Judson University - Ambria College of Nursing
Student Commitment Form

This form should only be completed once ALL the admissions requirements have been met and you have been admitted to the nursing program. If you are a brand new applicant, please complete the Ambria Admissions Application, located on the Ambria website, under "Admissions".

Candidacy Information

NOTE: An academic year consists of 3 terms. For example, the 2024-2025 Academic Year contains the Fall 2024, Spring 2025, and Summer 2025 semesters.

What year do you plan to begin your studies?

What term do you plan to begin your studies?

Have you applied to Judson before?

What type of student will you be?

Which degree do you intend to pursue?

Choose a program of study.

Name Information

First Name

Middle Name

Last Name

Suffix

Gender

Marital Status

Birth Date

SSN

Citizenship Information

Citizenship Status

Citizen Of

Race Information

Race (Choose one or more)

Ethnicity

Spiritual Information

Judson University is an Evangelical Christian university that equips students to be fully developed, responsible persons who glorify God by the quality of their relationships, work and citizenship locally and globally.  Being "fully developed" includes developing spiritually.  To help us better serve our diverse community, please indicate where you are in your own spiritual journey by selecting one of the following statements about where you see yourself at this time.

Your Religious Affiliation/Denomination

Do you attend church?

Church Name

Church Address

Church City

Church State

Church Zip

Church Country

Military Information

Have you ever served in the US Armed Forces?

Which branch of the Armed Forces did you serve in?

Discharge Date

Do you plan to draw from VA Benefits while at Judson?

Contact Information

Do you reside outside of the United States?

Address Line 1

Address Line 2

City

State

Zip Code

County (IL only)

Country

Primary Phone Number

Email Address

Confirm Email Address

Parent / Guardian / Emergency Contact Information

Are either of your parents/guardians Judson alumni?

Father / Guardian 1

First Name

Last Name

Address Line 1

Address Line 2

City

State

Zip Code

Country

Phone Number

Education Level

Relationship

Mother / Guardian 2

First Name

Last Name

Address Line 1

Address Line 2

City

State

Zip Code

Country

Phone Number

Education Level

Relationship

Emergency Contact (if different than above)

First Name

Last Name

Address Line 1

Address Line 2

City

State

Zip Code

Country

Phone Number

Relationship

School Information

Have you attended another college/university before?

Have you ever received disciplinary action at another school?

Add a row for each institution you attended prior to Judson by entering the school information below and clicking "Save." You may enter as many records as needed. Use the "State" drop-down to help limit the search for schools. If your school is not listed, select "School Not Listed" and type your former school name.

ALL students should include information for either a high school or GED with a graduation date (a future date is accepted if you are still in HS).

If your degree does not appear in the drop-down, select "Field of Study Completer."

State of Institution

Institution

Name of Institution

Degree

Graduation Date

Please review your information by clicking the tabs. When all information is complete, click "Submit." The form may take a few moments to process. Please do not close or refresh your browser while the system collects your information. You will see a completion screen when the form has been successfully submitted.