Colleges / Universities Attended
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Nursing Experience
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GRE Scores
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Statements of Purpose
Consider the following statement: The doctoral-prepared nurse anesthetist exhibits several professional qualities and often has an expanded role beyond the traditional perioperative setting.
Please address the following inquiries (maximum of 500-600 words for EACH question). Both statements are requred.
Application Procedures
Please upload the following with this supplemental application:
- Copy of current CA RN license, PALS, ACLS
- Resume
- Unofficial transcripts (including GRE) if available
Transcripts
Official university transcripts from ALL institutions must be mailed
to:
USC Program of Nurse Anesthesia
1540 Alcazar Street CHP #205
Los Angeles, CA 90089-9012
Upload Documents for Supplemental Application (Upload a file
less than 1MB)
Click on the Browse button to search for a file on your computer
then click on the Upload link to save it to the server.
Pending items can be emailed or faxed directly to the Program of Nurse Anesthesia at 323-442-1701.
Criminal History
Have you ever been convicted of a crime or subject to regulatory disciplinary sanctions, including but not limited to:
- Driving under the influence
- Chemical dependency
- Drug diversion
- Exclusion from a federal or state healthcare program, such as Medicare or Medicaid
Failure to provide accurate information may result in revocation of admission or dismissal from the program.
Verification
Data in this document reflects current, accurate information; the Program reserves the right to revise the information at their discretion and to make reasonable changes in content/requirements to enhance the quality of the academic program. All elements of the applicant data are considered in invitation for interview and admission to the Program.
I have read the entire supplemental application for the USC Program of Nurse Anesthesia/Department of Anesthesiology and certify that the information I have given is complete and correct to the best of my knowledge.
Application Fee
A $75 USD program application fee (separate from the university application fee) must be mailed directly to the school. Checks should be made payable to USC Program of Nurse Anesthesia.
The mailing address is:
USC Program of Nurse Anesthesia
1540 Alcazar Street
Center for Health Professions, Suite 205
Los Angeles, CA 90089-9012