Bachelor of Nursing ProgramLoading...Round Selection (internal)FYGRTR2020 FY2020 GR2020 TRPIN (internal)YesNoSubmit Flag (internal)YesNoPlease select your program track. (Internal)Adult Degree CompletionBusiness/Education CertificateEarly ActionEarly DecisionFreshman ApplicantGraduateGraduate, Non-DegreeM.Ed. for Licensed TeachersMBA ApplicantMS in Geospatial AnalysisNursing 1+2+1Nursing 3+1Nursing Concurrent EnrollmentNursing, Bachelor of SciencePost MastersReadmissions ApplicantTeacher LicensureTransfer Applicant-TraditionalPreferred Housing (internal)On CampusOff CampusPreferred Starting Term:Summer 2021Fall 2021First NameLast NamePreferred NameBirthdateBirthdateJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember1234567891011121314151617181920212223242526272829303120212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900CONTACT INFORMATIONMailing AddressMailing AddressCountryStreetCityRegionPostal CodePhone NumberCell Phone NumberEmail AddressOccupation (Title)EmployerDo you plan to utilize tuition reimbursement from your employer?Do you plan to utilize tuition reimbursement from your employer?YesNoDo you wish to apply for Virginia in-state tuition?Do you wish to apply for Virginia in-state tuition?YesNoPlease complete the application form located here and return by mail or upload through this application or your student portal.EDUCATIONPlease indicate the college you attended most recently.School TypeGraduateHigh SchoolUndergraduateSchool OneCEEB One (internal)Do you have additional schools you would like to enter?Do you have additional schools you would like to enter?YesNoSchool TypeGraduateHigh SchoolUndergraduateSchool TwoCEEB Two (internal)Do you have another school you would like to enter?Do you have another school you would like to enter?YesNoSchool TypeGraduateHigh SchoolUndergraduateSchool ThreeCEEB Three (internal)Do you currently hold your Registered Nurse license?Do you currently hold your Registered Nurse license?YesNoPlease upload a copy of your RN License here.If no, when do you expect to receive it?If no, when do you expect to receive it?JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041DEMOGRAPHICSWhat is your primary citizenship?AfghanistanAland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAshmore and Cartier IslandsAustraliaAustriaAzerbaijanBahamas, TheBahrainBangladeshBarbadosBassas Da IndiaBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius, and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandClipperton IslandCocos Islands (Keeling Islands)ColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCoral Sea IslandsCosta RicaCote D'IvoireCroatiaCubaCuracaoCyprusCzech 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IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorwayOmanPakistanPalau, the Pacific Islands ofPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSpratly IslandsSri LankaSudanSurinameSvalbardSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTromelin IslandTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis and Futuna IslandsWestern SaharaYemenYugoslaviaZambiaZimbabweAre you Hispanic or Latino?Are you Hispanic or Latino?YesNoRegardless of your answer to the prior question, please indicate how you identify yourself?American Indian or Alaska NativeAsianBlack or African AmericanDeclineHispanic or LatinoNative Hawaiian or Other PacificUnknownWhiteWhat is your gender?What is your gender?MaleFemaleIf you would like the opportunity, we invite you to share more about your gender identity below.The University of Mary Washington is dedicated to providing our military service members with as many resources as possible to assist in furthering their education. Please honor us by providing information about your service affiliation to assist us in planning.Not AffiliatedPrefer Not to DiscloseActive DutyDependentFederal ReservesVeteranNational GuardPlease tell us which branch of the service your affiliation is with.Not AffiliatedPrefer Not to DiscloseAir ForceArmyCoast GuardMarineNational GuardNavyHave you been convicted of a crime other than a traffic violation?YesNoIf yes, please describe the violation and provide the date of occurrence.SIGNATUREI certify under penalty of disciplinary action that the information I have provided is true. Please type your name in the box in place of your signature.DateDateJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember12345678910111213141516171819202122232425262728293031200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041Submit