripts
Graduation
Library Services & Testing
Credit Transfers
FERPA
ADA Policy
Make A Payment
Help Desk
Learner Life
What to Expect
Local Learner Life
College Newsletter
Testimonials
Blog
Apparel Store
About
Welcome Message
Mission, Vision and Values
Nightingale Difference
Accreditation and Affiliations
State Approvals
College Statistics
Faculty and Staff
Careers
Hours of Operation
Contact Us
Search
Menu
Online application beta
You are here:
Home
/
Online application beta
Please complete all steps for Application
Online Application Form
Enrollment Application Nightingale
Step 1 of 4
25%
APPLICANT INFORMATION
First Name
*
First
Middle Initial
Middle
Last Name
*
Last
Date of Birth
*
Address
*
Street Address
City
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 Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Primary Phone
*
Check the box to receive official College documents via text message
Opt In to Receive Text Messages
E-Mail Address
*
Social Security No.
*
Race
*
Please Select
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Other
Ehtnicity
*
Please Select
Hispanic or Latino
Not Hispanic or Latino
Marital Status
*
Please Select
Single (Never Married)
Married or in a Domestic Partnership
Divorced or Separated
Widowed
Program Applying for
*
Please Select
General Education (GE) Courses
ASN/RN
LPN-RN
BDN/RN
RN-to-BSN
BMTC-to-RN
Non-Matriculating
Paid Application Fee?
*
Yes
No
Are you a citizen of the United States?
*
Yes
No
Have you ever served in the military?
*
Yes
No
If yes, select your military status.
Veteran
Spouse of Veteran
Active Duty Servicemember
Spouse of Active Duty Servicemember
Have you applied to Nightingale previously?
Yes
No
If so, when?
Have you ever been convicted of a felony?
*
Yes
No
If yes, explain
PREVIOUS EDUCATION
High School Name
High School Years
Please mark the diploma received.
High School Diploma
GED
College
College Years
Did You Graduate College?
Yes
No
Other Education
Other Eduaction Years
Did You Graduate?
Yes
No
GENERAL EDUCATION COMPLETED
Anatomy
Yes
No
If yes, course title
If yes, college name
If yes, how many credits
Physiology
Yes
No
If yes, course title
If yes, college name
If yes, how many credits
Pathophysiology
Yes
No
If yes, course title
If yes, college name
If yes, how many credits
Microbiology
Yes
No
If yes, course title
If yes, college name
If yes, how many credits
General Psychology or Human Growth and Development
Yes
No
If yes, course title
If yes, college name
If yes, how many credits
Chemistry
Yes
No
If yes, course title
If yes, college name
If yes, how many credits
English
Yes
No
If yes, course title
If yes, college name
If yes, how many credits
Math
Yes
No
If yes, course title
If yes, college name
If yes, how many credits
Signature
*
By placing your name in this box you agree to submit this information to Nightingale College and are permitting the College to contact you via your primary contact information (If you are providing a cell phone, you are consenting to being contacted through text messages).
Date
*
NOTE: The application fee is $100.00. You may cancel this application and receive a refund of the $100.00 application fee within Three (3) business days of submitting the application, unless you have undergone admissions testing within the three (3) business days. After three (3) business days, the application fee becomes non-refundable.
Email
This field is for validation purposes and should be left unchanged.
Scroll to top
