Nursing Application

Thank you for your interest in the Nursing program! The program is competitive and there are prerequisites and application requirements. Click here to review the Nursing application requirements and the deadline date for submission. Please note: Incomplete applications will not be processed. Any questions, please call the Admissions Office at 518-736-3622 extension 8301.

Student Information

First Name

Last Name

Birthdate

Email Address (personal or FMCC if applicable)

Program Information

Application Term

I am a:

New student (applicant)

Current FMCC student

College ID Number

Have you applied to the Nursing AAS program in the past?

Yes

No

Are you a Licensed Practical Nurse (LPN)?

Yes

No

Please upload a copy of your LPN License.

LPN License (copy)

Are you employed at a hospital or healthcare facility?

Yes

No

Please specify the name of hospital or healthcare facility.

Please indicate your position title.

Please describe your general responsibilities

Have you completed the TEAS Test with a minimum score at the Proficient Level?

Yes

No

TEAS Test Scores (copy)

Please feel free to provide any additional information you would like to share with the Nursing Review Committee (including other relevant experience, main reasons for wanting to be a Nurse, how do you plan to be successful in the Nursing program, etc.)

Acknowledgement

I acknowledge I have read the Nursing Mandatory Professional Licensure Disclosure located here (Nursing Mandatory Professional Licensure Disclosure (fmcc.edu).

Yes

I understand that if accepted to the Nursing program, I must submit proof of American Heart Association Basic Life Support certification and additional health form prior to the start of the program.

Yes

Additional Materials

Please upload any additional transcripts not previously provided to Admissions. Applicants must request transcripts from ALL colleges they have attended. Failure to provide all college transcripts will result in denial of consideration to the program.

College Transcript (copy)

High School Transcript (copy)