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Schools
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School of Nursing Request for Information
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Thank you for expressing interest in the University of Virginia. Please complete the form below to receive information about your program of interest.
Fields marked with an asterisk (*) are required.
Contact Information
First Name*
Preferred First Name
Middle Name
Last Name*
Birthdate*
Birthdate*
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Email Address*
Confirm Email Address*
Mailing Address*
Mailing Address*
Country
Street
City
Region
Postal Code
Primary Phone Number
Program Information
What will be your highest degree earned when you enter UVA?*
Non-Nursing Bachelor's degree + ADN
Non-Nursing Bachelor's Degree
Non-Nursing Master's Degree
BSN
MSN-Generalist
MSN-Specialist
What degree are you interested in obtaining?*
DNP
MSN
PhD
Post Master's Certificate
What program are you interested in?*
Clinical Nurse Specialist
Direct-Entry CNL
Nurse Practitioner
Nurse Practitioner and Clinical Nurse Specialist - Dual
Nursing PhD
Post Master's DNP
RN-CNL
What specialization are you interested in?*
Acute Care Pediatric NP
Adult-Gerontology Acute Care
Adult-Gerontology Acute Care-CNS
Adult-Gerontology Acute Care-NP
Family
Neonatal
Neonatal Nurse Practitioner
Pediatric
Pediatric Acute Care
Psychiatric-Mental Health
Full-time/Part-time*
Full-time/Part-time*
Full-Time
Part-Time
Intended Start Term*
Fall 2021
Fall 2022
Summer 2021
Summer 2022
Additional Information
US Armed Forces Status
Active Duty
Dependent of Veteran or Active Duty
None
Veteran
Military Branch
Air Force
Army
Coast Guard
Marine Corps
National Guard
Navy
Will you be an RN when you enter UVA?*
Will you be an RN when you enter UVA?*
Yes
No
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