Doctor of Nursing Practice

Admission Application

We are no longer accepting printed applications. Please fill out the online form.

* Indicates required fields.

Prerequisite Declarations

Falsification or misuse of records and/or misrepresentation of facts on University forms and documents, including but not limited to, application forms, data sheets, ID cards, fee receipts, may result in disciplinary action and/or cancellation of registration. See Section 2.16 of Student Rights and Responsibilities: A Code of Student Behavior.

Enrollment and Specialties
  1. Select the doctoral specialty you intend to study:
  2. Preferred time frame to completion:
Contact Information
  1. Permanent Address *
  1. Send correspondence to: *
Post Secondary Education
  1. First Institution
    1. Date From
    2. Date To
    3. Name of Institution
    4. City and State
    5. Major
    6. Credential Earned
    7. GPA
  2. Second Institution
    1. Date From
    2. Date To
    3. Name of Institution
    4. City and State
    5. Major
    6. Credential Earned
    7. GPA
  3. Third Institution
    1. Date From
    2. Date To
    3. Name of Institution
    4. City and State
    5. Major
    6. Credential Earned
    7. GPA

Official transcripts of all post high school education must be submitted to the Office of Graduate Studies, 8600 University Boulevard, Evansville, IN 47712.

Career Questionnaire
  1. License Information:
    1. RN License #
    2. State
  2. Have you previously applied to a USI College of Nursing and Health Professions program or another university/college Nursing program? *
USI Environment

USI works to maintain a safe environment for all members of the University community. The following questions will help us better maintain this environment.

  1. Have you ever been convicted of a misdemeanor, felony or other crime (excluding routine traffic offenses and convictions expunged or sealed by the sentencing court or juvenile court or otherwise protected from disclosure by the specific authority of law)? *
  2. Are any criminal charges currently pending against you? *

If your answer is "Yes" to any of these questions, you will be asked to provide additional information. Being convicted of a crime, pending criminal charges, probation, suspension, dismissal or expulsion do not serve as an absolute bar to admission, but will require additional evaluation.

  1. Have you been convicted of a sex offense against children? *
    (Requirements of Indiana Public Law 11-1994.)
Restrictions
  1. Has any action been taken or is there action being considered by an agency of government against your RN license? *
    If yes, please attach a letter to explain.
  2. Have you entered into or are you currently discussing an agreement with any agency of government concerning your license? *
    If yes, please attach a letter to explain.
  3. Have any restrictions been imposed by an agency or government on your ability to practice the nursing profession, or are such restrictions currently being considered? *
    If yes, please attach a letter to explain.
Emergency Contact
Signature

By signing below I am verifying that all the above information is true and accurate to the best of my knowledge. I also authorize the Admission Committee to review and verify my application and academic records.

Submit Application
Important

Preferred submission of the following documents is by email to cnhpadmissions@usi.edu or by fax 812-465-7092.

  • Statement of Professional Goals: In a one- to two-page typewritten paper, describe your academic and professional goals and how a graduate education will assist you in attaining these goals.
  • Resume: A copy of your current resume.
  • License: A copy of your current nursing license(S). Online verification printout is acceptable.
  • References: Three professional references, two from nursing practice, one from nursing education on your behalf must be submitted to Graduate Nursing Admissions. Required reference form may be found on the website. Reference may be emailed, faxed or mailed directly.
  • Capstone Project Plan: Describe a practice-related issue that will serve as the focus of your capstone project. Include the significance and impact of the project to nursing and healthcare, along with the name of your capstone project mentor. Required form may be found on the website.

All application materials must be received by the University of Southern Indiana before an admission decision can be made.

Application Deadline: January 15

It is the policy of the University of Southern Indiana to be in full compliance with all federal and state non-discrimination and equal opportunity laws, orders and regulations relating to race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity, or veteran status. Questions or concerns should be directed to the Affirmative Action Officer, USI Human Resources Department, University of Southern Indiana, 8600 University Boulevard, Evansville, Indiana 47712.

Application ID: 99D6CE02CE3DCE6ACF235D08D9D2F644