Selective Enrollment - Nursing Program Intent Form

Step 1 of 2: Submit
I am re-applying for admission to the PSC nursing program

I have met or will meet these minimum requirements by February 1:

Placement into ENG 101
Placement into MATH 095
Completion of BIOL 221 (Anatomy and Physiology 1) with a C or better within the last five years.
Active CNA status or will be active and/or competent by February 1 on the Illinois Healthcare Worker Registry.
Date: Friday, 18 January 2019 (EST)
Name:
Type your name to sign this document:
Typing name is equivalent to a handwritten signature
Date: Friday, 18 January 2019 (EST)
Name:
Type your name to sign this document:
Typing name is equivalent to a handwritten signature

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