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Indiana State University
Select Degree Level *
Program of Interest *
LPN to BSN in Nursing
RN to BSN in Nursing
Do you have an active U.S. LPN/LVN or RN license? *
Are you at least 22 years of age? *
First Name *
Last Name *
Zip Code *
Daytime Phone *
Evening Phone *
Street Address *
District of Columbia
Do you possess a current license as a registered nurse without restrictions to practice in one of these states (IA, CA, CT, DE, MI, MS, MT, OK, RI, SC, SD, VT)? *
CA - California
CT - Connecticut
DE - Delaware
IA - Iowa
MI - Michigan
MS - Mississippi
MT - Montana
OK - Oklahoma
RI - Rhode Island
SC - South Carolina
SD - South Dakota
VT - Vermont
Are you comfortable dealing with blood and other bodily fluids? *
Are you comfortable working with needles? *
Would you be comfortable assisting a physician with patient preparation, examinations, and patient relations? *
Do you have 1000 hours of clinical practice as a RN?
Do you possess a bachelor's of science degree in Nursing? *
Yes - Veteran
Yes - Active, Reserve or Nat. Guard
Yes - Military Spouse
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