Graduate and Professional Programs

SUPPLEMENT for Doctor of Nursing Practice

(BSN to DNP)

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 email 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 112.

2. 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 (www.wes.org) or Joseph Silny & Associates (www.jsilny.com).

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 UniversityOffice of Admissions1900 Belmont Blvd.Nashville, TN 37212-3757615.460.5434 Fax

Questions about your application and/or requirements should be directed to:

Belmont University School of Nursing1900 Belmont Blvd.Nashville, TN 37212-3757615.460.6139 Phone

gradnursing@belmont.edu

Applying for Admission

Belmont UniversityDoctor 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) _______________________________________ E-mail ________________________________________________________

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 o No If yes, what term? ___________________________

Have you previously paid a $50 Graduate and Professional Programs application fee? o Yes o No

Are you a current Belmont employee? o Yes o No If yes, what department? ___________________________

Do you have an approved NursingCAS fee Waiver? o Yes o No

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 o No

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: _____________________________________________________________________________________________________________________________________

Belmont UniversityGraduate 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) _______________________________________ E-mail ________________________________________________________

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 ___________________________________________________________________________________________________________

School of Nursing 1900 Belmont Blvd.Nashville, TN 37212-3757

615.460.6139

gradnursing@belmont.eduwww.belmont.edu/gradnursing

Belmont University does not discriminate on the basis of race, sex, color, national or ethnic origin, age, disability, military service or sexual orientation. A

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