Business Address: (name or other relevant information) (no. and street) (city/state/zip) Business Telephone: (###)###-#### *Date of Birth (month/day/4-digit year): *E-mail Address: * Citizenship: U.S.A. Other * Immigration Status:
* Have you previously applied for admission to any division/department/program at the State University of New York at Buffalo? Yes No * If yes, when (month / 4-digit year): (mm/yyyy) * In what area:
*Have you ever attended any division of the State University of New York at Buffalo? Yes No * If yes, give date of attendance: (mm/yyyy) Student Number:
Estimate the total college credits completed:
The School of Nursing requires that admitted students whose native language is not English must also pass a SPEAK test with a score of 50 in order to progress to a clinical course. You may submit a score prior to arriving or take the test at UB's English Language Institute in January or late April.
Current status in University at Buffalo:
Admitted to UB
On official leave of absence from UB Not currently attending UB Non-matriculated (attending UB, not admitted to a degree program) UB application filed on: (mm/dd/yyyy)
For Courses youhave Completed:
Please indicate the College/University where thecourse was completed. The Course Number & Name,the 4-digit Year the course was completed and the Grade you earned in the course.
For Courses which you have not yet Completed:
Please indicate the College/University at which youintend to take the course. The Course Number & Name, and the Year/Semester you intend to completethe course. As you have not yet earned a final grade in these courses, please enter N/A in the Grade Column.
OPTIONAL
Ethnicity:
Please attach your current resume in the space provided below, or mail a copy directly to: Accelerated BS Option School of Nursing Student Affairs Office University at Buffalo Kimball Tower 1040 Buffalo, NY 14214-3079 Note: Please submit resume in text only format
Please write a 300-500 word goal statement in the space provided below. Include why you wish to pursue a second-degree in nursing.
The accelerated BS Option is an intense program that requires full time study for four continuous terms beginning with the first UB summer school session in May, then third summer session, and the following Fall and Spring semesters. Are you able to maintain enrollment in such a high demand, full-time academic program for one calendar year?
* Yes No
Have you already completed the Basic Life Support (BLS) course for health providers (American Heart Association)?
Yes If so, date completed No
If yes, please mail a copy of your certificate to: Accelerated BS Option School of Nursing Student Affairs Office University at Buffalo Kimball Tower 1040 Buffalo, NY 14214-3079
If no, please keep in mind this requirement must be completed prior to starting the Accelerated BS program in May. Information on acquiring such training can be found at http://www.student-affairs.buffalo.edu/shs/student-health/cpr.shtml or by calling Student Health Services at (716) 829-3316.
Upon completion of the application, candidates may be selected for an interview.
To be considered for admission to the Accelerated BS Option for Second-Degree Students, applicants must submit either electronically or as a paper copy :
1. UB application (http://admissions.buffalo.edu or Office of Admissions, 15 Capen Hall, North Campus, (716) 645-6900)
2. School of Nursing application.
3. Official transcripts should be sent directly from all colleges and universities attended, to the School of Nursing Student Affairs Office (We will forward to the UB Office of Admissions for processing).
4. Current resume
5. Basic Life Support (BLS) course for health providers certificate.
