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Southern University at Shreveport
School of Nursing
610 Texas Street, Suite 500-D
Shreveport, Louisiana 71101
(318) 670-9641
Application for Admission: NURS 125
Deadline for submission: March 1
st
(Fall Semester); August 1
st
(Spring Semester)
**Official transcripts from all colleges and universities previously attended must be sent to the
School of Nursing (See above address)**
Name ________________________________
Last First MI
Last 4 SS# ___ ___ ___ ___
Address _______________________________
Street
Date of Birth __ __ / __ __ / __ __ __ __
_______________________________
City State Zip
Ph# (Home) ________________________
(Cell) __________________________
Enrollment ____________________________
Semester/Year
Yes No
1. Have you taken the NLN Preadmission Exam? ___ ___
2. If you have previously taken the NLN Preadmission Exam, have you
arranged for your score to be submitted to SUSLA School of Nursing? ___ ___
3. Do you have an overall GPA of 2.5 or above? ___ ___
What is your current overall GPA? _________
Current GPA
4. Have you completed 12 credit hours at SUSLA? ___ ___
5. Have you obtained a grade of “C” or better in the following
pre-requisite courses or their equivalents? Science courses may
not be older than 5 years.
SCHE 110S: General Chemistry Lec ___ ___
SENL 101S: Freshman English I ___ ___
SBIO 212S: Microbiology ___ ___
SBIO 221S: Human Anatomy & Physiology Lec ___ ___
SMAT 121S: Pre-Calculus Algebra ___ ___
NURS 104S: The Art of Nursing Practice ___ ___
