THE UNIVERSITY OF SOUTH ALABAMA
UNDERGRADUATE NURSING HONORS PROGRAM APPLICATION
HOW TO APPLY TO THE UNDERGRADUATE NURSING HONORS
PROGRAM
At the time of application, students must have completed all first semester nursing
courses and be enrolled in Nursing Foundations clinical course. Students must have
earned a 3.2 GPA or better in nursing courses attempted and earned a 3.5 GPA or
better overall.
APPLICATION DEADLINE:
APPLICATIONS MUST INCLUDE:
1
A completed Undergraduate Nursing Honors Program application, including
writing samples demonstrating scholarship and interest areas.
2
Two (2) letters of recommendation from nursing faculty. One each from your
Foundations theory and clinical coordinators. The Request for Recommendation forms
are attached to the application
3.
USA Transcripts through the end of last semester.
Writing Instructions:
You are asked to provide two writing documents that will one, describe your interest in
nursing scholarship and goals and two, you are asked to choose a health topic or current
issue. The first topic will be limited to 350 words and the second topic will be limited to
2-3 double spaced pages with a minimum of three (3) references from scholarly journals.
APA format is required for the second topic. Please attach both documents to this
application.
THE UNIVERSITY OF SOUTH ALABAMA – College of Nursing
Application for Undergraduate Nursing Honors Program
Please type or print clearly:
1. Full Name:
_____________________________________________________________________
(last)
(first)
(middle)
2. Mailing Address:
________________________________________________________/____________
Street
Telephone
_____________________________________________________________________
City
State
Zip Code
E-mail address: ________________________________________________________
3. List all colleges, universities and professional schools that you have attended,
including The University of South Alabama. Indicate the dates of attendance and
degrees awarded.
School or Institution
Dates Attended
Major
Degree
________________________/
/
/
________________________/
/
/
________________________/
/
/
4. List previous employment since high school. Specify dates, type of work, and where
employed.
Place of Employment
Dates Worked
Type of Work
_____________________________/_______________________/__________________
_____________________________/_______________________/__________________
_____________________________/_______________________/__________________
5. List volunteer activities in a health care environment during your collegiate career
(include dates):
___________________________________________________/____________________
___________________________________________________/____________________
___________________________________________________/____________________
6. List other community services and extracurricular activities during your collegiate
career (include dates):
___________________________________________________/____________________
___________________________________________________/____________________
___________________________________________________/____________________
7. List academic and other honors received during your collegiate career(include dates):
___________________________________________________/____________________
___________________________________________________/____________________
___________________________________________________/____________________
Part 1: Personal Statement
Please limit your personal reflection to no more than 350 words. Please describe your
interest in nursing scholarship and personal goals.
Part 2: Essay
Please limit your health topic or current issue to 2-3 double spaced pages. Please make
sure you have three (3) current references from scholarly journals. Also this topic should
be in APA format.
UNIVERSITY OF SOUTH ALABAMA
College of Nursing
Undergraduate Nursing Honors Program
RECOMMENDATION REQUEST
Applicant’s Name: ___________________________
Jag Number: _____________
Course taught / term: _________________________
TO BE COMPLETED BY THE EVALUATOR:
Each applicant for entry into the Undergraduate Nursing Honors Program at USA is
required to submit two (2) faculty recommendations. The Honors Committee would
appreciate a truthful appraisal of the applicant’s character and personality. When
completed, this form should be mailed directly to: Dr. Ellen Buckner
5721 USA Drive North,
HAH
Mobile, AL 36688-002
Please rate each attribute on a 5 point scale.
5= Excellent
4= Above Average
3= Average
2= Below Average
1= Poor
N/A = Not applicable or Not observed
Attitude and
PersonalityCourteous,
cooperative,
confident
Reliability –
Honest and
dependable
Work habitsMotivation, self
discipline,
resourceful, self
directness
Independent
thinking –
Creative, leader
CommunicationVerbal and
written clarity,
coherence
5 4 3 2 1
5 4 3 2 1
5 4 3 2 1
5 4 3 2 1
5 4 3 2 1
N/A
N/A
N/A
N/A
N/A
RECOMMENDATION REQUEST
(continued)
A short narrative description and your overall impression of the candidate would be
helpful to the Honors Committee:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Overall recommendation: (Please check the appropriate statement.)
[ ] Highly Recommend
[ ] Recommend with Reservation
[ ] Recommend
[ ] Do Not Recommend
-----------------------------------------------------------------------------------------------------------TO BE COMPLETED BY PERSON PROVIDING THE RECOMMENDATION (Please Print)
Name: _____________________________________
Title: ___________________________
Department: ________________________________
Signature: __________________________________
Please return this form to:
Date: ___________________________
Dr. Ellen Buckner
5721 USA Drive North, HAHN
Mobile, AL 36688-002
THE UNIVERSITY OF SOUTH ALABAMA
College of Nursing
Undergraduate Nursing Honors Program
RECOMMENDATION REQUEST
Applicant’s Name: ___________________________
Jag Number: _____________
Course taught / term: _________________________
TO BE COMPLETED BY THE EVALUATOR:
Each applicant for entry into the Undergraduate Nursing Honors Program at USA is
required to submit two (2) faculty recommendations. The Honors Committee would
appreciate a truthful appraisal of the applicant’s character and personality. When
completed, this form should be mailed directly to: Dr. Ellen Buckner
5721 USA Drive North,
HAHN
Mobile, AL 36688-002
Please rate each attribute on a 5 point scale.
5= Excellent
4= Above Average
3= Average
2= Below Average
1= Poor
N/A = Not applicable or Not observed
Attitude and
PersonalityCourteous,
cooperative,
confident
Reliability –
Honest and
dependable
Work habitsMotivation, self
discipline,
resourceful, self
directness
Independent
thinking –
Creative, leader
CommunicationVerbal and
written clarity,
coherence
5 4 3 2 1
5 4 3 2 1
5 4 3 2 1
5 4 3 2 1
5 4 3 2 1
N/A
N/A
N/A
N/A
N/A
RECOMMENDATION REQUEST
(continued)
A short narrative description and your overall impression of the candidate would be
helpful to the Honors Committee:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Overall recommendation: (Please check the appropriate statement.)
[ ] Highly Recommend
[ ] Recommend with Reservation
[ ] Recommend
[ ] Do Not Recommend
-----------------------------------------------------------------------------------------------------------TO BE COMPLETED BY PERSON PROVIDING THE RECOMMENDATION (Please Print)
Name: _____________________________________
Title: ___________________________
Department: ________________________________
Signature: __________________________________
Please return this form to:
Date: ___________________________
Dr. Ellen Buckner
5721 USA Drive North, HAHN
Mobile, AL 36688-002