College of Staten Island
 The City University of New York
 
DEPARTMENT OF NURSING
APPLICATION FOR CONSIDERATION FOR ADMISSION
INTO NURSING 110 FOR Fall 2014
*Indicates required field
Last Name*
Date of Birth*
- - (DD-MM-YYYY)
First Name*
Middle Name

If you do not know your Emplid, please call (718) 982.2529 / (718) 982.2596 for assistance.
EmplID*
Email*
Address*
City*
State*
Zip Code*
Phone with area code*
( ) -
Pre Admission Exam (select one):*
 SAT, SAT II-Bio   NLN Pre-admission RN (NLN PAX-RN)

Mail scores to:

Dr. Arlene Farren
Deputy Chairperson,
Nursing  Department 5-S 213
College of Staten Island
2800 Victory Boulevard
Staten Island, NY 10314

1. Will the pre-requisite courses (Bio 150, Eng 111, Phl 130, Psy 100) be completed by May 2014?*
Yes       No
 
Does your pre-requisite nursing sequence include any courses taken at another college? If yes, please select course and enter college:
Bio150  
Eng111  
Phl130  
Psy100  

(Please note – transfer of courses must be officially verified by the Registrar prior to the admissions meeting in order to be considered for Nursing 110 admission)

 

2. Are you applying for readmission to Nursing 110?*
   Yes       No
If yes - you must write a LETTER of appeal requesting readmission 
address to: Dr. Arlene Farren
                Deputy Chairperson, Nursing Department
                Nursing Admissions 5-S 213
                College of Staten Island
                2800 Victory Boulevard
                Staten Island, NY 10314

 
Click on "Submit" to submit your application and to confirm that you have read and understand the requirements concerning:
Document review at Academic Advisement, Health Documentation, Submission of Pre-admission Test Score, Orientation, CPR certification, Professional Liability Insurance and Book Purchases.
Retain the rest of the packet.
Read ALL the material - you are responsible for its contents.
Please review all fields before submitting application.
You can submit application only once.

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