Request Information

First Name *

Last Name *

Email *

Phone Number

Do you have any of the following? * BSN MSN Both

What was your GPA in BSN? * More than 3.0 Less than 3.0

Do you have an active unencumbered California RN License? * Yes No

Consent

Comments

The information you provide on this form will be processed in accordance with Samuel Merritt University’s Privacy Policy. Samuel Merritt University will use the details you provided to contact you about your inquiry. Msg and data rates may apply. I consent to receiving information (by email, phone or text/SMS) about the courses and services offered by Samuel Merritt University.