Nursing Application Current Student Spring 2026

Contact Information

First Legal Name

Middle Name

Last Legal Name

Preferred First Name (only if different from first name you listed above)

RCC College ID

Birthdate

Personal Email Address

RCC Email Address

Mailing Address

Country

Street

City

Region

Postal Code

Program Information

Please select the Nursing Program you are applying for:

Nursing Start Term

TEAS Scores

All official TEAS score reports must be sent from ATI to the College to be considered for admission to the Nursing program. Scores cannot be older than one year from the application deadline date of October 15, 2025. Please visit www.atitesting.com for more information. Score reports must be submitted by no later than the deadline.

Have you taken the TEAS Exam?

Yes

What is the date of your most recent TEAS exam test? Tests must be taken within the past year to be acceptable.

When do you plan to take the TEAS Exam? NOTE: TEAS exams must be taken before the Nursing Application Deadline of October 15, 2025 to be considered for admission to the program.

Signature

Check the box acknowledging submission of this form will serve as an electronic signature