Practical Nursing Process & Application Documentation

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1 Medical Professional Institute 380 Pleasant Street Malden, MA (781) Practical Nursing Process & Application Documentation Thank you for your interest in pursuing an education through Medical Professional Institute (MPI). Our Practical Nurse training will have you ready for your career in as little as one year! Anyone wishing to start MPI s Practical Nursing program must follow a series of steps before enrolling. Prospective students must first pass a Pre-Application Assessment test. Once the Pre-Application Assessment Test is passed students will be eligible to take the Test of Essential Academic Skills (TEAS). The TEAS is a 4 hour test on the subjects of Reading, Math, English, and Science. Passing scores will be given by each person s respective Admissions Counselor. The TEAS costs $60 per test. Once the TEAS has been passed with the acceptable scores prospects will be given an application packet. To be prepared the documents that will be needed include, but are not limited to: High School Diploma or GED with Transcripts A valid high school diploma and transcripts are required for anyone who plans to attend classes at MPI. If an applicant has attended high school in a different country they must have an equivalency evaluation done of their diploma through the Center for Education Documentation (CED). Online high school diplomas are not valid. Anyone who has an invalid diploma or no diploma at all must complete the General Education Development (GED) test. *NOTE: MPI must have proof of a high school graduation date. College diplomas are not valid and will not be accepted. College Transcripts If an applicant has attended any higher education MPI requires an official copy of all transcripts from all schools no matter what the courses or grades. Any dishonesty of prior education will result in revocation of applicant. Copy of TEAS Report If the TEAS test is taken at MPI a copy will already be saved. The TEAS can be taken at other locations so long as it covers all four (4) subjects of Reading, Math, English, and Science. It must also have been taken within one calendar year, it must be Version 5, and must be taken on a computer. A copy of results must be presented to an Admissions Counselor for review. If the scores are accepted the test would not have to be done again. Updated Résumé Anyone wishing to enter the school must present an updated résumé. Proof of Health Insurance All students of the Practical Nursing program must have current health insurance. A copy of a health insurance card must be presented to the Admissions Counselor. If a card has not yet arrived an Admissions Counselor may accept a letter stating that a healthcare policy has been purchased with the policy and card number. The card must be presented before orientation. Current CPR Certification and First Aid for Healthcare Providers Must provide proof of current First Aid certification and Cardiopulmonary Resuscitation (CPR) certification throughout the entire program American Heart Association (AHA) Health Care Provider or Red Cross Rescuer (If the applicant is taking the course(s) at MPI, proof of registration for the course(s) and payment are required with the application packet. If accepted to the program, the student must take and pass the course(s) prior to starting the clinical portion of the first semester.

2 Completed Physical Examination and Immunization Record Form Attached is a Report of Physical Examination and Immunization Record Form. This form is to be fully completed by each prospective student s primary care physician before class orientation. Print the form and bring it to your doctor. In order to start classes this form must be handed in no later than the given date of orientation. Transfer Request Form The attached Transfer Request Form is for students wishing to transfer in courses from other schools. Currently MPI will accept Anatomy & Physiology 1 & 2 (Both must be completed), Human Growth & Development, and/or Microbiology. Courses need to have been taken within four (4) years with a grade of a B or higher. Anything less will not be accepted. Three (3) Letters of Reference Attached are 3 reference forms meant to be given out to appropriate references. References cannot include any friend or family members. One form must be given to each reference and they must fill it out themselves. References will be checked once they are passed in. Reference forms must be put into white envelopes and the reference must put their signature across the envelope seal. Failure to follow these rules will make a reference form invalid.

3 MEDICAL PROFESSIONAL INSTITUTE - PRACTICAL NURSING PROGRAM REFERENCE FORM (1) This section to be completed by the applicant: Applicant s Last Name Applicant s First Name: Name of Evaluator/Reference: Affiliation: Under the provisions of the Family Educational Rights and Privacy Act of 1974, I waive my right of access to this reference form; Medical Professional Institute may consider it confidential. Signature of Applicant This section to be completed by the evaluator: The applicant named above has applied for admissions to the Practical Nursing program at Medical Professional Institute and has listed you as a reference. Please complete this form and send it back to the applicant in a sealed and signed envelope. We assure you that any information given to us will be held in the strictest confidentiality. Thank you for your assistance. How long and in what capacity have you known this applicant? Please carefully assess the applicant in the following areas: Dependability and Reliability Flexibility Initiative Leadership Motivation Oral Communication Skills Written Communication Skills Interpersonal Skills Professionalism and Work Ethics Judgment and Critical Thinking Emotional Maturity General Academic Ability Excellent Very Good Good Fair Poor Unable to Evaluate Strengths: Weakness: Would you recommend this applicant for this program? Yes No If No Why? Please feel free to use the reverse side for any additional comments. Name of Reference: Title: Signature: :

4 MEDICAL PROFESSIONAL INSTITUTE - PRACTICAL NURSING PROGRAM REFERENCE FORM (2) This section to be completed by the applicant: Applicant s Last Name Applicant s First Name: Name of Evaluator/Reference: Affiliation: Under the provisions of the Family Educational Rights and Privacy Act of 1974, I waive my right of access to this reference form; Medical Professional Institute may consider it confidential. Signature of Applicant This section to be completed by the evaluator: The applicant named above has applied for admissions to the Practical Nursing program at Medical Professional Institute and has listed you as a reference. Please complete this form and send it back to the applicant in a sealed and signed envelope. We assure you that any information given to us will be held in the strictest confidentiality. Thank you for your assistance. How long and in what capacity have you known this applicant? Please carefully assess the applicant in the following areas: Dependability and Reliability Flexibility Initiative Leadership Motivation Oral Communication Skills Written Communication Skills Interpersonal Skills Professionalism and Work Ethics Judgment and Critical Thinking Emotional Maturity General Academic Ability Excellent Very Good Good Fair Poor Unable to Evaluate Strengths: Weakness: Would you recommend this applicant for this program? Yes No If No Why? Please feel free to use the reverse side for any additional comments. Name of Reference: Title: Signature: :

5 MEDICAL PROFESSIONAL INSTITUTE - PRACTICAL NURSING PROGRAM REFERENCE FORM (3) This section to be completed by the applicant: Applicant s Last Name Applicant s First Name: Name of Evaluator/Reference: Affiliation: Under the provisions of the Family Educational Rights and Privacy Act of 1974, I waive my right of access to this reference form; Medical Professional Institute may consider it confidential. Signature of Applicant This section to be completed by the evaluator: The applicant named above has applied for admissions to the Practical Nursing program at Medical Professional Institute and has listed you as a reference. Please complete this form and send it back to the applicant in a sealed and signed envelope. We assure you that any information given to us will be held in the strictest confidentiality. Thank you for your assistance. How long and in what capacity have you known this applicant? Please carefully assess the applicant in the following areas: Dependability and Reliability Flexibility Initiative Leadership Motivation Oral Communication Skills Written Communication Skills Interpersonal Skills Professionalism and Work Ethics Judgment and Critical Thinking Emotional Maturity General Academic Ability Excellent Very Good Good Fair Poor Unable to Evaluate Strengths: Weakness: Would you recommend this applicant for this program? Yes No If No Why? Please feel free to use the reverse side for any additional comments. Name of Reference: Title: Signature: :

6

7 Medical Professional Institute Education for the Real World Transfer Request Form Phone: (781) Fax: (781) Website: Pleasant Street Suite 13 Malden, MA Students may request a transfer of credit for courses taken at another institution. MPI will review completed Transfer Request Forms with the required documents only and return incomplete requests to the student either by postal mail or in person. To receive a Transfer Request Form, the student should contact the Admissions Department. A student enrolling into a program at MPI may submit the following for transfer consideration: completed Transfer Request Form and official transcript(s). The completed form and official transcript(s) must be submitted to the Admissions Department prior to the start date of the program and before attending a financial planning appointment. MPI may request more documentation from the student, if necessary. Courses taken at another institution must be the equivalent of the course(s) offered at MPI and must have been taken at a college or university accredited by an agency recognized by the United States Department of Education (USDE) or the Council for Higher Education Accreditation (CHEA). The course(s) for transfer consideration must have been taken within four (4) years prior to the intended start date of the program. For Allied Health program courses, MPI will consider courses taken from an institution as stated above that the student received a grade of C or better. For Practical Nursing program courses, MPI will consider courses taken from an institution as stated above that the student received a grade of B or better. For the Practical Nursing Program, MPI will allow the transfer of the following courses from another institution: Anatomy & Physiology I & II, Human Growth & Development, and/or Microbiology. Transfer of courses taken at other institutions must first be approved by one of the following: The Director of Education, The Director of Nursing, or other administrative staff members qualified to do so. The student will be notified of the approval or denial of the transfer of credit request by postal mail, , or in person. The student will receive credit for the transferred course, but the grade will not be calculated into the student s GPA. The student must agree to or deny the transfer of the courses accepted by MPI by signing this form. Students will not receive a tuition waiver for courses accepted as transferred. Please print clearly. Name: Address: Address: : Phone: Course 1 Course 2 Course 3 Course Title Textbook(s) Used for Course Prerequisites (if any) Required for the Course Approval/Denial by MPI Approved Denied Approved l Denied Approved llll Denied Reason for Denial (if applicable) MPI Director/Administrative Staff Member Signature Printed Name of MPI Director/Administrative Staff Member Provided to Student: Handed ed Mailed

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