RN to BSN / MSN Eligibility Questionnaire

This form is for students served by the Phenix City (AL) campus.

Please take a few minutes to complete the questionnaire below. If you decide to submit your responses, a representative from Troy University's School of Nursing will review this information and follow up with you to discuss the program and how you can get started. Please note: This is not an official Troy University checksheet. Students may use this information for planning purposes. Name Address City State Zip Work Phone: (area code) number Home Phone: (area code) number Email Employer:   City, State:   Are you an ASN or Diploma graduate of an accredited program in nursing? Yes   No If you are not an ASN or Diploma graduate, are you currently enrolled in one of these programs? Yes   No Can you submit proof of current unencumbered RN license in state of clinical practice? Yes   No Have you attended an Alabama Community College and used an AGSC Approved Transfer Guide via the STARS System to plan your studies? Yes   No     I am not familiar with the AGSC or STARS System How did you hear about the RN to BSN/MSN track at Troy University? To assist us in evaluating your current academic standing, please check all of the courses below that you have completed with a grade of C or better: Troy University General Studies Requirements Alabama Community College Equivalent Course(s) Completed Course  with "C" or Better (Yes or No) *ENG 1101 Composition I (3) ENG 101 Yes    No *ENG 1102 Composition II (3) ENG 102 Yes    No ENG. Literature course (3) (World Literature is recommended) ENG 251 or ENG 261 or ENG 271 or ENG 252 or ENG 262 or ENG 272 Yes    No *BIO 3347 Anatomy & Physiology I with Lab (4) BIO 201 with Lab Yes    No *BIO 3348 Anatomy & Physiology II with Lab (4) BIO 202 with Lab Yes    No *BIO 3372 General Microbiology with Lab (4) BIO 220 with Lab Yes    No *CHM 1142 General Chemistry with Lab (4) CHM 111 with Lab Yes    No *IS 2241 Computer Concepts and Applications (2) CIS 146 Yes    No *SPH 2241 Fundamentals of Speech (3) SPH 106 or SPH 107 Yes    No Fine Arts requirement (2) ART/MUS/DRA MUS 101 or ART 100 or THR 120 (or THR 126) Yes    No Fine Arts requirement (2) ART/MUS/DRA MUS 101 or ART 100 or THR 120 (or THR 126) Yes    No *PHI 2204 Ethics and the Modern World (3) PHL 206 Yes    No *MTH 1112 Pre-Calculus Algebra (3) MTH 112 or higher level math Yes    No *PSY 3301 Basic Statistics   Yes    No TROY 1101 University Orientation (1) Any College Orientation Course Yes    No *NSG 2204 Nutrition (2)   Yes    No *NSG 3315 Pathophysiology (3) (usually taken in the Spring semester of the clinical nursing sequence)   Yes    No History series of 2 courses required. HIS 1101 & HIS 1102 Western Civilization I, II (6) -or- HIS 1111 & HIS 1112 U.S. History I, II (6) -or- HIS 1122 & HIS 1123 World History to 1500 and World History from 1500. HIS 101 & HIS 102 or HIS 121 & HIS 122 or HIS 201 & HIS  202 Yes    No *PSY 2210 Lifespan Developmental Psychology (3) -or-  *NSG 2205 Human Growth and Development (3) PSY 210 Yes    No *PSY 2200 General Psychology (3) or *Soc 2275 Sociology (3) or *ANT 2200 Anthropology (3) PSY 200 or SOC 200 or ANT 200 Yes    No Note: * A grade of "C" or higher is required. Note: A minimum of 6 hours of general studies must be global/international in scope. Note: A minimum of 12 semester hours of general studies courses must be completed in the Troy University System to meet graduation requirements (may include 3 hours of NSG 3315). All other general studies courses may be completed at other colleges and universities. Note: For course substitutions see academic nursing advisor or Director of Admissions and Records.     This page may be printed and mailed to: Troy University School of Nursing One University Place Phenix City, AL  36869