Nursing Inquiry Form

Thank you for your interest in the Louise Herrington School of Nursing. Please complete the form below. For us to process your request we need the information filled out as completely as possible, * indicates required information.

NAME/CONTACT INFORMATION
First Name: *
Middle Name:
Last Name:
*
Suffix:
Previous Last Name:
(if different from current last name)

Preferred Name:
Email:
*
Street:

*
Town or City:

*
State:
*
Country:
(If not U.S.)
U.S. Zip Code:

Home Phone: ( ) -

Cell Phone: ( ) -

Date of Birth: *

Are you a US citizen?: Yes No *

Country of Birth:
(If not U.S.)
I am considering Baylor as a: *

MOST RECENT INSTITUTION
HS Graduation Year:

*
High School Code: (Clear)

High School Name:



College Code: (Clear)

College Name:



College 2 Code: (Clear)

College 2 Name:



Desired Program Type: *

Term:
If you have additional questions concerning scholarships, grants, or financial aid, please visit the Baylor Academic Scholarships and Financial Aid site.
If you have additional questions concerning Baylor admissions, please visit the Baylor Admissions site.