University of North Alabama

Please note:  Applicants will be accepted based upon the following criteria: date the application is  received, official transcript review, and official acceptance to the University of North Alabama.  Applicants will be notified upon approval.

Date:

I am applying for the following semester:   Fall   Spring    Summer

I am applying for the following year:  

Note:  Fall semester begins in August, Spring semester begins in January, and the Summer semester begins in June.

Full Name:  

Address:       

City:       State:     Zip:    

Home Telephone:

Cell or Alternate Telephone:

Email address: (Preferred)

Email address: (Alternate)

(Check all that apply) I am: a Registered Nurse     Employed    Unemployed    an ADN    a Diploma graduate a U.S. citizen

My place of employment is:

Address:

I have already applied to the University of North Alabama.    Yes     No  
(You must also apply to both UNA and to the College of Nursing Flex-Track option).   

I have been officially accepted to the University of North Alabama.    Yes     No     Pending

Are there any potential restrictions, medical or otherwise, that may prevent you from meeting the program requirements at the University of North Alabama.   Yes     No     (If "yes" briefly explain below.)

It is the policy of the University of North Alabama to afford equal opportunities in education and employment to qualified persons regardless of age, color, creed, disability, national origin, race, religion, or sex, and valid regulations.  The coordinators for nondiscrimination policies are for students, the Vice President for Student Affairs and University Counsel, Room 217, Bibb Graves Hall or telephone 256-765-4325; for employees, the Director of Human Resources and Affirmative Action, Room 222, Bibb Graves Hall or telephone 256-765-4291.

06/22/2007

Do you plan to pursue the RN to MSN option, provided you meet the requirements?    Yes   No   Maybe