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Click ‘Get Form’ to open it in the editor.
Begin by entering your name and ID number at the top of the form. Ensure that your date of birth and gender are accurately filled out.
Indicate your program status by checking either 'Pre Licensure' or 'BSN Completion'.
Complete the health history section with the required dates for your ophthalmic and hearing exams.
Fill in the immunization details, including dates for Hepatitis A, B series, Meningococcal vaccine, and Influenza vaccine. Use our platform to easily input this information.
Document any titer results and additional vaccinations as needed. Make sure to include any necessary signatures and dates at the bottom of the form.
Finally, attach copies of your immunization records and lab results before submitting the completed form.

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What is the ranking of WIU?

WIU has been ranked #57 in the Regional Universities Midwest category, providing quality education and encouraging student achievement. Western is recognized for its undergraduate engineering programs, the least debt and the highest proportion of classes under 20 students.

What GPA do you need to get into WIU?

The most popular majors at Western Illinois University include: Homeland Security, Law Enforcement, Firefighting and Related Protective Services; Business, Management, Marketing, and Related Support Services; Liberal Arts and Sciences, General Studies and Humanities; Agricultural / Animal / Plant / Veterinary Science

What major is Western Illinois University known for?

Our Residence Halls Commonly referred to as Grote, the hall houses approximately 150 upper-division students, available to sophomores, juniors, seniors, and graduates. Its amenities include a common space with a TV, foosball, Ping-Pong and Pool table.