Bachelor of Science in Nursing (BSN) Completion Program Application

First Name

Middle Name

Last Name

Email Address

Clark State Student ID#

Mailing Address

Country

Street

City

Region

Postal Code

Have you applied to Clark State College?

Yes

No

You have answered No. Please visit this link and apply to Clark State before completing this application.

https://slate.clarkstate.edu/apply/

If you have attended another college, are your official transcripts from other colleges on file at Clark State?

Yes

No

Applicants must have an associate degree.

If you have previously attended Clark State, upload your unofficial Clark State transcript from Self Service.

Please upload your nursing license using the following link: https://elicense.ohio.gov/oh_verifylicense
(Those who do not hold an unencumbered license will have one semester to pass NCLEX to obtain a license.)

I attest that all information on this application is complete and correct.

Yes

No

I have read and understand the information provided and referenced on the Bachelor’s of Science in Nursing Completion Program page on the Clark State website.

Yes

No

I have read and understand the information provided and referenced on the BSN Admissions Criteria and Procedures sheet.

Yes

No