GOVERNORS STATE UNIVERSITY
College of Health and Human Services
Nursing Program
Master’s Degree Applicants
Biographical Sketch/Personal Goals Statement
Please fill out this form and return it with your application. This information will be used for
admission evaluation.
1._____________________________2._____________________________
Last Name
First Name
3._________
M.I.
4. ___________________________________________________________ 5. _________
Address
Apt Number
6.________________________________________________ 7. ___________ 8._______
City
State
Zip Code
9. ________________________________
Home Phone
10._______________________________
Work Phone & Extension
11. ________________________________
Cellular or Pager (Circle)
12._______________________________
E-Mail
Narrative Data:
The response to this section must be typed (either on this form or on a separate
page) and must be in narrative format.
1. Give a concise description of your educational and work experience since entering
nursing.
2. What are your career goals that necessitate receiving a M.S.N. degree?
3. Describe your self-perceived strengths and weaknesses relating to the attainment
Of your academic goals (e.g., writing skills, mathematics, verbal expression, etc.).
4. Why did you choose GSU (as opposed to another institution)?