Foothills Nursing Promise Application

Your Information

First Name

Middle Name

Last Name

Birthdate

Email Address

Mobile Phone Number

Mailing Address

Country

Street

City

Region

Postal Code

Entry Term

School Name

Conduct Information

Have you ever been dismissed, suspended, or placed on probation at any school?

Have you ever been convicted of a criminal offense other than a minor traffic violation?

Are there any criminal charges pending against you at this time?

If you answered "Yes" to any of the above questions, please explain below.

School Code (Hidden)

Set Student Type (Hidden / Default - Online Undergraduate)

Set Application Major (Hidden / Default - RN to BSN)

Set App Round (Hidden / Default - DCP APP)

Set App Submitted Flag (Hidden)

Create New App (Hidden)