Degree of Interest
A copy of your RN license is needed for admission to the RN to BSN program. Please scan and email to email@example.com
Legal First Name
Legal Last Name
Do you have any previous names?
Please list all previous names that may appear on a transcript.
Date of Birth
City / Town
Have you served in the U.S. Military or are you a military spouse?
Select Military Branch
Select a Military Status
Please select your Gender
Please indicate how you identify yourself (choose one or more)
Please identify ALL prior academic history
SELECT LOCATION, COLLEGE, then CLICK “ADD COLLEGE” BUTTON TO SAVE
Repeat steps to add ALL prior colleges where you previously took courses.
Name and Location of Institution
You will need to have your official High School or GED transcript sent directly to Charter Oak.
Please indicate if you have any non-college credit credit from any of the areas below.
Have you earned any credentials?
Add another credential?
Are you currently employed?
Please specify employer and location
When you click “Apply Now”, you will be directed to CASHNet to submit the $50 non-refundable application fee. If you have a waiver code, please enter the code and click “Apply Now” to submit your application.
By submitting this form, I confirm that the information provided on this form is accurate and complete, and subject to the policies and procedures of Charter Oak State College and the Connecticut Board of Regents.