Veteran to Nurse Application
The Veteran to Nursing Program is offered through the ISU College of Technology. This program is specific to the following veterans:

-Medics
-Corpsmen
-Airmen

If you do not meet one of these qualifications, we sincerely hope that you will apply to our Traditional Practical Nursing program.

Personal Information
Student ID *
Your answer
First and Last Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Cell Phone Number *
Your answer
Home Telephone Number *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
ISU E-mail Address *
If you do not currently have an ISU e-mail, please put in your personal e-mail. You will be receiving a confirmation e-mail at the address you enter here.
Your answer
Non ISU E-mail (Optional)
Your answer
Minimum Requirements
Applications missing any of the requirements listed below will be considered incomplete and will not be evaluated. The following criteria will be used to rank the applicants: GPA or test scores, nationally-normed exam, and medical experience.
Have you been accepted to ISU? *
Acceptance to ISU is required, but does not guarantee acceptance into the program.
Required
Do you meet the minimum Math & English requirement? *
Test scores- Compass, ACT, or SAT - or Completed Math 0015/TGE 0100M and/or ENGL 0090 or TGE 0100W
Required
I have completed or enrolled in all pre-requisite course work and understand all pre-requisite work must be completed with a C- or better by the end of summer semester for fall enrollment or the end of fall semester for spring enrollment. *
Required
Does your GPA meet the minimum 2.25 qualification to apply? *
Required
Additional Information
Are you currently enrolled at another college/university? *
If you are currently enrolled at another institution, list the name of that university/college.
Your answer
Have you completed any prerequisite courses that are NOT on your ISU transcript? *
If you have, please submit an official transcript to ISU to be evaluated by the application deadline.
If you have completed prerequesite courses that are NOT on your ISU transcript, list the name of the college/university.
Your answer
Background
All accepted students must pass a background check.
Have you ever been convicted of or have pending against you a felony or misdemeanor other than minor traffic violations? *
Required
If yes, please explain below:
Your answer
Has any licensing agency ever taken any disciplinary action against you, including but not limited to, any reprimand, suspension, probation, limitation, revocation? *
Required
If yes, please explain below:
Your answer
Experience
Do you have a current American Heart Association BLS certification for Healthcare Providers (BLS/CPR)? *
Required
If no, when are you taking the BLS/CPR course?
Your answer
Please list applicable Medical Experience
Please include Facility Name & Address, Dates of Employment, and Supervisor/Telephone #, and then briefly describe your experience (If more space is needed, please send with other documentation):
Your answer
Required Documentation
These documents can be mailed, faxed, or e-mailed to the following:

College of Technology
ATTN: Teresa Scherer
921 South 8th Ave STOP 8074
Pocatello, ID 83209-8074

E-mail: savatere@isu.edu

Have you sent a copy of your CPR/BLS card OR copy of registration for BLS/CPR class? *
Have you sent in proof of registration in currently enrolled course work (including correspondence courses)? *
Have you sent in your JST? *
Have you sent in your resume? *
Grades
Please make sure the grades match your transcript. If you have done a petition or if there is an unusual circumstance, please note that.

If a class is in progress or being taken in the Spring, please write in the semester you plan on completing the course.

PSYC 1101 - Intro. to General Psychology *
Your answer
Intro to Computers *
BT 0170, CIS 1101, INFO 1101, or LLIB 1115
Your answer
HO 0106 or HE 2210 or HCA 2210 - Medical Terminology *
Your answer
HO 0111 OR BIOL 3301L & 3302/L- Anatomy & Physiology *
Your answer
NTD 3340 (preferred) or NTD 2239 - Nutrition for Health Professionals *
Your answer
Agreement and Signature
By checking the "submit" box below I affirm that the facts set forth above are true and complete. I understand that if I am accepted to the Practical Nursing Program, any false statements, omissions, or other misrepresentations made by me on this form may result in my immediate dismissal. I also understand my acceptance will be conditional until I submit all required documents to the program including immunizations, drug screening and a background check. *
Required
Notification
Once your items have been submitted, you will be contacted by Teresa Scherer.
Submit
Never submit passwords through Google Forms.
This form was created inside of Idaho State University. Report Abuse - Terms of Service - Additional Terms