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1 application master of science in nursing MSN Application 1
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3 Graduate Application Procedures Nell Hodgson Woodruff School of Nursing Emory University Applicants to the Nell Hodgson Woodruff School of Nursing at Emory University are considered for admission on an individual basis. The Admission Committee will not review an applicant s file until all materials have been received by the Office of Admission and Student Services. The Committee s decision to offer or deny an applicant admission to a program, or to request additional information before making a final decision, is based on the applicant s complete record. Final acceptance into an academic program in the School of Nursing is contingent upon satisfactory completion of all prerequisite coursework. A final transcript must be submitted prior to enrollment. Applicants are encouraged to submit self-managed applications: collecting all required materials, including sealed official transcripts and sealed letters of recommendation, and submitting them in a single envelope will expedite the processing and review of an applicant s file. Applicants may contact the Office of Admission and Student Services at any time during the application process with questions or concerns. They may also view the status of their applications by accessing OPUS ( which is the Emory online student information system. Instructions on how to use this system will be sent to each applicant once the application form and fee have been received. APPLICATIONS n Applicants are encouraged to submit the application form, fee, essay, and recommendations online at using the online application. APPLICATION DEADLINES n The priority deadline for admission and scholarships is January 15 for summer or fall semesters and October 1 for spring semester. n Applications completed after January 15 or the October 1 deadline will continue to be reviewed on a space-available basis. APPLICATION PROCEDURES All MSN, RN-MSN and Post-Master s applicants must submit: n A complete School of Nursing graduate application form. The Office of Admission and Student Services can acknowledge receipt of other materials once this form has been received. n A $50 application fee in the form of a check or money order made payable to Emory University. This fee is nonrefundable and does not apply toward registration fees. The application fee is only waived for those applicants who are currently attending Emory or Oxford College, or are current employees of Emory University or Emory Healthcare. n Current RNs must provide one letter of recommendation from an academic or clinical instructor from their nursing program, one letter of recommendation from a clinical supervisor; and one letter of recommendation from a nursing peer. An applicant who has not yet worked as a registered nurse may submit three letters of recommendation from his or her undergraduate clinical teaching faculty who have direct knowledge of his/her clinical skills. n A statement of purpose describing personal and professional reasons for selecting nursing as a career. The statement of purpose is an important part of the application process. The Admission Committee members read it for content, grammar, and spelling. It should reflect the applicant s own writing ability and interest in nursing. Additional information on the statement of purpose can be found on page 5 of the application form. n Resume and/or CV including work experience, community service, leadership roles, and research opportunities. n A completed prerequisite information form (see page 7 of the application form). n Official transcripts from each college or university attended, regardless of whether or not a degree was conferred, including a college transcript indicating completion of a BSN degree from a school accredited by the National League for Nursing or the Commission on Collegiate Nursing Education. Transcripts received become the property of the School of Nursing and can neither be given to the applicant nor transferred to another institution. The Office of Admission and Student Services must receive transcripts in an unopened envelope bearing the registrar s official seal. n Applicants will receive a request to schedule the required interview with a designated faculty member in their graduate specialty once all other application materials have been received by the Office of Admission and Student Services. Phone interviews are available. n Applicants must submit official scores on the Graduate Record Examination (GRE) or Millers Analogies Test (MAT) that are no more than five years old. The GRE institutional code for Emory University is 5187 and the department code for the School of Nursing is n RN-MSN applicants must provide proof of graduation (official transcript from registrar with degree information) from a National League for Nursing or Commission on Collegiate Nursing Education accredited associate degree or diploma program in nursing. n MSN-MPH applicants must submit a separate application to the Rollins School of Public Health (RSPH) and submit all required credentials. Please note that the RSPH only accepts the GRE as part of the application materials. MSN Application 1
4 It is each applicant s responsibility to allow ample time for application materials to be compiled and sent through the mail and to make certain that all materials arrive by January 15 or October 1, the priority deadlines for admission and scholarship consideration. The Nell Hodgson Woodruff School of Nursing cannot assume responsibility for delays that occur before the materials are received by the Office of Admission and Student Services. The Office of Admission and Student Services will send the only official notification of the admission decision to the applicant. Application Checklist Complete in full the School of Nursing application form. Submit the $50 (U.S. dollars) application fee. Submit resume or CV. Additional information regarding resume can be found on page 5. Submit a statement of purpose. Additional information regarding the statement of purpose can be found on page 5 of the application form. Submit three letters of recommendation. Additional information regarding the letters of recommendation can be found on page 5 of the application form. International Applicants Only Request official scores on the Test of English as a Foreign Language (TOEFL) be sent to institution code 5187 (Emory University). This requirement is for non-native speakers of English only. Scores must not be older than two years. Request an official CGFNS credentials evaluation be sent to the School of Nursing (only for internationally trained registered nurses). Submit a photocopy of green card or other paperwork indicating current immigration status. Submit one official transcript from the registrar of each college or university attended, whether a degree was earned or not. Complete in full the prerequisite information section listed on page 7 of the application form. Request official scores on the Graduate Record Examination (institution code: 5187; departmental code: 0610) or Miller Analogies Test be sent to the School of Nursing. MSN Application 2
5 Graduate Application PERSONAL INFORMATION Please type or print Name Last Name First Name Middle Name Preferred Name SSN Address Street Address Apt# City State Zip Code Home Phone Number Cellular Phone Number Business Phone Number Fax Number Address Birth Date Month Day Year Place of Birth Country of Citizenship City State Other Name(s) under Which Documents Might Be Received Citizenship Status: U.S. Citizen Nonimmigrant alien (Visa type ) Permanent resident alien Refugee Asylee Other (please explain) (Attach a copy of both sides of your I-94 or alien registration card.) Will you be requesting a visa? Yes (If yes, which type?) No Do you currently hold a visa? Yes (If yes, which type?) No Is English your first language? Yes No (If no, what language?) Language of College instruction (if not English) TOEFL score: Date Taken/Will be taking / / Score Internet-based test (TOEFL score only needed if English is not your first language.) STATISTICAL INFORMATION The following information is voluntary and refusal to provide it will not result in any adverse treatment. It will be kept confidential and will be used only in accordance with Title VI of Civil Rights Act of Marital Status: Single Married Divorced Gender: Male Female Ethnicity: Are you Hispanic/Latino? Yes No If yes, please describe your background American Indian/Alaska Native Asian Black Not Specified/Unknown Native Hawaiian/Other Pacific Islander White Other Religious Preference MSN Application 3
6 PROGRAM INFORMATION Expected Entry Term: Fall 20 Spring 20 (Part-time Only) Summer 20 (Part-time Only) I have previously applied to the School of Nursing: Yes (semester year ) No Intended Degree Program: Master of Science in Nursing Master of Science in Nursing/Master of Public Health (A separate application is required for RSPH) RN-Master of Science Bridge Program (for Associate or Diploma Prepared RNs) Post-Master Certificate (Available in all areas except Emergency Nurse Practitioner) Please check desired MSN Specialty area: Acute Care Nurse Practitioner* Pediatric Nurse Practitioner Acute Care* Adult/Gerontology Nurse Practitioner Pediatric Nurse Practitioner Primary Care Emergency Nurse Practitioner* Women s Health/Adult Health Nurse Practitioner** Family Nurse-Midwife Women s Health Care (Title X) Family Nurse Practitioner Women s Health Nurse Practitioner Nurse-Midwifery *Effective fall 2012, enrollment in these specialties requires one year of professional work experience as an RN. **Pending fall 2011 approval, this program may be discontinued. EDUCATIONAL BACKGROUND List in chronological order all colleges or universities that you have ever attended including all schools you are currently attending, regardless of dates or academic performance or if the credit appears on another institutions transcript. List additional schools on a separate page. College Name Location Attendance Degree Granted Date Received From: mm/yy To: mm/yy or Expected or Expected TEST SCORES Please provide the following information regarding your GRE or MAT test scores. Official Scores are required to complete the application. GRE Date Taken/Scheduled to Take Verbal Score Quantitative Score Analytic Score MAT Date Taken/Scheduled to Take Raw Score Percentage for Major Percentage for Group RN LICENSURE Date of initial licensure / / Are you licensed in Georgia? Yes No Have you ever had an RN license suspended, placed on probation or revoked? Yes No If yes, please attach a statement explaining the circumstances. Do you hold RN licensure in any other states? If so, which one(s)? MSN Application 4
7 LETTERS OF RECOMMENDATION Please list three persons from whom you will request letters of recommendation. Current RNs must provide one letter of recommendation from an academic or clinical instructor from their nursing program, one letter of recommendation from a clinical supervisor, and one letter of recommendation from a nursing peer. An applicant who has not yet worked as a registered nurse may submit three letters of recommendation from his or her undergraduate clinical teaching faculty who have direct knowledge of his/her clinical skills. Name Title Phone Number Address Academic or Personal/Professional 1. Academic Prof./Personal 2. Academic Prof./Personal 3. Academic Prof./Personal STATEMENT OF PURPOSE Please submit a typewritten single or double spaced essay, not to exceed two pages in length, addressing the points listed below. Your response will be regarded as confidential and you are encouraged to elaborate in each area thoroughly and openly. The essay is an important part of the application process. The Admission Committee members read it for content, grammar and spelling. It should reflect your own writing ability and interest in nursing. I ATTEST THAT EVERYTHING IN THIS STATEMENT OF PURPOSE IS TRUE AND WRITTEN BY ME. Please Sign 1. Your accomplishments since completion of a basic nursing education 2. Your reasons for pursuing graduate study at this point in your career 3. Your reasons for choosing a particular specialty area 4. The expected contribution of the master s degree to your personal and professional development 5. Leadership positions you have held and your own participation in community service activities/projects 6. Your intentions and goals after completing the MSN degree NURSING EXPERIENCE A minimum of one year of work experience as a registered nurse in, or related to, the selected specialty area is recommended. Applicants who have not completed one year of work as a registered nurse must submit an essay on the points listed below. 1. Describe the differences between beginning nursing practice and advanced nursing practice 2. Describe any previous experience that would substitute for clinical experience RESUME AND/OR CV 1. EMPLOYMENT HISTORY Please list any positions held since you began working, beginning with the most recent. 2. PUBLICATIONS Please give evidence of any original work or investigation (thesis, article, published and unpublished research). List each item with title, date and place of publication. 3. ACTIVITIES AND HONORS Please list your collegiate or community activities and designate any leadership positions that you have had as well as any honors that you have received. MSN Application 5
8 Spouse, Guardian, or Life Partner Name Employer Occupation State of Residence Address Street Address Apt# City State Zip College(s) attended and highest degree earned Please list the names, relationship to you and years of attendance of any family members who have been students at Emory University. Name Relationship to You Year(s) of Attendance CONTACT INFORMATION Who or what influenced your decision to apply to the Nell Hodgson Woodruff School of Nursing at Emory University? To what other nursing schools are you applying? To the best of my knowledge, the information furnished in this application is complete, true and correct, and the statement of purpose is written by me. I understand that falsification or purposeful misrepresentation of my qualifications may result in the denial of my admission application. I agree that if admitted to the Nell Hodgson Woodruff School of Nursing at Emory University, I will, during such time as I may be enrolled as a student, abide by all the rules, regulations, practices and policies of Emory University as they may be at the time of my admission or as they may be changed during my continuance as a student. I further agree to pay any fines or assessments that may be made against me for violation of campus traffic or safety rules, including parking, and for such charges to be added to my tuition and rent statements from Emory University. Signature Date Emory University does not discriminate in admissions, educational program or employment on the basis of race, color, religion, sex, sexual orientation, national origin, age, disability or veteran/reserve/national Guard status and prohibits such discrimination by its students, faculty and staff. Students, faculty and staff are assured of participation in University programs and in the use of facilities without such discrimination. The University also complies with all applicable federal and Georgia statutes and regulations prohibiting unlawful discrimination. All members of the student body, faculty and staff are expected to assist in making this policy valid in fact. Inquiries and complaints should be directed to the Equal Opportunity Programs Office, Emory University, Administration Building, Atlanta, Georgia MSN Application 6
9 PREREQUISITE INFORMATION All applicants must complete the section below, indicating the completion of their prerequisite work as appropriate for their intended degree. All prerequisite coursework must be completed before enrolling in any of the nursing programs at the Nell Hodgson Woodruff School of Nursing. All courses subject to evaluation by the Office of Admission and Student Services. MSN and MSN-MPH Applicants only please note, the following before filling out the form: Prerequisites will only be satisfied by courses where a grade of C or better was earned Health Assessment and Introductory Statistics are the only required prerequisites for MSN and MSN-MPH applicants Check box Semester Taken # of Subject: Nursing and Math Courses Course Number and Title if NOT taken (To be taken) Credits Grade Health Assessment Introductory Statistics RN-MSN Applicants ONLY please note the following before filling out the form: Prerequisites will be satisfied by courses where a grade of C or better was earned Humanities electives may include courses such as English, art, music or theatre appreciation, foreign languages, religion, or history No general elective credit is given for pathophysiology, pharmacology, nursing, physical education, and courses such as applied art, music, or theater If you are applying to the RN-MSN program, please list the courses you have taken (or will take) to satisfy the following prerequisite courses: Check box Semester Taken # of Subject: Science and Math Courses Course Number and Title if NOT taken (To be taken) Credits Grade General Chemistry I or Organic Chemistry Introductory Statistics Human Anatomy and Physiology I Human Anatomy and Physiology II Microbiology Subject: Social Sciences Courses (4 including 2 from the following list) Human Growth and Development Introductory Psychology Introductory Sociology Introductory Anthropology Subject: Humanities Courses English Composition Humanities I Humanities II Humanities III Subject: General Electives (Additional courses to bring total to 60 semester or 90 quarter hours) Elective I Elective II Elective III Elective IV Elective V MSN Application 7
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11 Applicant Recommendation Form Nell Hodgson Woodruff School of Nursing Emory University TO BE COMPLETED BY THE APPLICANT Please complete this section and forward this form to your recommender. PRINT or TYPE Applicant Name Last First Middle * Under the provision of the Family Educational Rights and Privacy Act of 1974, you may decide whether letters of recommendation written at your request are to be held confidential or whether they are to be available for your personal inspection. Please check one of the following statements and sign as indicated. I expressly waive any rights I might have of access to this letter of recommendation under the Family Educational Rights and Privacy Act of 1974, or any other law, regulation or policy. I do not agree to the waiver above. Signature Date TO BE COMPLETED BY INDIVIDUAL SUBMITTING RECOMMENDATION The above named individual is seeking admission to the Nell Hodgson Woodruff School of Nursing at Emory University. Your thoughtfulness and care in furnishing the information requested are sincerely appreciated. Please feel free to complete the question areas or add any additional thoughts and comments on your official letterhead. PRINT or TYPE Name Title Relationship to Applicant Employer Address Street City State Zip Code Work Phone Number General academic standing of applicant in relationship to other students of comparable age and status: Upper 1% Upper 10% Upper 25% Upper 50% Unknown Please include strengths and limitations of the applicant in each of the following areas: Interpersonal attributes (relationship with peers and authority figures) Communication skills (writing and speaking, poise, clarity, or presentation of ideas) MSN Application 9
12 Intellectual ability (conceptualization, ability to transfer and utilize knowledge in problem solving) Maturity and judgment (decision making, setting priorities, dependability) Leadership ability or potential (organization, time management) Personal attributes that may promote or inhibit professional study (integrity, stability, sociability) Recommendations for RNs only. Please comment on this applicant s clinical nursing ability, including decision making, clinical expertise, innovation, and independence. General comments: Please use the space below and/or additional pages to provide any qualifying or supporting recommendations that you wish to make. Overall Recommendation Highly Recommend Recommend Recommend with reservation Do not recommend Signature Date Please return in a signed and sealed envelope to: NELL HODGSON WOODRUFF SCHOOL OF NURSING Emory University Office of Admission and Student Services 1520 Clifton Road Atlanta, Georgia or Fax: admit@nursing.emory.edu Emory University does not discriminate in admissions, educational programs or employment on the basis of race, color, religion, sex, sexual orientation, national origin, age, disability or veteran/reserve/national Guard status and prohibits such discrimination by its students, faculty and staff. Students, faculty and staff are assured of participation in University programs and in the use of facilities without such discrimination. The University also complies with all applicable federal and Georgia statutes and regulations prohibiting unlawful discrimination. All members of the student body, faculty and staff are expected to assist in making this policy valid in fact. Inquiries and complaints should be directed to the Equal Opportunity Programs Office, Emory University, Administration Building, Atlanta, Georgia Telephone: (V/TTY). MSN Application 10
13 Applicant Recommendation Form Nell Hodgson Woodruff School of Nursing Emory University TO BE COMPLETED BY THE APPLICANT Please complete this section and forward this form to your recommender. PRINT or TYPE Applicant Name Last First Middle * Under the provision of the Family Educational Rights and Privacy Act of 1974, you may decide whether letters of recommendation written at your request are to be held confidential or whether they are to be available for your personal inspection. Please check one of the following statements and sign as indicated. I expressly waive any rights I might have of access to this letter of recommendation under the Family Educational Rights and Privacy Act of 1974, or any other law, regulation or policy. I do not agree to the waiver above. Signature Date TO BE COMPLETED BY INDIVIDUAL SUBMITTING RECOMMENDATION The above named individual is seeking admission to the Nell Hodgson Woodruff School of Nursing at Emory University. Your thoughtfulness and care in furnishing the information requested are sincerely appreciated. Please feel free to complete the question areas or add any additional thoughts and comments on your official letterhead. PRINT or TYPE Name Title Relationship to Applicant Employer Address Street City State Zip Code Work Phone Number General academic standing of applicant in relationship to other students of comparable age and status: Upper 1% Upper 10% Upper 25% Upper 50% Unknown Please include strengths and limitations of the applicant in each of the following areas: Interpersonal attributes (relationship with peers and authority figures) Communication skills (writing and speaking, poise, clarity, or presentation of ideas) MSN Application 11
14 Intellectual ability (conceptualization, ability to transfer and utilize knowledge in problem solving) Maturity and judgment (decision making, setting priorities, dependability) Leadership ability or potential (organization, time management) Personal attributes that may promote or inhibit professional study (integrity, stability, sociability) Recommendations for RNs only. Please comment on this applicant s clinical nursing ability, including decision making, clinical expertise, innovation, and independence. General comments: Please use the space below and/or additional pages to provide any qualifying or supporting recommendations that you wish to make. Overall Recommendation Highly Recommend Recommend Recommend with reservation Do not recommend Signature Date Please return in a signed and sealed envelope to: NELL HODGSON WOODRUFF SCHOOL OF NURSING Emory University Office of Admission and Student Services 1520 Clifton Road Atlanta, Georgia or Fax: admit@nursing.emory.edu Emory University does not discriminate in admissions, educational programs or employment on the basis of race, color, religion, sex, sexual orientation, national origin, age, disability or veteran/reserve/national Guard status and prohibits such discrimination by its students, faculty and staff. Students, faculty and staff are assured of participation in University programs and in the use of facilities without such discrimination. The University also complies with all applicable federal and Georgia statutes and regulations prohibiting unlawful discrimination. All members of the student body, faculty and staff are expected to assist in making this policy valid in fact. Inquiries and complaints should be directed to the Equal Opportunity Programs Office, Emory University, Administration Building, Atlanta, Georgia Telephone: (V/TTY). MSN Application 12
15 Applicant Recommendation Form Nell Hodgson Woodruff School of Nursing Emory University TO BE COMPLETED BY THE APPLICANT Please complete this section and forward this form to your recommender. PRINT or TYPE Applicant Name Last First Middle * Under the provision of the Family Educational Rights and Privacy Act of 1974, you may decide whether letters of recommendation written at your request are to be held confidential or whether they are to be available for your personal inspection. Please check one of the following statements and sign as indicated. I expressly waive any rights I might have of access to this letter of recommendation under the Family Educational Rights and Privacy Act of 1974, or any other law, regulation or policy. I do not agree to the waiver above. Signature Date TO BE COMPLETED BY INDIVIDUAL SUBMITTING RECOMMENDATION The above named individual is seeking admission to the Nell Hodgson Woodruff School of Nursing at Emory University. Your thoughtfulness and care in furnishing the information requested are sincerely appreciated. Please feel free to complete the question areas or add any additional thoughts and comments on your official letterhead. PRINT or TYPE Name Title Relationship to Applicant Employer Address Street City State Zip Code Work Phone Number General academic standing of applicant in relationship to other students of comparable age and status: Upper 1% Upper 10% Upper 25% Upper 50% Unknown Please include strengths and limitations of the applicant in each of the following areas: Interpersonal attributes (relationship with peers and authority figures) Communication skills (writing and speaking, poise, clarity, or presentation of ideas) MSN Application 13
16 Intellectual ability (conceptualization, ability to transfer and utilize knowledge in problem solving) Maturity and judgment (decision making, setting priorities, dependability) Leadership ability or potential (organization, time management) Personal attributes that may promote or inhibit professional study (integrity, stability, sociability) Recommendations for RNs only. Please comment on this applicant s clinical nursing ability, including decision making, clinical expertise, innovation, and independence. General comments: Please use the space below and/or additional pages to provide any qualifying or supporting recommendations that you wish to make. Overall Recommendation Highly Recommend Recommend Recommend with reservation Do not recommend Signature Date Please return in a signed and sealed envelope to: NELL HODGSON WOODRUFF SCHOOL OF NURSING Emory University Office of Admission and Student Services 1520 Clifton Road Atlanta, Georgia or Fax: admit@nursing.emory.edu Emory University does not discriminate in admissions, educational programs or employment on the basis of race, color, religion, sex, sexual orientation, national origin, age, disability or veteran/reserve/national Guard status and prohibits such discrimination by its students, faculty and staff. Students, faculty and staff are assured of participation in University programs and in the use of facilities without such discrimination. The University also complies with all applicable federal and Georgia statutes and regulations prohibiting unlawful discrimination. All members of the student body, faculty and staff are expected to assist in making this policy valid in fact. Inquiries and complaints should be directed to the Equal Opportunity Programs Office, Emory University, Administration Building, Atlanta, Georgia Telephone: (V/TTY). MSN Application 14
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