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California State University, Long Beach
Department of Nursing
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"Request for Information" Form

Undergraduate Programs

Basic/Trimester Student (NRSGBS01) For undergraduates
Entry Level BSN/MSN Student (NRSGBS04) For students with BA/BS in other fields
"RN to BSN " Student (NRSGBS02) For students who have a California RN license

Graduate Programs

Master of Science in Nursing (NRSGMS01) For students with a BSN
Master of Science in Nursing / Master of Public Health (NRSGMN01) For Students with a BSN
Master of Science in Nursing / Master of Science in Health Care Administration (NRSGMC01) For students with a BSN
Functional Minor in Nursing Education - For students with a BSN

Certificate Offerings

Nurse Practitioner Certificate (NRSGCT01) For students with a MSN
      Family Nurse Practitioner - For students with a MSN
      Pediatric Nurse Practitioner -For students with a MSN
      Adult-Geriatric Nurse Practitioner - For students with a MSN
      Psychiatric-Mental Health Nurse Practitioner - For students with a MSN
Health Services [School Nurse] Credential (600) For students with a BSN

Personal Data

First Name:
 Last Name:
Address 1:
 Address 2:
City:
 State:

Zip Code:
-
Email Address:

Comments:

After you submit this form, you will get an error message. Please ignore the error message. The information is being transmitted to our School of Nursing and the information will be sent to you in a timely manner. Do not keep filling out and submitting the form as it creates multiple requests.