Practical Nursing (LPN) Admissions Application 24-25

To be considered for the Fall 2025 Practical Nursing (LPN) Program, please complete this application and pay the $50.00 application Fee. All supporting test scores, transcripts, courses, etc., are due by March 1, 2025.

Student Information

Name*

First NameLast Name

Student ID#*

Your seven-digit student identification number.

Date of Birth*

Phone Number*

Please enter a valid phone number.

Email*

example@example.com

Academic History

Have you completed a High School Diploma or GED?*

YESNO

High School and/or GED Information

Have you attended another college?*

YESNO

College Information

Submit Required Transcripts

Submit transcripts for all college work in the last five years and transcripts showing completion of an Associate's or Bachelor's degree from another college.

Please specify your preferred campus.*

GalesburgCarthage

Would you like to be notified if you qualify for admission to the alternate location?*

YesNo

Do you have an active CNA Certification on the Health Care Worker Registry?*

YESNO

Have you worked in a clinical setting for 1 year or more?

YESNO

Background checks and vaccinations

Please check each box as you read and understand each one.*

Students are accepted into the program who meet the eligibility requirements and who are selected for admission through a point system . Students interested in this program are encouraged to meet with a Sandburg academic advisor prior to applying to the program. Applicants and alternates admitted into the program must attend a mandatory program orientation session.Students accepted into the program will be required to possess Healthcare Provider CPR certification throughout the program, show proof of immunizations and required titers, TB test, physical examination, criminal background check, and drug screen. Students are responsible for all fees incurred, in addition to tuition.Findings on the criminal background check and drug screen may void conditional admission and prevent entrance to the program. Findings on the physical examination and drug screen may prevent placement at the clinical sites.If a student is unable to participate in and/or complete clinical/practicum/internship courses required for the program due to a positive drug test which includes marijuana, they are not eligible for a refund of any tuition, fees, or other expenses incurred while preparing for admission into the program and while enrolled in the program.Although the COVID-19 vaccination is not an admission requirement, most clinical sites require vaccination against COVID-19. Students should check with their program coordinator for more details.

Application Submission

In submitting this application, I express my desire to be considered for admission to the Practical Nursing program at Carl Sandburg College. The information contained in this application is true and complete.

Student signature

Date

Practical Nursing (LPN) Admissions Application Fall 2025

Student Information

Academic History

Submit Required Transcripts

Background checks and vaccinations

Application Submission