Columbia State LPN to RN Bridge Application - December 2024

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LPN to RN Bridge Option Application
Nursing Program
www.columbiastate.edu/nursing
(931) 540-2600 or (931) 540-2599

IMPORTANT APPLICATION NOTICE: LPN to RN Bridge Option applications are accepted from

the second Monday in July through the second Monday in September and the second Monday

in December through the second Monday in February.

Only completed applications with the attached documents received electronically by the

Nursing Office on the last day of the application period are processed.

Date:

SS or Student ID:

Last Name:

First Name:

Middle name (or initial):

Previous Last Name:

Address:

City:

State:

Zip:

Email:

Email again:

Preferred Campus:

(This does not guarantee the offer of placement on the preferred campus.)

Home Phone:

Cell Phone:

Other Phone:

I understand that I must meet all admission requirements for the nursing program including

the minumum requried GPA and the pre-requisite coursework.

APPLICANT MUST upload a copy of driver's license and a TN Licensed Practical Nurse (LPN) license below:

Driver's License Upload

Tennesee LPN License Upload

Click here if you have graduated from a Tennessee College of Applied Technology (TCAT) within

3 years and are interested in the Tennesse Board of Regents (TBR) - Columbia State / TCAT articulation agreement.

Only completed applications with the attached documents received by the Nursing Office electronically
on the last day of the application period are processed. Incomplete applications will not be processed.

By submitting this form, I affirm that all information on the application is accurate to the best of my knowledge.
Incorrect or incomplete information will make me ineligible for consideration. All requested
information must be submitted by the time this application is processed. I understand that, once

admitted to the Nursing Program, I have to submit to a criminal background check, drug screen and

meet all affiliate requirements for clinical access. I am aware that in order to be eligible to take the

licensure exam after graduation, I must verify that I am either: 1) a U.S. citizen, 2) a “qualified alien”, or

3) a nonimmigrant who meets 8 U.S.C. 1621 requirements. Applicants must provide all names that transcripts

may appear under. Applicants are responsible for notifying the Nursing Program office of any changes in name,
mailing address, phone number, etc., in order to facilitate contact.

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