New York University - College Of Nursing

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1. Personal and Academic Information

Name:	First: * Last: *
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For what degree are you interested in applying?:	*
When do you plan to enter NYU?:	in the of as a Student*
Please tell us your academic interests:
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3. Additional Information

Do you hold a nursing degree?	Yes No *
Most Current Degree Received or Expected:
Degree: *	Date: Subject:
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Do you hold a nursing license?	Yes No *
In what state/country: