This study was designed to determine the extent of articulation process between the Associate Degree nursing programs and the Baccalaureate Degree nursing programs which facilitates Associate Degree Registered Nurses opportunities to enter and complete advanced education in the field of nursing;The sample consisted of 127 Associate Degree nursing programs and 83 Baccalaureate Degree nursing programs that were located in nine Midwest states that are in close proximity to Iowa;The data to be gathered were concerned with identifying the entrance requirements for Associate Degree Registered Nurses to continue their education, determining if Associate Degree nursing graduates were given credit for their previous education and the amount of repetition that was occurring. Identifying the extent to which universities had adopted an articulation procedure for admitting Associate Degree graduates, and the major problems encountered in the articulation process was also considered;The statistical treatment of the data included: the mean, median, range, standard deviation, two-tailed student t test and Chi-square test techniques;The analysis of data revealed statistically significant differences in the articulation process as viewed by the Associate Degree nursing and the Baccalaureate Degree nursing respondents. The conclusions drawn from this study are the following: (1) Two and four-year nursing respondents recognize articulation as an issue which vitally affects ADN/RN students at the Baccalaureate Degree level, (2) Associate Degree respondents recognize articulation as an important issue which vitally affects the graduates of their programs as they seek to continue education in four-year nursing programs, (3) Baccalaureate Degree respondents perceive that articulation activities are being implemented to a greater extent than do the Associate Degree respondents, (4) ADN/RN students are required to repeat a number of college courses from each discipline, including nursing, (5) Associate Degree respondents, according to their perceptions, were not satisfied with the rate of implementation for the articulation activities, (6) Baccalaureate Degree instructors must determine the articulation activities that are important if ADN/RN graduates are to be encouraged into their programs of nursing, (7) the lack of academic preparation on the part of the Associate Degree respondents could account for the reluctance of the Baccalaureate programs to accept suggestions for education program changes from Associate Degree respondents, (8) the years of nursing practice were similar; however, the Baccalaureate Degree respondents had greater job retention, and (9) the years of teaching experience were similar. Both groups of nurses tend to remain in teaching for more than ten years once they get beyond the fifth year.