Arizona State University has both direct admit and competitive secondary admission paths. Direct admit frosh must maintain a 3.5 college GPA in critical / prerequisite courses each of first four semesters to avoid being weeded out (they can apply to get back in through the competitive secondary admission path) (see page 12 of https://nursingandhealth.asu.edu/sites/default/files/2020-21-bsn-student-handbook.pdf ). There is also a lottery if more direct admit students than space available reach the clinical part of the program (obviously, if this occurs, there is no space for competitive secondary admission).