APPLICATIONS FOR ADMISSION
THE SCHOOL OF NURSING AND HEALTH SCIENCES ABRAHAM BALDWIN COLLEGE
Application Deadlines: FALL admission- MARCH 15. SPRING admission- SEPTEMBER 15.
Select one of the following: I wish to be considered for: * Select Term Fall Spring and * Select Year 2010 2011 (year).
You must first be accepted to ABAC before applying to the nursing program. You will receive an ABAC ID number and a Stallion email address when you are accepted to the college.
Acceptance to ABAC DOES NOT mean you have been accepted into the nursing program. You will receive a separate letter from the The School of Nursing and Health Sciences when you have been accepted into the nursing program.
Transcripts from all colleges attended must be sent to the ABAC Office of Admissions.
IT IS THE STUDENT’S RESPONSIBILITY TO VERIFY THAT TRANSCRIPTS HAVE BEEN RECEIVED.
Name: *First *Middle *Last
*ABAC ID Number: 918 Your application will not be processed without your ABAC ID.
*Mailing Address: Street/PO Box *City *State Alabama Alaska Alberta American Samoa Arizona Arkansas British Columbia California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida France Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northern Mariana Islands Northwest Territories Nova Scotia Ohio Oklahoma Ontario Oregon Overseas Military Mail Overseas Military Mail Overseas Military Mail Palau Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Unknown State Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon *Zip
*Stallions E-mail Address: @stallions.abac.edu Your application will not be processed without your Stallion Email Address.
*Age: Select Age Range 25 and younger 26-30 31-40 41-50 51-60 >60 *Gender: Select Gender Female Male *Race: Select Race Am. Indian or Alaskan Native Asian or Pacific Islander Black (Non-Hispanic Origin) Hispanic Multiracial Not Reported Unknown/Undeclared White (non-Hispanic Origin) White (Non-Hispanic Origin) Previous College Degree Type: Select Degree Type AD BS MS Medical Diploma/Degree: Select Medical Diploma LPN Paramedic Respiratory Therapist Surgical Technician Medical Office Technician Other
*Home Phone: *Work Phone: Cell Phone:
Have you ever attended or are you currently attending another college? Yes No If Yes,
Name of College
Date
NOTE: An arrest or conviction for any moral and/or legal violation of the law may prevent a graduate from taking the licensing exam for the state of Georgia. Questions should be directed to the Georgia State Board of Nursing.
I certify that the above information is correct to the best of my knowledge and I understand that failure to give accurate and complete information may invalidate my admission into the nursing program.