Application Deadlines

School of Nursing application opening and closing dates

Spring Admission

Fall Admission

Application OpensAugust 15

Application OpensFebruary 15

Application ClosesOctober 15

Application ClosesMay 15

Important: Applications and all supporting documents must be received by the deadline. Incomplete applications will not be reviewed.

Application Requirements

I acknowledge I have reviewed the requirements for admission.

By entering your name in the box below, you acknowledge that you have read and understand all required criteria listed above. By entering your name in the box below, you are confirming that you have met all criteria listed to be able to apply to the UTPB School of Nursing BSN nursing program. 

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Today's Date

UTPB Student ID

First Name

Middle Name

Last Name

Alternate Last Name

Have you ever gone by any other name?

Yes

No

If yes, please list all former names you have gone by below:

Date of birth

Email Address

Mobile Phone Number

Permanent Address

Country

Street

City

Region

Postal Code

Local / Mailing Address

Country

Street

City

Region

Postal Code

Residency Status:

Texas Resident

Non-Resident

International

Have you ever been found responsible for violation of the Student Conduct Policy at this university or any other university?

Yes

No

Have you ever been arrested, cited, or charged with any violation of the law?

Yes

No

If yes, please give a brief description

Are you currently enrolled in college courses?

Yes

No

Are these courses for dual credit?

Yes

No

List all courses currently being taken:

Have you submitted all of your transcripts showing completion of required core and pre-requisite courses?

Yes

No

Are you a:

CNA?

Yes

No

Phlebotomist?

Yes

No

LVN/LPN?

Yes

No

LVN/LPN License number*:

Issuing State*:

RN?

Yes

No

If you hold an active/current RN license and are interested in becoming a BSN, you need to apply to our RN to BSN program by clicking on this link here. https://online.utpb.edu/programs/bachelor-of-science/nursing/#requirements

RN License number*:

Issuing State*:

Other?

Yes

No

List certifications or health care training you have completed. Include dates/names of programs:

DeletePrevious Employment _ID_
Previous Employment
Employer Employment Dates Type of Work Approximate hours / week

Add another previous employment

List volunteer hours completed in a health care environment.

DeleteVolunteer Organization/Facility _ID_
Volunteer Organization
Organization/Facility Name Contact Person Contact Phone Number Approximate Hours

Add another volunteer organization

List academic and other honors received:

PLEASE COMPLETE THE CRIMINAL BACKGROUND CHECK INFORMATION BELOW

Criminal Background Check

Criminal background checks are performed on all applicants who are offered admission to the UT Permian Basin School of Nursing Program. All students will be required to provide contact information to begin the criminal background check process. Information about the process is available at the Texas Board of Nursing (BON) website at http://www.bon.state.tx.us/. The BON cannot accept fingerprint cards or criminal background check results mailed by the applicant, or results that were completed for another facility, even if the previous check was completed through the DPS and the FBI.

Declaratory Order Process

Students who must pursue the Declaratory Order process with the Board of Nursing to confirm Eligibility for Licensure will need to set an appointment with the Dean of the College of Health Sciences to discuss starting this process. Results of this Declaratory Order must be submitted to the Nursing Program. In addition, some clinical agencies require background checks to meet their corporate policies.

If you answer “YES” to any of the questions below or think something may come up on your criminal background check, please contact the Dean's Office at (432) 552 - 2500 to make an appointment.

1) For any criminal offense, including those pending appeal, have you:

been arrested and have a pending criminal charge?
been convicted of a misdemeanor?
been convicted of a felony?
pled nolo contendre, no contest, or guilty?
received deferred adjudication?
been placed on community supervision or court-ordered probation, whether or not adjudicated guilty?
been sentenced to serve jail, prison time, or court-ordered confinement?
been granted pre-trial diversion?
been cited or charged with any violation of the law?
been subject of a court-martial; Article 15 violation; or received any form of military judgment/punishment/action?

(You may only exclude Class C misdemeanor traffic violations.)

1) For any criminal offense, including those pending appeal, have you:

been arrested and have a pending criminal charge?
been convicted of a misdemeanor?
been convicted of a felony?
pled nolo contendre, no contest, or guilty?
received deferred adjudication?
been placed on community supervision or court-ordered probation, whether or not adjudicated guilty?
been sentenced to serve jail, prison time, or court-ordered confinement?
been granted pre-trial diversion?
been cited or charged with any violation of the law?
been subject of a court-martial; Article 15 violation; or received any form of military judgment/punishment/action?

(You may only exclude Class C misdemeanor traffic violations.)

Yes

No

2) Are you currently the target or subject of a grand jury or governmental agency investigation?

Yes

No

3) Has any licensing authority refused to issue you a license or ever revoked, annulled, cancelled, accepted surrender of, suspended, placed on probation, refused to renew a professional license, certificate or multi-state privilege held by you now or previously, or ever fined, censured, reprimanded or otherwise disciplined you?

Yes

No

4) *Within the past five (5) years have you been addicted to and/or treated for the use of alcohol or any other drug?

Yes

No

5) *Within the past five (5) years have you been diagnosed with, treated, or hospitalized for schizophrenia and/or psychotic disorder, bipolar disorder, paranoid personality disorder, antisocial personality disorder, or borderline personality disorder?

Yes

No

If “YES” indicate the condition:

schizophrenia and/or psychotic disorders,

bipolar disorder,

paranoid personality disorder,

antisocial personality disorder,

borderline personality disorder

*Pursuant to Occupations Code §301.207, information regarding a person’s diagnosis or treatment for a physical condition, mental condition, or chemical dependency is confidential to the same extent that information collected as part of an investigation is confidential under the Occupations Code §301.466. If you are licensed as an LVN in the State of Texas and are currently participating in the Texas Peer Assistance Program for Nurses, you may answer “NO” to questions #4 and #5.”

NOTE: Expunged and Sealed Offenses: While expunged or sealed offense, arrests, tickets, or citations need not be disclosed, it is your responsibility to ensure the offense, arrest, ticket or citation has, in fact, been expunged or sealed. It is recommended that you submit a copy of the Court Order expunging or sealing the record in question to our office with your application. Non-disclosure of relevant offenses raises questions related to truthfulness and character. (See 22 TAC §213.27)

NOTE: Orders of Non-Disclosure: Pursuant to Tex. Gov’t Code § 552.142(b), if you have criminal matters that are the subject of an order of non-disclosure, you are not required to reveal those criminal matters. However, a criminal matter that is the subject of an order of non-disclosure may become a character and fitness issue. Pursuant to Gov’t Code chapter 411, the Texas Nursing Board is entitled to access criminal history record information that is the subject of an order of non-disclosure. If the Board discovers a criminal matter that is the subject of an order of non-disclosure, even if you properly did not reveal that matter, the Board may require you to provide information about any conduct that raises issues of character and fitness.

6) Are you currently suffering from any condition for which you are not being appropriately treated that impairs your judgment or that would otherwise adversely affect your ability to practice nursing in a competent, ethical, and professional manner?

Yes

No

7) *Are you currently a participant in an alternative to discipline, diversion, or a peer assistance program? (This includes all confidential programs.)

Yes

No

NOTE: Any positive response will remain confidential and not subject to public disclosure unless required by law.

8) Have you ever been granted the authority to practice nursing in any country, state, province, or territory?

Yes

No

NOTE: This does not apply to any nursing license(s) issued by another US state or territory, excluding Puerto Rico. If you were licensed in Puerto Rico, you should be answering yes.

*Pursuant to the Texas Occupations Code §301.207, information, including diagnosis and treatment, regarding an individual’s physical or mental condition, intemperate use of drugs or alcohol, or chemical dependency and information regarding an individual’s criminal history is confidential to the same extent that information collected as part of an investigation is confidential under the Texas Occupations Code §301.466.

In addition, some clinical agencies require background checks to meet their corporate policies.

BSN Nursing Program Application Spring 2027

Application Deadlines

Permanent Address

Permanent Address

Local / Mailing Address

Local / Mailing Address

Are you a:

List volunteer hours completed in a health care environment.