UNIVERSITY OF NEBRASKA MEDICAL CENTER - DOC

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					                       UNMC College of Nursing – Doctor of Nursing Practice
                            Supplemental Materials for Admission


                                    Identification Information Form

NursingCAS Id:________________________________________

Social Security #_________________

Mr. ___ Mrs -__. Ms. ___ Other ____ State of Legal Residence:____

Legal Name: Last _________________ First____________ Middle_________ Maiden______________

Preferred First Name:___________________________

Primary Phone Number: ( )__________ - __________ Check One: Home__ Cell__ Work __

Secondary Phone Number: ( )__________ - __________ Check One: Home __ Cell__ Work__

Email Address: ___________________________________________________

Your email address will be the primary form of communication throughout the application process. You will
be sent a confirmation email after your supplemental packet has been received by the College of Nursing.
Please monitor this email address on a regular basis throughout the application process for important updates
regarding your application.



Current Mailing Address:
Street Address________________________________________________

City __________________________ State_______________ Zip_______________ County_______________




Please enclose this completed form with your Personal Statement and CV/Resume
                                DNP Personal Statement Instructions

Please answer the following three questions in a separate document. The response to each question is limited
to 500 words maximum. Please be sure to include your name and NursingCAS ID number at the top of your
personal statement.

   1. Tell us about your professional experience as a nurse. What have been the challenges and rewards of
      your career thus far?

   2. How do you feel the DNP will enhance your practice?

   3. In your opinion, what impact will the DNP have on the delivery and scope of health care in the United
      States?




                                 Curricula Vitae/Resume Instructions

Please send your most current curricula vitae or professional resume. Please note that neither a CV nor a
resume is a substitute for any information requested on the online application, so do not make the note “See
CV” or “See Resume” in any block on the online application. Upon receipt of the completed application to our
college, all application and supplemental materials become the property of UNMC CON.


                                        Submission Instructions


Supplemental materials must be mailed in one package to UNMC CON at the below address and must be
postmarked no later than April 15, 2011. Supplemental packet should include:
   1)        Completed Identification Information Form
   2)        Personal Statement
   3)        Curricula vitae or professional resume.


                                    UNMC College of Nursing
                                    DNP Program –Student Services
                                    985330 Nebraska Medical Center
                                    Omaha, NE 68198-5330

				
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