In its educational policies, programs, and procedures, the University provides equal opportunity for all its students without regard to race, color, religion, sex, age,
disability, or national or ethnic origin.
5000 N. Willamette Blvd., MSC#177
Portland, Oregon 97203-5798
Telephone: 503.943.7107
Fax: 503.943.7178
School of Nursing Graduate Applicant Personal Statement
Applicant Name (First and Last Name): ___________________________________________________________________________
Applicant Email: ______________________________________________________________________________________________
Program of Interest:
Doctor of Nursing
Master of Science:
Clinical Nurse Leader
Master of Science:
Nurse Educator
Directions: Complete the following prompt and return to the Graduate School either via email as a saved .pdf attachment to or as a printed document via mail to the address listed above in the right hand corner. Please be sure this
completed form is included in your email or mail. For any program specific questions, please contact Becca Fischer via email at or by phone at 503.943.7423.
In 250 words or less, please describe a transformational experience that has impacted your life.