Nursing Program Application - SUNY Ulster

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application to the Nursing Department by February 15 and meet the following ... Completed SUNY Ulster College Applicatio
Nursing Department HAR 130 845-687-5235

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PO Box 557 Stone Ridge, NY 12484 www.sunyulster.edu

Nursing Program Application To Applicant

Those who wish to be considered for the SUNY Ulster Nursing program must complete and submit this application to the Nursing Department by February 15 and meet the following requirements, which will be reviewed by the Nursing Admissions Committee to determine eligibility:



• Resident of Ulster County, New York as of February 15



Federal and/or State Law concerning U.S. citizenship may affect a student’s ability to obtain a license to practice the Nursing Professions following successful completion of the program. Compliance with all licensing requirements remains the responsibility of the student.

• Completed SUNY Ulster College Application • Receipt of all educational documents by the Admissions Office by February 15 • Satisfactory placement in the College’s Entering Student Assessment Test • Completion of the ATI TEAS test • Overall GPA of 2.5 or higher in all required courses







Student Information



Name _____________________________________________________________________________







Last









First











Middle



Student ID _________________________________________________________________________________



Mailing Address ____________________________________________________________________________



City, State, Zip Code __________________________________________________________________________



Permanent Address __________________________________________________________________________



City, State, Zip Code __________________________________________________________________________



Home Phone _________________________________



Email Address _______________________________________________________________________________



Signature ____________________________________

Cell Phone __________________________________

Date _______________________________________

under the program of the state university of new york Ulster County Community College does not discriminate in education, employment or any of its businesses on the basis of sex, sexual orientation, race, color, age, veteran status, religion, national origin or handicapping conditions. This policy is in compliance with Title IX of the Education Amendments of 1972.

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