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Nursing Department: Inquiry and Information Request

Thank you for your interest in William Jewell College’s Nursing Program! Please complete the form below so we can send you additional information about Jewell and our nursing program. This form cannot be submitted unless all questions/fields marked with a red asterisk (*) are completed.

*First Name Middle Name

*Last Name Nickname

*Address

*City *State *Zip

*E-mail

*Primary Phone

*Secondary Phone

*When do you plan to enter William Jewell College?
Fall Spring Summer        Year

High School Attended Graduation Date

College(s) Attended

*Have you already earned a Bachelor's Degree?
Yes No     *If yes, Graduation Date

*If you have completed a Bachelor’s degree, are you specifically
interested in the Nursing Accelerated Track Program?
Yes No Not Applicable

Please list any co-curricular interests you plan to pursue at William Jewell College:

Comments:

 

THANK YOU!

 
 

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