Practical Nursing Application

Practical Nursing Application

  • Name of high schoolCityStateYear graduated from high school or last year in school 
  • Score:Date Taken:Testing Location: 
  • Applicants graduating from a high school outside the United States must complete the GED test.

  • School NameSchool CitySchool State 
  • Name of EmployerAddress or Phone NumberDates of Employment (List most recent first)May we contact 
  • Applicants may submit up to 3 reference letters from employers and/or past professors/teachers. Applicants will receive points for each letter submitted.


    _____ Application completed . Incomplete applications will not be considered.

    _____ High school transcript or GED scores attached; TOEFL test scores if required.

    _____ Prerequisite transcript(s) attached.

    _____OSBI Background Check - Original copy attached.

    _____ Test scores attached (TABE, Accuplacer or ACT).

    _____ Reference Letters (up to 3)

    _____ Copy of health occupations certificate(s) attached - optional.


    The Mid-Del Public School District No. I052 does not discriminate on the basis of race, color, national origin, sex, pregnancy, gender, gender expression or identity, religion, veteran status, sexual orientation, disability, age, or genetic information in its programs and activities and provides equal access to the Boy Scouts and other designated youth groups. The following person has been designated to handle inquiries regarding the non-discrimination policies: Mid-Del Schools Assistant Superintendent of Teaching & Learning Address: 7217 SE 15th 15th Street, Midwest City, OK 73110 Phone: 405.737.4461 x1225 Email: [email protected]