Nursing Program Intent

This form is not an application to the College. It is part of your application to the program.
*All fields are required


















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(Note: all further correspondence will be via Lake Land College email)




Fall semester of: (year)


Fall semester of: (year)


Fall semester of: (year) - OR -
Spring semester (Kluthe ONLY) of: (year)

The checklist contains information needed to ensure your application is complete. This includes testing information, admission requirements, pre- and co-requisites, tuition and fees.


Checklist for traditional students
Checklist for High School students in the PCCS Program


Checklist for traditional students
Checklist for High School students in the PCCS Program


Checklist for Licensed Practical Nurses

I have reviewed the information in the Application Checklist.

Students applying to the nursing programs at Lake Land College must be able to meet the technical requirements of the program and not pose a risk to the well-being of patients, other students, staff or themselves. Students applying to the program will need, at a minimum, to be capable of performing all Essential Functions required of the nurse. The student will need to maintain and demonstrate these abilities through the duration of the program.


Essential Functions

I have reviewed the list of Essential Functions and understand that I need to be able to perform these functions to complete the nursing program.

Upon submission of this document, your test scores and college credits will be reviewed to determine eligibility to take the nursing pre-admissions test. You will be notified of your next step by email.

Deadline for having a complete nursing application file is February 1st (or preceding business day) for Associate Degree program and March 1st (or preceding business day) for the Practical Nursing Program.

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