The Gail & Richard Lumpkin School of Nursing (Traditional Program) Application

Application Deadline is March 1, 2025.

One reference is required, but up to three may be submitted. Have references complete the questionnaire using the following link:

https://www.eiu.edu/schoolofnursing/machform/view.php?id=28394.

The references can be a teacher, coach, employer, counselor, etc. This must be completed for the application to be reviewed.

Name Name * First Last
Maiden/Former Last Name
Date of Birth Date of Birth * / MM / DD YYYY
E-Number *
EIU Email Address (Notification of submitting this application will be sent to the EIU Email Address) *
Cell Phone Cell Phone * - ### - ### ####
Have you previously earned another degree? If yes, please provide your degree, year earned, and institution.
Do you currently have or have had a certification or license? Examples include Certified Nurse's Aide, Pharmacy Technician, or Medical Technician, etc. If yes, please provide the type of license/certification and the state that issued the license/certification.
Please select the option below that best explains your situation. *

Please select the option below that best explains your situation. All pre-requisite pre-nursing courses are completed. Pre-requisites will be completed after the fall semester of your sophomore year.
What classes are you enrolled in this semester? *
In pursuit of goals, one frequently encounters obstacles. Please describe a time when you faced a challenge, obstacle, setback, or failure. How did it affect you and what did you learn from the experience? *
Maximum of 300 words allowed. Currently Entered: 0 words.
Academic Advisor Email Address *
Completion of this application confirms my interest in entering the traditional on-campus Bachelor of Science in Nursing program at Eastern Illinois University. I certify that the information provided is true. Please print your name below as signature for the application. *
Please date the completion of this application. Please date the completion of this application. * / MM / DD YYYY