Graduate and Professional Programs SUPPLEMENT for Doctor of Nursing Practice (BSN to DNP)

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1 Graduate and Professional Programs SUPPLEMENT for Doctor of Nursing Practice (BSN to DNP)

2 Applying for Admission Application Steps for Doctor of Nursing Practice (BSN to DNP) Applicants: 1. Submit the standardized application through NursingCAS (www. nursingcas.org). 2. Submit a completed Doctor of Nursing Practice (BSN to DNP) Supplement form and non-refundable application processing fee of $50. Checks or money orders should be made payable to Belmont University. * If you have been granted a CAS fee waiver, Belmont University will waive your application fee. Please mail or fax a copy of your fee waiver to the Office of Admissions; once we receive and process it, your application fee requirement will be satisfied. Please include your and phone number when you submit your fee waiver, so that we may contact you easily if any questions arise. International Applicants 1. International applicants whose native language is not English must demonstrate proficiency in the English language by submitting official TOEFL scores (required minimum of 550 PBT or 80 ibt) or by successful completion of ELS Language Center Level International applicants with college level course work from foreign institutions must have their transcripts evaluated by a credential evaluation service such as World Education Services ( or Joseph Silny & Associates ( 3. In order to be issued an I-20 for the desired entry term, international applicants must be admitted no later than October 1 or June 1 in order to enroll for the spring or fall terms respectively. Please send all application materials to: Belmont University Office of Admissions Fax Questions about your application and/or requirements should be directed to: Belmont University School of Nursing Phone

3 Belmont University Doctor of Nursing Practice (BSN to DNP) Supplement This section to be completed by the applicant First Name Middle Name Last Name Preferred First Name Former Last Name (if any) Date of Birth (MM/DD/YYYY) Mailing Address Line 1 City State/Province Zip/Postal Code Country Home Phone ( ) Cell Phone ( ) Term for which you are applying o Fall 20 Have you previously applied to Belmont s Doctor of Nursing Practice Program? o Yes If yes, what term? Have you previously paid a $50 Graduate and Professional Programs application fee? o Yes Are you a current Belmont employee? o Yes If yes, what department? Do you have an approved NursingCAS fee Waiver? o Yes What is your current Registered Nurse (RN) License Number? What states are you currently licensed in? Has your license ever been revoked in any state? o Yes If yes, which state? How did you first learn about Belmont s Doctor of Nursing Practice Program? (check only one) o Belmont Alumnus o Belmont Faculty/Staff o Belmont s Website o Current Belmont Nursing Student o Professional Nursing Association o Employer o GradSchools.com o Career/Education Fair o Newspaper Coverage o TV Coverage o U.S. News and World Report Other: Since first learning of Belmont s DNP Program as stated above, what other means have you used to learn more? (check all that apply) o Belmont Alumnus o Belmont Faculty/Staff o Belmont s Website o Current Belmont Nursing Student o Professional Nursing Association o Employer o GradSchools.com o Career/Education Fair o Newspaper Coverage o TV Coverage o U.S. News and World Report Other:

4 Belmont University Graduate and Professional Programs Application Fee Form First Name Middle Name Last Name Preferred First Name Former Last Name (if any) Date of Birth (MM/DD/YYYY) Program for which you are applying Term for which you are applying o Fall 20 Instructions: The $50 non-refundable application fee may be paid by check, money order or credit card. Check or money orders should be made payable to Belmont University. Please indicate your method of payment: o Check (Payable to Belmont University) o Money Order (Payable to Belmont University) o VISA o MasterCard o Discover o American Express If you are paying by credit card, complete the credit card authorization below Card Number: Expiration Date (MM/YYYY): Amount to be charged: $50 Cardholder s Name Cardholder s Signature

5 School of Nursing Belmont University does not discriminate on the basis of race, sex, color, national or ethnic origin, age, disability, military service or sexual orientation. ADM-13070

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