Application for Admission

Please list high school (G.E.D.) and all post-secondary schools attended *:

 
Institution
City, State
Dates Attended
Diploma/Degree
1
2
3
4
5
6

If transferring from another school, are you presently in good standing?

Please list all work experience:

 
Employer
Position
Dates Employed
1
2
3
4
5
6
Note: According to the Pennsylvania State Board of Nursing, an R.N. license will not be issued to persons who have been convicted of a felony prohibited by “The Controlled Substance, Drug, Device and Cosmetic Act” or a felony related to a controlled substance.

Once this form is submitted a confirmation page will appear which you must print and send, along with a $50.00 application fee (payable to The Washington Hospital), to:

Washington Health System
School of Nursing
155 Wilson Avenue
Washington, PA 15301