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This article discusses the process of developing a Bachelor of Science in Nursing program, providing insight into the key elements that need to be considered. The demand for skilled nurses is increasing, and institutions need to create responsive and innovative pre-licensure nursing programs to meet this demand. The article emphasizes the importance of evaluating the feasibility of such a program and identifying the resources required for successful implementation. It highlights the need for securing approval from both internal and external stakeholders, as well as funding for critical aspects such as faculty recruitment and clinical skills and simulation labs. The authors draw on their experience in conceptualizing and implementing pre-licensure nursing programs to provide valuable guidance and insights. Overall, the article offers a comprehensive review of the initial steps and crucial considerations for institutions aiming to establish robust educational pathways such as pre-licensure nursing programs.