*College Information(Required.)

College 

Contact Name

Contact Job Title

Contact E-Mail

Contact Phone

*Please indicate which nursing programs will expand enrollments at your college(Required.)

LPN

ADN

BSN

*Program Information (if college has multiple programs, i.e. LPN/ADN/BSN, please provide one total for all programs) (Required.)

CIP code (s):

Plan Code (s):

FY22 Program (s) Enrollment - FTE:

FY22 Program (s) Enrollment - headcount:

FY22 Program (s) Capacity - FTE:

FY22 Program (s) Capacity - headcount:

FY22 Program (s)' Waitlist - headcount:

*FTES Increase 
- Preference will be given to requests proposing to increase FTEs by 25 or more in Yr 22/23.
- Requests of 25 or more FTEs will receive a minimum of $300,000.
- Amount of awards for increases below 25 will be determined after priority awards have been made.(Required.)

FTEs:

*In what year will college reach the above goal? 
Must be reached by Spring of 2025.(Required.)

FY 2022-23

FY 2023-24

FY 2024-25

*Project Objectives
Describe the project objectives and how your college intends to expand capacity in nursing education. Demonstrate how the project will expand enrollment capacity through expansion of an existing program, creation of a new program, or a combination of existing and new (2000 character limit).(Required.)

*Project Timelines
Identify the measurable milestones for implementation that demonstrate a clear path to enrollment expansion (2000 character limit).
(Required.)