1. State the reason for the interruption of your nursing studies.
2. State the reason for your application for readmission to the Nursing Program.
3. During the time that you have been out of the Nursing Program, what steps have you taken in preparation for academic success?
e.g. list of college courses:
list of work experiences:
other activities:
4. Discuss your compliance with “At Risk” Academic Status assignments while a student in the Nursing Program.
5. What do you consider a realistic plan for your successful completion of the Nursing Program?
6. Attach an updated
curriculum plan.
Student signature: ____________________________ Date: ______________
Address _________________________________________________________
Telephone: __________________________
Note: You may wish to ask a faculty member to make comment regarding your Application for Readmission to the Nursing Program.
Nursing faculty comment: