College Of Nursing Application For Admission

College Of Nursing Application For 2012-2014

*Applications accepted for admission Sept 1 – April 1 for ADN, PN and LPN-RN

*Application selection will be Nov/Dec. 15 and April/May 15th

*A $50.00 non-refundable application fee is required to submit your application. This fee is applied toward a scholarship fund for nursing students. A $50.00 seat fee is required after you receive conditional admission. This fee must be paid within 14 calendar days of receiving conditional admission. The $50.00 seat fee will be refunded or applied to your tuition if you enter the program.(All fees are to be paid to the Business Office only)

Program Applying For.

You may apply to two (2) of the following options. You must rank your preferences (etc. 1st, 2nd ). When the selection committee meets and it has been determined that you have met the criteria for your preference in order of ranking, you will be notified of your conditional admission to that selection and be removed from the admission list of the other selection you have applied to.

1st YEAR OF ASSOCIATE DEGREE (RN)

2nd YEAR OF ASSOCIATE DEGREE (RN)(Returning Students only)

LPN TO RN ARTICULATION DAY SECTION (Limited seating- 1st qualified select)

LPN TO RN ARTICULATION EVENING SECTION

PRACTICAL NURSING DAYS

PRACTICAL NURSING EVENING

Personal Information

First Name *

Last Name *

Middle Name *

Maiden Name

Address *

City *

State *

Zip Code *

Phone *

Alt. Phone

Date of Birth *

Year

Month

Day

Student ID *

Email *

Valid Email Address Required for Notification of Admission to Nursing Program

Demographics

Request of information is for purposes of completing accreditation reports.

Ethnic Origin:

Gender:

Highest Level of Education Achieved

Major

Have you previously applied to Carl Sandburg Nursing Programs?

Upon completion of all prerequisites, when do you plan to be formally admitted to the Nursing Program?

Have you made an appointment with a counselor/advisor

If so, who?

When was your appointment

Have you taken the TEAS test:

Yes

When did you take the test:

Year

Month

Day

Were did you take the test:

Are you currently on the Illinois CNA Registry

Yes

Course Information

Listed below are all the prerequisite, and courses required for all nursing programs. Please check whether you have completed the course (with a “C” or better) or are in progress. This will assist you, your nursing advisor, and the college of nursing to expedite your application (All courses will be validated by official transcripts through the Admissions/Records Office).

Biology (1 year of HS or 1 semester of college)

Chemistry (1 yr. of HS or 1 sem. of college)

NUA 100 Basic Nurse Assistant Training

ENG 101 Freshman Composition I

PSY 101 General Psychology I

PSY 265 Developmental Psychology

BIO 111 Anatomy & Physiology Fundamentals

BIO 211 Anatomy & Physiology I

BIO 212 Anatomy & Physiology II

NUT 110 Nutrition

BIO 200 General Microbiology

SOC 101 Introduction to Sociology

PHL 103 Biomedical Ethics

On submission of my application to the College of Nursing I acknowledge I understand the admission requirements for the program. I accept responsibility for the completeness of my application and any additional requirements for full admission to the program. I acknowledge I will be required to register to attend an “Informational Session” after I receive conditional admission and that full admission to the nursing program is provisional on meeting all the current requirements for admission to the nursing program. I understand that the program has selective admission.

I understand that information acquired by the program throughout my admission process (background check, drug screen, etc.) may make me ineligible for admission to the program or subject to withdrawal from the program.

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College Of Nursing Application For Admission

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College Of Nursing Application For 2012-2014