Online RN-to-BSN Applicant Reference Form

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The following form is to be completed by the applicant to the Online RN-to-BSN Program:

The link below is the form to be used by your references:


Applicant Information (include maiden name if applicable)

The Family Educational Rights and Privacy Act of 1974 and its amendments guarantee the student’s access to their individual records. Students may waive their rights of access to Reference Forms. The choice of the applicant is indicated below. Failure to sign will deny student access to Reference Forms.

 Check this box as your electronic signature.

Northwestern Oklahoma State University

709 Oklahoma Blvd., Alva, OK 73717
Phone: (580) 327-1700

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University. All Rights Reserved.

Mission Statement

Northwestern Oklahoma State University provides quality educational and cultural opportunities to learners with diverse needs by cultivating ethical leadership and service, critical thinking and fiscal responsibility.

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