Master of Science in Nursing

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.

Specialties and Enrollment
  1. Select the preferred specialties you intend to study:
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.

Current Employment

List present or most recent employment first.

  1. First Position
    1. Date From
    2. Date To
    3. Title of Position
    4. Employer
    5. City and State
  2. Second Position
    1. Date From
    2. Date To
    3. Title of Position
    4. Employer
    5. City and State
  3. Third Position
    1. Date From
    2. Date To
    3. Title of Position
    4. Employer
    5. City and State
Membership in Professional Organizations

List the organization, dates of membership, offices held, and a description of activities in which you participated.

  1. First Position
    1. Organization/Association
    2. Description of Duties
    3. Date From
    4. Date To
  2. Second Position
    1. Organization/Association
    2. Description of Duties
    3. Date From
    4. Date To
Research Participation

List the title of the research project, the primary investigator, and describe your duties.

  1. First Project
    1. Research Project Title
    2. Description of Duties
    3. Date From
    4. Date To
  2. Second Project
    1. Research Project Title
    2. Description of Duties
    3. Date From
    4. Date To
Awards/Honors

List any awards or honors you have received and describe the activities that led to the award or honor.

  1. First Award
    1. Award/Honors Title
    2. Description of Duties
    3. Date From
    4. Date To
  2. Second Award
    1. Award/Honors Title
    2. Description of Duties
    3. Date From
    4. Date To
Career Questionnaire
  1. License Information:
    1. RN License # *
    2. State *
  2. Are you currently active in the U.S. military?
  3. Do you hold any national certifications? *
    1. If yes, please list.
  4. 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 licensure/certification? *
    If yes, please attach a letter to explain.
  3. Have any restrictions been imposed by an agency or government on your ability to practice your profession, or are 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

The following are required to complete your Nursing Application

  • Current professional resume or curriculum vitae.
  • Statement of professional goals. In a typewritten paper (200 words) describe your academic and professional goals and how a graduate education will assist you in attaining these goals.
  • Please submit the resume/curriculum vitae and the statement of professional goals as one pdf document, resume first, as an attachment via email from the email address you noted on your application to cnhpadmissions@usi.edu. Subject line of the email should be MSN Application Documents. Applicants will receive a confirmation email once the document has been reviewed for completeness.
  • References: Two professional references on your behalf must be submitted. Required reference form and submission instructions 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.

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: D8B876B2EC168D6E0E10A800A84C2B53