Nursing Application | Triton College

Anticipated Enrollment * Spring 2026 (LPN/RN Only) Spring 2026 (Nursing Only) Fall 2026 (LPN/RN only) Fall 2026 (Nursing only)

Program * Spring 2026 (LPN/RN Only) Spring 2026 (Nursing Only) Fall 2026 (LPN/RN only) Fall 2026 (Nursing only)

First Name *

Middle Name or Initial

Last Name *

Address *

Apartment/Unit

City *

State *

Zip Code *

Phone *

Last 4 digits of Social Security Number *

Birthdate *

NOTE: Triton College’s official form of communication is through the Triton email address assigned to each student.

Email *

Enrolled at Triton? * Previously Currently Never Enrolled

Have you applied to the selected program above before at Triton College? * Yes No

If Yes, What Year did you Previously Apply?

Have you attended other colleges? If yes, please submit transcripts to Records Dept. of Triton College Yes No

This section must be completed by ONLY LPN to RN Applicants

IL LPN License Number

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