Admission Application

Notice: Before submitting an application to the ADN program please review ALL of the information links on this website, as most questions about the program are answered in detail.  Be sure to read the entire ADN Program Application carefully and understand all the requirements for the admission packet including eligibility, program requirements, and the selection process for the ADN program.

The ADN application period is October 2nd through February 7th each year for the following Fall semester or subsequent Spring semester. Only the most current application form will be accepted.
The next application period, for admissions to academic year 22/23 begins October 2, 2021 until February 7, 2022.  The most current SRJC Associate Degree Nursing Application form is available below, and is the only version which will be accepted.  Please do not submit your application before October 2, 2021, as it will not be considered for admission. 
COVID-19 Campus Update:
Due to continued COVID-19 campus protocols, the Health Sciences Office will continue to be closed to the public, and applications will not be accepted by hand delivery to the campus.  ALL complete admissions application packets should be mailed to the address indicated on the application, and we strongly recommend utilizing a USPS return receipt request to document the date that your application packet was received.

Fall 2022/Spring 2023 ADN Admission Application

Click on the link below to access the application for admission.  Please read the directions thoroughly and complete all sections.  Submit the application and all required documents in one package as directed.  Incomplete applications will not be considered for admission.

Fall 2022/Spring 2023 Application Form