Chabot College Nursing Application Process Advanced Standing/Transfer/LVN s/program Re-Admission

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1 Step 1 Chabot College Nursing Application Process Advanced Standing/Transfer/LVN s/program Re-Admission A Chabot College Application for Admission¹ must be submitted to the college. This application can be submitted electronically by going to and is available year round. Advanced Standing Students should make an appointment with a counselor for a preliminary evaluation of your transcripts for graduation requirements and acceptance as pre-requisite courses for the program. Step 2 Complete Nursing Advanced Standing Application¹ on-line or download application. Nursing Advanced Standing / LVN RN Applications are accepted April 1 st through October 1 st of each year. Once the Advanced Standing application has been submitted you have 2 years to complete the ATI exams, theory classes and/or skills testing and be ready for admission to the full time program. Step 3 Print, sign and MAIL the Nursing Advanced Standing Application (Pages 3-6) to: Chabot College, Admission and Records Hesperian Blvd. Hayward, CA It is recommended you obtain a Certificate of Mailing and Return Receipt from the U.S. Postal Service at the time of the mailing. Include one copy of your official transcripts from all previously attended schools and colleges. Hand carried transcripts or application will not be accepted. LVN applying for 30 unit (non-degree) option must also submit high school transcripts. Suggestion: Order and keep a copy of your transcripts in your personal education file. Step 4 Go to on-line to click Class-Web and logon, click Student Services, Student Records to verify receipt of transcripts. Due to the volume of applicants we are not able to notify students individually if any information is missing. Step 5 Admission and records will evaluate your transcripts. When complete the Advanced Standing Application and transcripts will be forwarded to the Nursing Program Director for a final review. You will then be notified by mail regarding your eligibility and courses required for you to enter and complete the program. Please allow 6-8 weeks for this process to complete. Step 6 AFTER receipt of letter from the Nursing Program Director, students wishing to enter the program must complete all courses or testing as outlined in their individual letter. Step 7: LVN RN Transition Course students must attend mandatory orientation listed on webpage. In August, LVN s will be required to enroll in Nursing 70/N70L, LVN RN Transition Course. This course is a review of nursing topics including nursing care plan, nursing process, communication principles, and legal/ethical concepts common to the role of registered nurse. It will explain the functions of the California Board of Registered Nursing and selected psychomotor skills utilized by the registered nurse in the delivery of patient care. ¹Any falsification of data on the application(s) will result in immediate disqualification.

2 Chabot College Nursing Program Advanced Standing Order of Program Acceptance Ranking 1-5 Advanced Standing status is granted to students who have previously completed any portion of the defined Chabot College nursing curriculum or its equivalent as determined by the Nursing Program Director. (Please see Re-Entry Policy and Procedures for details. Testing: Students who are seeking Spring Program Admission must have basic skills and ATI testing completed by November 15th; Final Skills exam by December 15 th. If space is limited, students will be ranked by November 15th. In December the list will be evaluated to determine if standards have been met and re-ranked if necessary. Students who are seeking Fall Program Admission must have basic skills and all ATI testing completed by April 1 st ; Final skills exam by May 15. Incoming students will be evaluated in January of each year to set ranking and again on April 15 th of each year to determine if standards have been met and re-ranked if necessary. Ranking: Admission is based on space availability. Applicants will be ranked according to the following: 1. Waitlist from previous semester Student must have completed all ATI testing, all skills testing and all nursing program classes. Students who have been waitlisted from the previous semester will have to repeat all skills testing, as these tests are only valid for 6 months. 2. Re-admission Chabot program students that left the program for issues other than failing academic standing. a. Will be ranked by GPA from nursing program course grades only. 3. Entry Level LVN Students completed N70 and N70L and basic skills by April 1 st, final skills exam by May 1 st. a. TEAS Score b. GPA from N70 and N70L c. Completion of ATI testing on first attempt or second attempt. d. GPA for N88 and N88L and N82, N81 if taken. 4. Re-admission Chabot program students who withdrew due to failing academic performance will be readmitted using GPA based on nursing program course grades only. a. Student will be ranked by GPA from program course grades only. b. Ties may be broken with skills exam scores and /or TEAS scores. 5. LVN Non-Degree Students and LVN Students (30 Unit Option) must complete N70 and N70L, basic skills by May 1 st. AS_LVN_App2015_final.docx Please sign and submit pages 3-6 of this Application Page 2 of 6

3 Advanced Standing and LVN * Registered Nursing Application To be completed by LVN s and Re-Admission Chabot Students to the Chabot Nursing Program All applicants are advised that space availability is limited to openings that occur after the first day of the Fall Semester of the first year of the Chabot Nursing Program. These openings are created only when someone leaves the program or declines admission to the program. Every effort is made to tailor the applicant s educational needs to the available spaces as they occur. Some placements may take longer than others, depending on the individual applicant s needs. A background check is required on all nursing students. We will review the following on everyone accepted to the program: Social Security Trace, Misdemeanor or Felony Criminal Conviction Search, Combined OIS.GSA exclude parties/debarment List Search and a Pre-placement Drug Screen. If you have been convicted of a misdemeanor of felony it is possible you will be denied placement in one or more of our hospitals that are used for clinical experience or the Board of Registered Nursing (BRN) may not grant you a license. Please contact the BRN or make an appointment for a confidential meeting with the Nursing Program Director for guidance in this area. Admission Requirements: All students must take and pass the Test of Essential Academic Skills (TEAS ) Version V with Adjusted Individual score of 62.0%. Student must have been previously enrolled in an accredited Registered Nursing Program within the last two years. Student must have an overall GPA of 2.0 or higher. Science grades must be 2.5 overall. Licensed Vocational Nurse (LVN) must be currently working and hold a current State of California LVN License. LVN must attend a mandatory orientation in December of May to apply to the LVN-RN program. o LVN must have a minimum of one year experience or 500 hours. Submit a letter from employer on employer letterhead stating job title and start date of position. Pre-Requisite Requirements: the student must have a minimum in 4-5 Semester Units with a laboratory component of each of the following courses: Anatomy 1 Physiology 1 Microbiology 1 Overall GPA is 2.5 with only one W OR failing grade from any of the three course. All science courses must be completed prior to submitting this application. Completion of one term of Anatomy/Physiology combined course WILL NOT satisfy this requirement. Space Availability; students are placed into the full time program when space only if space is available. Students will be ranked by type of student (LVN, Advanced Standing, Re-admission), ATI scores and theory grades etc. See Ranking Information for complete listing. If student completes all testing and space is not available a waitlist will be established. All candidates accepted into the program as Advanced Standing Students will need to demonstrate theoretical and clinical competency through written and clinical performance examinations for Fundamentals of Nursing, Nursing Care of Children, Maternal Newborn Nursing, and Pharmacology assessments. A fee is charged for each exam and is the responsibility of the student. Any prospective applicant needs to understand that Chabot Colleges Advanced Standing Program has a single admission policy. If any student does not received a C or better in all the transition N70/N70L or a nursing course N88/N88L, N84 or she/he will be dismissed from the transition program and is not eligible to reapply for this program. This applicants must complete requirements and be admitted to the full time program within two years of completing the application.. Applicants must indicate a willingness to accept the nomination for the program within ten days of the date of the space available notification letter Once accepted to the full time program the student will need to: o Submit a satisfactory medical and dental examination statement on forms provided by the Chabot Nursing Program Office. o Documentation of current test for TB and immunizations. o Evidence of a current 2 year American Heart Association Health Care Provider CPR card. We do NOT accept online courses or any other type of CPR certification course. o ATI Testing Fee for the Fall semester for examinations. o Background check and drug screen fees (approximate cost is $100+) I have read and understand the preceding information. Please sign and include with application on page 3 & 4. Print Name: Chabot Student ID Number: Signature: Date: AS_LVN_App2015_final.docx Please sign and submit pages 3-6 of this Application Page 3 of 6

4 Chabot Las Positas College District Advanced Standing / LVN / Re-Admission - Last Name: Registered Nursing Program Application Chabot College Nursing Program Hesperian Blvd. Room 2273 * Hayward * California * * Step 2 - Complete and submit this application to Admission and Records: Check one Advanced Standing / LVN RN TEAS is required. Unofficial should be included with your application but an official copy must be sent directly from ATI to the Chabot Nursing Program. Mandatory Orientation Required Date Attended: TEAS Adjusted Individual Score: I am most interested in the following option: Option 1 AA Degree Option 2 30 Unit Option Option 3 Non- Degree California LVN license, please list the number and attach a copy front/back of your current license and AHA CPR card: #: License Expires: Last Name First Name Middle Maiden (Mailing) or Street Address City ST/ Zip W#: Chabot Student ID Number Address Day Phone Evening Cell Phone Name of High School/ Secondary School: Year Graduated: List all colleges and universities attended (including Chabot or Las Positas College) Name & ID Number Used Dates Attended Name of College when attending Beginning Term & Year Ending Term & Year Date Transcript Requested by you I have received (or a currently receiving) a C or higher in the following one-semester / quarter 4-5 unit courses that include a laboratory component. All courses 4 5 units with Lab included Course Title/Number College/University Grade/Term/ Year Completed Human Anatomy Human Physiology Microbiology If one of these courses has not been completed, evidence of current enrollment MUST be submitted with the application. No application will be considered if two or more courses have not been completed prior to submission. I have successfully (with a grade of C or higher ) completed the following nursing-related courses. List all that apply. Course Title Name of Program Location Term/Year Course Taken LVN Curriculum AS_LVN_App2015_final.docx Please sign and submit pages 3-6 of this Application Page 4 of 6

5 Worked as LVN 1 year or 500 hours Current Employer: Chabot Las Positas College District Advanced Standing / LVN / Re-Admission - Last Name: Registered Nursing Program Application Dates: OR RN Curriculum: Complete only if you are seeking re-admission to the Chabot College RN Program. Course Title Name of Program Location Term / Year Taken Fundamentals Medical Surgical Nursing I Medical Surgical Nursing II Medical Surgical Nursing III Obstetrical Nursing Course Title Name of Program Location Term / Year Taken Pediatric Nursing Psychiatric Nursing Gerontology Nursing Clinical Nutrition Other Health Care Program (EMT, Paramedic, Etc.) Content Location Term/ Year Taken Certificate Earned Please answer the following questions. NO Application will be considered unless each question has been answered. Falsification of any information will result in disqualification from candidacy from the program. 1. Have you ever been arrested / convicted of a misdemeanor or felony? Yes No If yes, you will need to contact the Board of Registered Nursing or make an appointment for a Confidential meeting with the Nursing Program Director for guidance in this area.) 2. Do you hold a current LVN license? Yes No 3. If yes, has the LVN license ever been suspended or revoked? Yes No If yes, you will need to contact the Board of Registered Nursing or make an appointment for a Confidential meeting with the Nursing Program Director for guidance in this area.) 4. If you hold a current California LVN license, please list the number and attach a copy front/back of your current license and AHA CPR card: #: License Expires: Suggested guidelines for schools of nursing regarding drug abuse, alcohol and emotional illness among the students of Nursing Programs: Personal and health problems involving the above a named diseases, can affect a student s academic and clinical performance. The student experiencing problems in any or all of these areas may be a danger to self and a grave danger to patients in his / her care. The California State Board of Registered Nursing recommends that students be apprised at an early point in their instruction that abuse of drugs, alcoholic beverages or other chemicals can prevent them from being licensed or can result in the loss of licensure, in addition to criminal and civil censure. Students who have these tendencies should be counseled to other professions or occupations. If you have any questions concerning this issue, contact the Board of Registered Nursing P.O. Box , Sacramento, CA or call I hereby certify that I do NOT have nor have I ever had a drug or alcohol abuse problem. Signature Date AS_LVN_App2015_final.docx Please sign and submit pages 3-6 of this Application Page 5 of 6

6 Chabot Las Positas College District Advanced Standing / LVN / Re-Admission - Last Name: Registered Nursing Program Application I have electronically submitted the Chabot College Admittance Application to Admission and Records and all OFFFICIAL transcripts from my educational history as well as with this application. I hereby acknowledge under penalty of perjury, that I have read and understand all of the information and procedures provided with this application and brochure. Further, I certify that all information I have provided is complete and accurate to the best of my knowledge. I agree to comply with all procedures required in the Chabot College Nursing Program. W PRINT FULL Name Chabot ID W# Signature Date I have included the following documentation: Checklist Copy LVN License (front/back) Copy of American Health Association CPR card (front/back) Letter from employer on letterhead stating position and hours worked Official TEAS score has been sent to Chabot, copy attached. I understand my application will not be process until all college transcripts have been received. All Transcripts are included Transcripts are on file with Chabot, Class-Web verification attached AS_LVN_App2015_final.docx Please sign and submit pages 3-6 of this Application Page 6 of 6

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