We hope you will consider this opportunity to jump start your BSN! THE CALIFORNIA STATE UNIVERSITY

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1 College of Health and Human Development School of Nursing P.O. Box 6868, Fullerton, CA 92834/92831 / T / F / Website: Dear ADN Student, Would you like to get a head start on your BSN? Cal State Fullerton s School of Nursing now offers you the opportunity to take BSN courses while enrolled in an ADN program at one of our eight partner community colleges! During summer semesters, we will offer select RN- BSN courses specifically for ADN students wanting to get started on a BSN. To be eligible to take a summer BSN course, you must meet the following criteria: Currently enrolled (in good standing) in the ADN program at one of the following community colleges: Cerritos, Chaffey, Cypress, Golden West, Mt. SAC, RCC, Saddleback or Santa Ana. Completed at least one semester of the ADN program at one of our partner community colleges listed above Have a cumulative GPA of at least a 3.0/4.0 Completed the nursing prerequisites for the RN-BSN program at CSUF which include achieving a C or better in the following college level courses: o Human Anatomy, with lab o Human Physiology, with lab o Microbiology, with lab o Chemistry (intro or general is acceptable) o Statistics (CSU B4 certified course or CSUF School of Nursing approved course) In Summer 2013, we will be offering NURS 310 Nursing Research/Evidence Based Practice. In this course, emphasis is placed on the development of nursing knowledge for the improvement of nursing outcomes. Research methods are explored and current issues are analyzed in relation to the implementation of evidence-based professional nursing practice in selected settings. This course will give you a solid understanding of Nursing Research which you will use throughout the BSN program. Enrollment in summer BSN courses will not guarantee admission into our RN-BSN program but it will give you a head start to help you be successful in the RN-BSN program once you have officially applied, met the admission criteria and been admitted in a future semester. We hope you will consider this opportunity to jump start your BSN! Sincerely, Stephanie Vaughn PhD, RN, CRRN Associate Professor, Post-Licensure Nursing Program Coordinator THE CALIFORNIA STATE UNIVERSITY Bakersfield / Channel Islands / Chico / Dominguez Hills / East Bay / Fresno / Fullerton / Humboldt / Long Beach / Los Angeles / Maritime Academy Monterey Bay / rthridge / Pomona / Sacramento / San Bernardino / San Diego / San Francisco / San Jose / San Luis Obispo / San Marcos / Sonoma / Stanislaus

2 Summer BSN Course Enrollment Instructions Step 1: Complete the 3 included forms Form 1: Associate Degree Verification Form Complete top half of Associate Degree Verification Form and submit form to home campus Nursing Department. Once your Home Campus Nursing Department has completed the Home Campus Verification box, pick up the form so you can submit it with the other required forms. Form 2: Open University Enrollment Application Complete all sections of the form as required. If you are a US Citizen, you will not need to complete section B. n-us Citizens will need to complete Section B in addition to the rest of the form. Form 3: Open University Registration Form Complete the top section of the form. Be sure to sign and initial in the Important te box. Please do NOT fill in any of the course information in the middle boxes. The CSUF School of Nursing will complete the course information boxes and obtain the necessary CSUF signatures on your behalf. Currently, Open University charges $335/unit and additional fees of $29 (this includes costs for a CSUF Student ID card). NURS 310 is a 3 unit course making the total cost to enroll in the summer BSN class $1,034. If you would like to pay by credit card, please include your credit card information in the Payment section. Payment will be processed at the time of registration (mid-may). If you would prefer to pay by check*, leave the payment box empty. Submit a check or money order made payable to CSUF for $1,034 with your forms to the CSUF School of Nursing. Step 2: Submit completed forms to CSUF School of Nursing in one of the following ways: Scan each of the completed forms and all as attachments to Fax: Fax all three forms with a cover sheet indicating Summer BSN Course Enrollment to (657) Mail to: CSUF School of Nursing Attn: Nursing Advising Office PO Box 6868 Fullerton, CA *If paying by check/money order, you must mail the three completed forms along with your check/money order to the address above. Please do not /fax forms and then send payment separately.

3 Associate Degree Verification Form Complete this form and submit to the Nursing Department at your home campus prior to the CSUF filing period (April 1 May 1). Your home campus must verify that you have completed the course prerequisites, your GPA and your ADN enrollment. Home Campus If you have previously attended Cal State Fullerton, what was the last term attended? Term Year First Name Last Name Mailing address: Phone Number ( ) address: Course planned at California State University, Fullerton: NURS 310 Evidence Based Nursing Research (3 units) I certify the information provided is accurate and that I have read and understand eligibility requirements, enrollment conditions, and procedures as stated on the back of this form. Student s signature Date HOME CAMPUS VERIFICATION certifies that this student has successfully completed the following college level courses with a C or better. Student is currently enrolled in (1 st, 2 nd, 3 rd, 4 th ) semester of ADN program. Human Anatomy w/lab Chemistry GPA: Cumulative GPA Human Physiology w/lab Statistics or Microbiology w/lab Current GPA at Home Campus Signature Date CSUF SON OFFICE USE ONLY Enrollment Approved t Approved, Reason: Signature Date Rev. 3/15/13

4 Policies and Procedures Students enrolled in a Nursing Associate s Degree Program (ADN) may enroll in designated BSN courses without formal admission to California State University, Fullerton (CSUF). Course offerings are provided through Cal State Fullerton Extended Education. Enrollment and completion of course does not guarantee admission to CSUF. To be admitted to CSUF s RN-BSN program in the future, students must follow regular application/admission procedures and deadlines which are detailed on the CSUF School of Nursing website, Enrollment is dependent on the requirements and procedures listed below. ELIGIBILITY REQUIREMENTS: A student is qualified to enroll if he or she has met all the following requirements: Currently enrolled and completed at least one semester of the Associate Degree in Nursing (ADN) program at: Cerritos College Chaffey College Cypress College Golden West College Mt. San Antonio College Riverside City College Saddleback College Santa Ana College Home campus approval and verification for course prerequisites, Grade Point Average (GPA) and current enrollment. o Prerequisite college level courses must be completed with a C or better Anatomy with Lab Physiology with Lab Microbiology with Lab Chemistry (General or Intro) Statistics (CSU B4 certified or a syllabus may be submitted to CSUF School of Nursing for evaluation.) o Home campus must verify cumulative GPA. If a cumulative GPA is not available, current GPA at home campus can be specified. o Home campus must specify the student s current term of enrollment in the ADN program. PROCEDURES: 1. Complete the top portion of the Associate Degree Verification Form. 2. The completed form should be submitted to the Nursing Department on your home campus. The Nursing Department will complete the Home Campus Verification Form. 3. Collect the signed and completed Associate Degree Verification Form from home campus and submit to Cal State Fullerton along with your CSUF Open University Enrollment Application and Open University Registration Form. FEES/FINANCIAL AID: Completed forms will only be accepted at the CSUF School of Nursing April 1 May 1, 2013 All fee and financial aid related questions for this summer course should be addressed to Cal State Fullerton Extended Education. Extended Education Contact Information Phone: Website: Rev. 3/28/13

5 Last Name First Name Open University Enrollment Application PLEASE PRINT AND COMPLETE ALL INFORMATION. For office use only Received by: Date: Last name First name Middle name CSUF Student ID or Social Security Number A. All students must complete the following section: Are you currently officially enrolled (matriculated) or authorized to enroll as a Cal State Fullerton student? Yes If yes, you are not eligible to enroll through Open University. Did you attend, for at least three years, a high school or college in which English was the principal language of instruction?...yes If no, did you bring documentation of a TOEFL score over 500 (PBT) or 61 (ibt)?..yes All applicants, regardless of citizenship, who have not attended, for a least three years, a school at the secondary level or beyond in which English was the principal language of instruction, are required to score above the minimums on the Test of English as a Foreign Language (TOEFL) Verification of the TOEFL score must be presented when registering. See for more information. Have you lived in the U.S. for the preceding three years?..yes If no, did you bring a Tuberculosis test verification?.. Yes All applicants who were born after January 1, 1957 must have proof of measles and rubella immunization, regardless of citizenship. Were you born after January1, 1957?...Yes If yes, have you been immunized against measles and rubella?. Yes Citizenship status: U.S. Citizen n-u.s. Citizen (If non-u.s. citizen, complete section B.) B. n-u.s. Citizens must complete the following section: 1. Student visa holders: University Extended Education is authorized to enroll F-1 and J-1 visa holders who can establish that they are maintaining their respective non-immigrant status with their sponsoring universities or institutions. University Extended Education does not issue form I-20 or form DS-2019; therefore, Open University students are not considered to be full-time matriculated students for immigration purposes. 2. Documents: be prepared to present the applicable documents when you register. a) Immigrant status: I-551 Alien Registration Receipt Card. b) Refugee or asylum applicant status: copy of the I-94 document. Admission. c) Other non-immigrant status: Visa type: Admission. Passport. d) Student status: F-1 or J-1 visa and your passport. You are required to have the foreign student adviser at your sponsoring university/college sign your adjunct enrollment registration form. To be completed by Designated School Official (DSO) for F-1 or J-1 Visa students only Student status: F-1 Visa, SEVIS ID# or J-1 Visa, SEVIS ID# Passport. At what university/college are you enrolled? Number of Units Authorization by the DSO at that university/college is required: Advisor s name (print or type) Advisor s signature Date Phone address C. Application Certification I certify that the information in section A and, if appropriate, section B is true and correct. Signature Date University Extended Education California State University, Fullerton

6 Last Name First Name Middle Please print clearly Open University Registration Form Semester Date (For office use only) CSUF Student ID or Social Security Birth Date (mm/dd/yy) Male Female CMS CASHNET Address Street Address City State Zip Telephone (Home) Telephone (Business) Extension Telephone (Mobile) Bio Updated PIN Open University Code: Univ./College Name: Important te! (Please READ and SIGN for below items) Only the first 24 units of credit taken through Open University enrollment may count toward a bachelor s degree. Courses taken through Open University cannot be used to fulfill any of the residence requirements (30 semester units) for a bachelor s degree. For graduate degrees, normally 6-9 units of approved credits may apply, but for degrees which require more than 30 units, more units of credit may apply. Please consult the department graduate advisor. Student Signature I meet the prerequisite(s), if any, for the classes listed below. Initials Class Number Credit Units Grade Option (*) Subject Area/ Catalog Number (1) UEE Academic Advisor Signature (2) Instructor s Signature (3) Department Stamp Date Fee (*) Grade Option: Enter 1 for letter grade; enter 2 for CR/NC; enter 3 for audited classes. Photo identification required for payment by credit card or check (payable to CSUF). Card number Expiration date (Mo./Yr.) Check one: Visa MasterCard Discover American Express Print name of cardholder Cardholder Signature (Authorization to charge) [Signature & stamp are valid for 7 days only] Disabled Student Services If you are a permanently disabled person or have a temporary disability and require assistance from the university (including parking arrangements), contact Disabled Student Services, University Hall, room 101, (657) Total Fees for Above Classes Consolidated Course Fee $25.00 Titan Card Activation Fee Late Fees (Checks not accepted for late registration) TOTAL FEES $4.00 Bill my company. (Purchase order or letter of sponsorship must accompany registration form) Please visit for parking fees and information. Semester parking permits are available for purchase online or at the Parking and Transportation office, T-1400 only. Enrollment is on a space available basis and is determined at the time of registration. Register at CSUF University Extended Education 2600 Nutwood Ave., Suite 100 Fullerton, CA Questions? Call /11

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