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Applicant Name: _____________________
DOCTOR OF NURSING PRACTICE APPLICATION CHECKLIST
(must accompany admission documents)
Please initial next to each completed item. Checklists that are not completed and initialed will not be accepted.
Step 1: Apply to the ISU College of Graduate and Professional Studies
Create your online applicant profile at www.indstate.edu/graduate/apply.htm. Please note that there is a fee for this
application.
When prompted, select the following options:
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Level Type: Graduate
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Student Type: New Graduate
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Courses: Indiana State Online
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Program: Doctor of Nursing Practice
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Appropriate Semester
Failure to complete the online application correctly will delay and possibly disqualify you from consideration for admission.
The following items will be submitted only to the College of Graduate and Professional Studies:
____
Official Transcripts:
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Official transcripts for all institutions attended (undergraduate and graduate) must be sent directly from the
school attended to Graduate Admissions. U.S. Postal Service: Graduate Admissions, Indiana State University
Welcome Center, 318 North Sixth Street, Terre Haute, IN 47809-1904. E-transcripts may be sent to:
[email protected]
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Foreign College and University Transcripts will need to be submitted with official evaluations.
____
Three letters of reference (including at least one academic and two professional references). These letters will be
requested via the online College of Graduate and Professional Studies application,
Supplemental Materials/+ add a recommendation request (An email will be sent to the recommender from Indiana State
University with a link to upload there letter. Please let your recommender know to watch for the email.)
Processing of these items can take 3-5 business days once they are received. All items must be processed by the
deadline dates. (Feb 1, Sept 1)
Step 2: Submit Application Materials to the Department of Advanced Practice Nursing (hardcopy) and upload all
documents to the College of Graduate and Professional Studies on-line application.
Mail your completed hardcopy packet to the address on page 2. You must also upload all documents to
your College of Graduate Professional Studies Application via the Supplemental Materials section.
Complete packets must be received no later than noon EST on Feb 1 or Sept 1.
Your packet must contain the following items:
____ Completed and signed department application
____
Completed and signed department application
____
Completed Application Checklist
____
Government issued photo ID and a 2x2 color photo
____
Résumé or CV, including all employment history
____
DNP Essay/Goal Statement describing your area of interest (e.g. advanced clinical practice, administration, education, etc.)
and a potential clinical problem that you plan to focus on as your identified topic in the Doctor of Nursing Practice program of
study. Include why you are interested in this problem, why it is relevant for the current society, why it potentially warrants
practice change, and how it is relevant to the role of the DNP graduate.
____
Sample of Scholarly Writing
____
Proof of current CPR certification for healthcare provider (copy of front and back of card)
____
Verification of a current, unencumbered Registered Nurse license or equivalent, in the geographical location where you will be
doing your preceptorship or clinical practice. This can be found at your state’s e-verification website. This will include your
name, license number, expiration date, current status, and any disciplinary action. Copies of your card will not be accepted.
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Applicant Name: _____________________
____
Proof of Certification (if applicable)
____
National level criminal history background check which can be obtained through
CertifiedBackground.com: https://cms.indstate.edu/health/sites/health.indstate.edu/files/nursing-criminalbackground-procedure.pdf The applicant is responsible for verifying the check has been completed. There is a fee
for this service.
____
Nursing Program Immunization Record which may be downloaded at:
http://cms.indstate.edu/health/sites/health.indstate.edu/files/apn-student-immunization-record.pdf
Independent Advanced Practice Form:
http://cms.indstate.edu/health/sites/health.indstate.edu/files/apn-dnp-independent-practice-verification-form.docx
____
____
Post-Baccalaureate Clinical Hour Verification Form:
http://cms.indstate.edu/health/sites/health.indstate.edu/files/apn-dnp-post-bs-verification-form.docx
When you send your completed application packet the APN Department, please:
DO’s
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Print single-sided pages ONLY
Print on plain white paper
Make sure your name is on all pages
Include all of the items listed above in one,
complete packet
Mail the packet to the APN Department:
1433 N 6 ½ Street, Terre Haute, IN 47807.
Packets must be received no later than
noon EST on either February 1st or
September 1st.
DON’Ts
 Do not print double-sided pages
 Do not print on textured or colored paper, or
heavy cardstock
 Do not bind the application in any way,
including staples, paperclips, binders, etc.
 Do not submit any items that are not
requested on this checklist
 Do not submit incomplete packets
 Do not submit unsigned or late application
packets
Step 3: Additional Requirements
Review of the APN Student Handbook. As a student in the College of Health and Human Services – School of Nursing you
will be expected to adhere to the policies and guidelines found in the Handbook. The Handbook can be found at:
http://cms.indstate.edu/health/sites/health.indstate.edu/files/apn-student-handbook.pdf
Knowledge, skills, and abilities to use computer technologies to communicate:

Navigate and search the Internet

Evaluate information from various online sources for accuracy, appropriateness, etc.

Use e-mail

Create and share electronic documents (including PDF) and multimedia materials with educators and other
students
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Use word processing software (Microsoft Word, Excel, PowerPoint, etc.)

Take tests, complete assignments, and respond to instructor feedback in an online environment
____
____
____
Indiana State University requires a separate immunization form other than the Nursing Immunization Record. This can be
found at: http://www.indstate.edu/registrar/Immunizations.htm. This can be completed online or mailed to the Office of
Registration and Records. Please make sure this record is completed in addition to the Nursing Immunization Record.
DO NOT include this form in your packet to the department.
The DNP Program allows up to 12 credit hours that can be transferred (if determined equivalent) into the program. If a student
is requesting transfer hours, the following must be submitted along with their completed application:
____
Graduate Transfer of Credit Approval Application: http://www.indstate.edu/gradexpress/transfer.htm
____
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Syllabi for each course to be considered for equivalency
Please submit all of your application materials in one packet and make a copy for your records. This will help us in processing
your application quickly and ensures that all required document materials are received by the deadline.
Please make sure to submit items to both the department via a mailed complete packet and also upload all documents to
the College of Graduate and Professional Studies online application.
The APN Department recommends submitting all documents, and completing the online College of Graduate and
Professional Studies Application, at least one month prior to the deadline.
Failure to submit materials correctly and by the deadline date will disqualify the applicant from consideration of admission.
If September 1st or February 1st falls on either a weekend or holiday, we will accept applications no later than noon
EST the following business day.
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