Student contact information

Current employer

Nursing license

Please scan a hard copy of your RN license or use the LARA website to pull a screenshot of your active license  
 
One file only.
8 MB limit.
Allowed types: gif, jpg, png, svg, pdf.

Previous College(s)

Please enter all college previously attended. List the college where you earned your associate's degree in nursing first. 

One Professional Recommendation

The recommendation must be completed by a work supervisor or professor. Family members are excluded from recommending applicants. Please be sure the email address is accurate before submitting. 

Upon submission of this online application, this contact will receive a webform to fill out on your behalf. 

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