Avila University - Opening Doors
Avila University  11901 Wornall Road, KC, MO 64145 Tel: 816-942-8400
Avila University is a private, co-educational, values-based liberal arts institution.
Sponsored by the Sisters of St. Joseph of Carondelet


This form must be completed by all current Avila students seeking to enroll in nursing courses Fall 2015
The Avila University School of Nursing is committed to non-discrimination and equal opportunity in its admission process.
(*) Required Field
First Name*
Last Name*
Avila Email*   AVILA ID#
Social Security Number* Cell#*
Address* City*  
State* Zip*

Fall 2014 Enrollment & Grade(s) if available
Spring 2015 Planned Enrollment
Summer 2015 Planned Enrollment
If there are any semester(s) where extenuating circumstances may have impacted your academic performance
please explain.
Have you ever been convicted of a felony?*
If yes , please explain:
Have you ever received an institutional action, i.e. discipline dismissal, academic dismissal, academic dishonesty sanction? *
If yes , please explain:

  • All Applicants (except direct entry and guaranteed admits) will:
    • Attend an on-campus interview. Please indicate below your first, second and third choices of interview times.
    • Write an essay when on campus for your interview.
    • Receive EMAIL confirmation of your interview time.
  • Direct Entry and Guaranteed Admits:
    • Are not required to attend an interview, however,
    • Must complete the essay during one of the following interview times-- appointment is not necessary

Indicate your FIRST, SECOND and THIRD choice:
(If the campus is closed due to weather- an announcement will appear on the Avila web site www.avila.edu.  You will be reassigned to the corresponding day and time on Feb. 20, 2015):
DAY TIME 1st Choice 2nd Choice 3rd Choice
Friday, Feb. 13, 2015 9 - 10 a.m.
Friday, Feb. 13, 2015 10 - 11 a.m.
Friday, Feb. 13, 2015 11 - 12 p.m.
Friday, Feb. 13, 2015 1 - 2 p.m.
Friday, Feb. 13, 2015 2 - 3 p.m.
Friday, Feb. 13, 2015 3 - 4 p.m.
Friday, Feb. 13, 2015 4 - 5 p.m.

Avila University
11901 Wornall Road
Kansas City, MO 64145

816.501.2400  Admission
816.501.2450  Advancement
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