Nursing Interest Form

Complete this form to receive more information about the UW Bothell RN-BSN.

First Name

Preferred First Name (Optional)

We will use this name in all forms of communication with you (emails, phone calls, letters, postcards, etc.) except for official communications (admission offer letters, financial aid awards, etc.). If left blank, your first name will be used.

Last Name

Email Address

Mobile Phone

May we text you about events and future admission related information?

Yes

No

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Nursing Information

Are you a currently a licensed Registered Nurse in the state of Washington?

When is your test?

What type of Nursing degree(s) have you earned? Mark all that apply.

Please describe

Are you currently employed?

Where are you employed?

Which cohort location and entry term are you interested in?

How did you learn about us?

Where did you hear about us?

Academic Information

Post-Baccalaureate Student has completed or will complete a bachelor's degree prior to enrolling.
Transfer Student has completed college coursework after graduating from high school.

Please note, UW Bothell does not offer a First Year Nursing pathway.

I plan to enroll as a:

When do you expect to begin at UW Bothell?

Primary Academic Interest

Secondary Academic Interest (Optional)

Current or Last School/College Attended

Session Date

UW Bothell Application Portal

Nursing Interest Form