RN License Verification Form

RN License Verification Form

An admissions representative will review your document and attach this to your student record.

PLEASE USE THE EXACT NAME AND LICENSE NUMBER AS IT APPEARS ON YOUR LICENSE

UTA Student ID *
Must be 10 digits. Currently Entered: 0 digits.
Last Name, First Name (Use the exact name as on your license) *
Email Address *
Nursing License Number *
State license was received in *
I certify that the information contained above is accurate and complete.

The University of Texas at Arlington Privacy Policy