First Name: MI: Last Name:

Other name(s) that may appear on your transcript(s), test score(s), etc.:

Social Security Number: Date of birth: (mm/dd/yyyy)

Gender: Male Female

Mailing Address

Street:

City: State: Zip:

Home Phone: Cell Phone:

Email Address:

Employer: Business phone:

Current position with your employer:

Citizenship: U.S. Citizen Resident Alien International Student Current Visa

Country of Citizenship:

How did you hear about FSC?

Have you ever previously applied to or attended classes at Florida Southern College? Yes No

Have you ever been convicted of, committed, pleaded no contest to, or had adjudication withheld with respect to a criminal act other than a minor traffic violation: Yes No

If yes, please explain here:

List ALL colleges attended, most recent first, including Florida Southern College (if applicable). Original and official transcripts from all institutions are required.

College:    City, State:

Dates Attended: Degree: Graduation Date:

College:    City, State:

Dates Attended: Degree: Graduation Date:

College: City, State:

Dates Attended: Degree: Graduation Date:

College: City, State:

Dates Attended: Degree: Graduation Date:

College: City, State:

Dates Attended: Degree: Graduation Date:

Have you have ever been placed on probation, suspended, or dismissed from any college?
Yes No

If yes, please give full explanation below.

Click on the link to continue to the desired degree program. When you have finished the appropriate section, click the link provided to go to the bottom of the form and click on Submit.

MBA | MAT & MED | NURSING

MBA

Have you taken the GRE? Yes No   Date: Score:

Have you taken the GMAT? Yes No   Date: Score:

Future date you are planning to sit for the GRE or GMAT:

A satisfactory score on either the GRE or GMAT must be submitted as part of the application.

Additional information:

• Three recommendation forms or letters of reference attesting to ethical character and suitability for the pursuit of a degree are expected. Among those forms or letters, one should be sought from a present or past employer.
• A current resume and a personal statement of professional goals are required.

APPLICATION DATE FOR MBA APPLICATIONS: The application and all required materials should be received no later than:

• JUNE 1st for the fall semester.

Click here to go to the bottom of the form and click on Submit.

MAT & MED

Do you hold a Florida teacher certificate? Yes No   Professional Temporary

Current teaching assignment/school:

Previous teaching assignment/school:

Have you taken the GRE? Yes No

Date: Score:

Have you taken the Millers Analogies Test (MAT)? Yes No

Date: Score:

Future date planning to sit for the GRE or Millers Analogies Test (MAT):

The application and all required materials must be received no later than:

• AUGUST 1st for the fall semester (late August start)
• DECEMBER 1st for the spring semester (January start)
• APRIL 1st for May term start
• MAY 15th for June term start

Click here to go to the bottom of the form and click on Submit.

Nursing

Additional information:

Three recommendation forms supporting academic and professional integrity and expectation of success in a graduate nursing program.

Evidence of graduation from a state-approved and regionally accredited Bachelor Degree program (non-nursing degree accepted), and an overall undergraduate GPA of 3.0.

Completion of the Graduate Record Exam (GRE) is not required.

DEADLINES for Master of Science in Nursing applications accepted for starting dates in the fall and spring semesters.

The application and all required materials must be received no later than:

• MAY 1st for the fall semester
• OCTOBER 1st for the spring semester

Desired starting date:

If not currently required by employment, upon acceptance, all candidates will be required to submit a satisfactory Florida Department of Law Enforcement criminal background inquiry and a 10-panel drug screen. Candidates must also provide a copy of a negative Mantoux PPD or chest x-ray.

When finished, click on Submit.

By submitting this application online, I hereby acknowledge that the information contained on this application is complete and accurate. If accepted, I agree to be governed by the College rules and regulations, including the prompt payment of financial obligations.