Welcome to Arkansas State University!

AASN Application for Mountain Home

(*) denotes required information.

Deadline for applications: All application material must be postmarked by 5:00 p.m. on October 1st for Spring semester. Applications are reviewed after the application deadline and are NOT reviewed on first come, first serve basis. Incomplete or late applications will NOT be considered.

 



* Last Name:
* First Name:
*Middle Name:
Other names by which academic records may be found.
Preferred name
*ASU-JONESBORO ID NUMBER
*Last 4 digits of Social Security Number
Home Phone:
*Email:
*Mailing Address:
* City:
* State:
* Zip:
PERMANENT ADDRESS (If different from above)
City:
 State:
Zip:
Notification of admission decision should be sent to (check one) Local Address Permanent Address
If applicant does not indicate choice, notification will be sent to first address given above). NOTE: If your name, address, or phone number changes during application or enrollment, it is your responsibility to notify the School of Nursing (Mountain Home, Beebe, or West Memphis) and the Office of Admissions, Records and Registration (Jonesboro) in writing of these changes.
Certification information: CNA program
State
Has your certificate, or registration ever been disciplined (revoked, suspended, placed on probation, or reprimanded) or voluntarily surrendered in any state or jurisdiction? Yes No
Is your certificate currently suspended, revoked or on probation or reprimanded for any reason? Yes No
Do you have or have you ever held a Nursing License (LPTN, LPN, RN) in any state? Yes No
If so, has your license in Nursing or any other Health Profession ever been disciplined (revoked, suspended, placed on probation, or reprimanded or voluntarily suspended in any state or jurisdiction? Yes No
Is your license currently suspended, revoked or on probation or reprimanded for any reason? Yes No
Have you withdrawn, been dismissed, or otherwise not completed another nursing program? (If you mark “yes”, you MUST submit a letter of good standing from the director/chair of each nursing program you have attended, been withdrawn from or otherwise not completed) Yes No
Do you speak Spanish proficiently? Yes No
Were you born in a foreign country? Yes No

If you were born in a foreign country, you must take one of the following test: 1) the Test of English as a Foreign Language (TOEFL) and score a minimum of 83 on the preferred internet-based (iBT); 570 on the paper- based test, or 213 on the computer-based test; 2) International English Language Testing System (IELTS) with a score of at least 6.5 and a spoken band of 7; or 3) Pearson Test of English Academics (PTE) with a score of 56. (see website for details)

All applicants will be notified in writing of the decision of the admissions committee.
No results will be given by phone. Students will be informed by mail after November 25th.

Are you enrolled in any college classes now? Yes No
If yes, submit copy of current schedule to Paula Thitoff at pthitoff@asumh.edu or fax to 870-508-6283.

If your cumulative GPA is below 2.0, please do not make application at this time.

 

APPLICATION SUPPORT MATERIALS:
In addition to submitting the online applications, applicants must submit the following documents:

(1) Official transcript(s) showing ALL college and other post-high school work attempted, including current enrollment. You must request official transcripts from EACH institution (including ASU-Beebe; ASU-MH; ASU-Newport) be sent to Arkansas State University, Office of Admission, Records and Registration, PO Box 1570, State University, AR 72467. Telephone: 870-972-2031.

 

    (2)Students seeking admission to an Associate in Applied Science in Nursing program after attending, withdrawing from, or being dismissed from another nursing program will be secondarily considered and must submit a letter of good standing from each such nursing program. Letters of good standing are to be sent to Arkansas State University, School of Nursing, Attn: Paula Thitoff, 1600 S. College, Mountain Home, AR 72653. Students who have been dismissed from a program for an academic integrity issue will be considered on a tertiary basis.
    (3) CNA Certification: submit copy of certificate for Certified Nursing Assistant (CNA) from the Office of Long Term Care or State issuing the certificate. Certificate must be submitted by the October 1st deadline to Paula Thitoff (pthitoff@asumh.edu); Telephone: 870-508-6113; Fax: 870-508-6283.

 

By signing below, I hereby affirm that all information supplied on this application is complete and accurate. I understand that I will not be permitted to enroll in the professional courses in the Associate in Applied Sciences in Nursing (AASN) program without a letter of acceptance from the School of Nursing. Acceptance to any Nursing program is contingent upon acceptance to Arkansas State University (Jonesboro).

*Name of applicant
*Date: