Application Packet

​​​​​To apply to the Nursing program, begin with the checklist for comprehensive step-by-step instructions. Please contact us to receive the necessary forms to complete your application packet, which are listed below.

Submit your application packet to the Health and Human Services Division Office, located in Building X, Room X-1082, by the deadline found on the Admission Schedule and Deadlines page. If you have questions about your packet, we would be happy to look it over. Applications are not accepted by mail.

Application Packet Forms

  • Nursing Program Application
  • Statement of Student Responsibility
  • Brookhaven/Texas Board of Nursing Information
  • Immunizations Form
  • Petition for Declaratory Order
  • Dosage Calculations Workshop Score
  • Nursing Information Session Verification
  • Ranking for Admission (Word document - 21 KB)
  • HESI A2 Exam Cumulative Score
  • Eligibility Requirements for RN Licensure in the State of Texas
  • Bring your original Social Security card
  • Bring your current, valid Texas driver's license

Fourth-Semester Nursing Student Forms

  • Referral Letter Request Waiver