Information For

California State University San Marcos

Extended Learning & School of Nursing

Extended Learning Application for the MSN program

If there are changes to any of the information contained on this application after submission, it is your responsibility to notify Extended Learning at elapps@csusm.edu.

DO NOT SUBMIT UNTIL YOU COMPLETE THE APPLICATION

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Please list all colleges or universities you have attended or are currently attending.
Please type "N/A" for fields in which you do not list a college/univeristy you have attended.
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Clinical Nurse Specialist: Adult/Gerontology
Clinical Nurse Specialist: Pediatrics
Clinical Nurse Specialist: Public Health
Nurse Practitioner: Family
Nurse Practitioner: Family Psychiatric Mental Health
Clinical Nurse Leader
Nursing Education

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Part Time: 7 Semesters (CNL & Nursing Education Concentration)
me: 8 Semesters (CNS, FNP and Psychiatric NP)

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If yes, please list date received and major
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If yes, please list your Visa status
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If yes, please list dates of service
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Full Name and Date
Submit and Pay