Registered Nursing Program Application

First Name

Middle name

Last Name

Mailing Address

Country

Street

City

Region

Postal Code

Phone Number

Do you have an OSUIT campus email?

Yes

OSU Campus Email

Personal Email Address

Application Type (Choose one)

LPN License Number:

Application Period (Choose One)

Colleges and/or Universities Attended: List all colleges, universities (including OSUIT) or other vocational/technical institutions attended beginning with the most recent. Official/sealed transcripts from ALL schools must be on file with OSUIT. It is the student’s responsibility to ensure transcripts have been received. Electronic transcripts should be sent to donna.prior@okstate.edu

How many Colleges and/or Universities have you attended?

Name of Institution 1

City/State

Name of Institution 2

City/State

Name of Institution 3

City/State

Name of Institution 4

City/State

Name of Institution 5

City/State

ELIGIBILITY TO SIT FOR BOARDS

OKLAHOMA BOARD OF NURSING
2915 North Classen Boulevard, Suite 524
Oklahoma City, Oklahoma 73106
405-962-1800

“The Oklahoma State University Institute of Technology nursing program is approved by the Oklahoma Board of Nursing. Graduates of this state-approved program are eligible to apply to write the National Council Licensure Examination (NCLEX) for registered nurses. Applicants for Oklahoma licensure must meet all state and federal requirements to hold an Oklahoma license to practice nursing. In addition to completing a state-approved nursing education program that meets educational requirements and successfully passing the licensure examination, requirements include submission of an application for licensure, a criminal history records search, and evidence of citizenship or qualified alien status [59 O.S. §§567.5 & 567.6]. To be granted a license, an applicant must have the legal right to be in the United States (United States Code Chapter 8, Section 1621). In addition, Oklahoma law only allows a license to be issued to U.S. citizens, U.S. nationals, and legal permanent resident aliens. Other qualified aliens may be issued a temporary license that is valid until the expiration of their visa status, or if there is no expiration date, for one year. Applicants who are qualified aliens must present to the Board office, in person, valid documentary evidence of:
1. A valid, unexpired immigrant or nonimmigrant visa status for admission into the United States;
2. A pending or approved application for asylum in the United States;
3. Admission into the United States in refugee status;
4. A pending or approved application for temporary protected status in the United States;
5. Approved deferred action status; or
6. A pending application for adjustment of status to legal permanent resident status or conditional resident status.
The Board has the authority to deny a license, recognition or certificate; issue a license, recognition or certificate with conditions and/or an administrative penalty; or to issue and otherwise discipline a license, recognition or certificate to an individual with a history of criminal background, disciplinary action on any professional or occupational license or certification, or judicial declaration of mental incompetence [59 O.S. §567.8]. These cases are considered on an individual basis at the time application for licensure is made. Potential applicants to state-approved education programs, with a criminal history, may obtain a determination of eligibility for licensure or certification from the Oklahoma Board of Nursing for a fee. The determination of eligibility for licensure petition can be accessed at http://www.oklahoma.gov/nursing/forms.html

Board Approved: 7/92 OBN Policy/Guideline: #E-05 Board Reviewed w/o Revision: 1/29/13
Revised: 9/01; 5/04; 1/25/05; 11/13/07; 5/25/10; 11/4/13; 5/24/16; 11/12/19; 1/24/23

Licensing Guidelines for Out-of-State Residents

The OSUIT nursing program is approved by the Oklahoma Board of Nursing. Graduates of this state-approved program are eligible to apply to write the National Council Licensure Examination (NCLEX) for registered nurses. Applicants for Oklahoma licensure must meet all state and federal requirements to hold an Oklahoma license to practice nursing. Oklahoma licensing requirements, including residency requirements, can be found at:http://nursing.ok.gov/.
Oklahoma is additionally a member of the Nurse Licensure Compact (NLC) which enables graduates of the OSUIT nursing program to seek a multistate license allowing practice in all NLC member states. For more information about the NLC including a map of current member states, please visit: https://www.ncsbn.org/nurse-licensure-compact.htm. For students residing in non-NLC member states it will be the student’s responsibility to review education and licensing requirements for those states as requirements vary.

I have reviewed above the “Eligibility to Sit for Boards” and the “Licensing Guidelines for Out-of-State Residents”

I have reviewed the OSUIT Nursing Advisement material and the selection process including testing requirements (documents can be found athttps://osuit.edu/nursing/advisement.php)

PLEASE NOTE:

Once this application has been submitted/received, you will be contacted by the nursing program to schedule your required tests.

The following items must be complete/received prior to the posted deadline for your application to the OSUIT Nursing Program to be valid:

Application and acceptance to OSUIT https://admissions.osuit.edu/apply/
Official transcripts from all schools attended
Scheduling of the ACCUPLACER test
LPN to RN Transition applicants only, completion of Kaplan Fundamental Examination

I pledge that all of the information provided in this application is true and accurate.
I understand that by my signature (printed name), I acknowledge that I have read the above information

Electronic Signature (Please type your name)

Signature Date