SEMINOLE STATE COLLEGE - NURSING DIVISION CAREER MOBILITY PROGRAM APPLICATION FORM. Legal Name First Middle Last. Address Street City State Zip

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1 SEMINOLE STATE COLLEGE - NURSING DIVISION CAREER MOBILITY PROGRAM APPLICATION FORM Legal Name First Middle Last Address Street City State Zip Telephone # Address U.S. Citizen? Yes No If No, BCIS ID# College Degrees held: Admitted to SSC: Yes No Attended classes at SSC: Yes No SSC Student ID# LPN Program: Name Address Dates attended Licensing State License # Expiration Date LPN Program ACEN accredited at time attended: Yes No Have you ever been enrolled in an RN Program? if yes, check type of program: Diploma Assoc. Degree Bachelor Degree External Degree Where: When: Have you taken the ACT? Yes No If yes, attach a copy of your results. Are you currently employed? Yes No Please attach a brief overview of current work history for last five years. K:Nursing: Application Packets: Applications for Adm Pkts: Revised May 2016 CM Application

2 I have completed or am currently enrolled in the following courses requisite to the SSC nursing curriculum. Indicate the grade received for courses completed and check those which you are currently enrolled Principles of Biology or (OPTIONAL:CHEM 1114, or 1315, or 1515 for preference points) 2214 Physiology 1213 English Comp II 2114 Human Anatomy 1483/93 U.S. History 2224 Microbiology 1113 U.S. Government 1113 English Comp I 1113 General Psychology 1513 College Algebra (OPTIONAL: for preference points) Transcripts must be submitted to validate the above information. The following items are pertinent to your application for taking the RN licensure examination upon graduation, but not for consideration for admission to the Nursing Program. Have you ever been arrested for or convicted of any offense including expunged offenses within the past five years? Yes No Have you ever had disciplinary action taken against any health-related license? Yes No Have you ever been judicially declared incompetent? Yes No If your answer to 13, 14 or 15 is yes, please submit in writing the type of action, location of action and a description of the action. You must contact the Nursing Director s Office for further instruction on this matter. (This information has implications regarding the applicant s eventual eligibility to take the RN licensure examination but does not effect admission to the Nursing Program). NOTE: Candidates for registered nurse licensure with felony convictions cannot apply for licensure for at least five years after completion of all sentencing terms, including probation and suspended sentences, unless a presidential or gubernatorial pardon is received (Oklahoma Board of Nursing, 11/04). I verify the above to be correct information. I understand that it is required that I notify the nursing division of any changes or potential changes to my records including, but not limited to the criminal background check, drug screen results, certification/license status or any other legal or medical issues that arise after my application is submitted. Signature Date I understand that applicants who are admitted to the program will be required to submit a background check and a drug screen that meet the specific requirements of the healthcare agencies where clinical learning experiences occur. Based on the results of my background check and/or drug screen, the healthcare agencies may not allow my attendance which will prevent successful completion of the Nursing Program. I also understand that any offense that is incurred while in the Nursing Program is reportable, by regulation, to the Oklahoma Board of Nursing and may result in adverse action taken on my current PN license. Signature: Date: K:Nursing: Application Packets: Applications for Adm Pkts: Revised May 2016 CM Application

3 SEMINOLE STATE COLLEGE NURSING PROGRAM LPN TO RN ADVANCED STANDING ADMISSION, APPLICATION, AND GRADUATION REQUIREMENTS I. LPN to RN Eligibility Licensed practical nurses interested in applying for admission to the SSC RN program should arrange an advising session with the director of the SSC Nursing Program. The purpose of this session is to assess the student s eligibility for LPN to RN options and to develop a curriculum plan consistent with LPN to RN admission standards and post-admission requirements.post-admission requirements are not required for admission, but are required prior to entering the program. Other important information and specific details pertaining to the admission committee, transfer of academic credit, readmissionare addressed in the SSC Nursing Program Application, Admission, and Graduation Requirements document.applicants are required to be aware of and comply with the information in that document. II. LPN to RN Admission Standards In order to use the LPN to RN Advanced Standing Option for admission to the Seminole State College Nursing Program, students must satisfy the minimum admission standards for all applicants and the following additional LPN to RN admission standards. a. Graduation from a State Board of Nursing approved School of Practical Nursing and possession of a current unencumbered, unrestricted license from the Oklahoma State Board of Nursing.Licensure documentation must be submitted with application materials prior to published application deadline. and b. Competency score of 800 or greater on SSC HESI I Competency Exam taken within the past five years (LPN to RN Option I). Exam may be taken only twice, no less than 30 days apart. Students will be granted advanced standing credit for first semester nursing courses upon successful completion of all second semester nursing courses. HESI I results documentation must be submitted with application materials prior to published application deadline. or c. Competency score of 800 or greater on SSC HESI II Competency Exam taken within the past five years (LPN to RN Option II). Exam may be taken only twice, no less than 30 days apart. Students will be granted advanced standing credit for first year nursing courses upon successful completion of all third semester nursing courses. HESI II results documentation must be submitted with application materials prior to published application deadline. III. Application Procedure Applicants admitted through Option I begin NURS courses during the spring semester. To apply for admission through LPN to RN Option I, applicants are required to submit the documents below to the 1 of 3 Revised: May, 2016

4 Nursing Office no later than October 15 th of each year. Applicants admitted through Option II begin NURS courses during the fall semester. To apply for admission through LPN to RN Option II, applicants are required to submit the listed documents to the Nursing Office no later than March 31 st of each year. For best consideration students are urged to apply as early as possible during the current academic year rather than waiting for the deadline. This includes students who have not yet met the minimum admission standards. This greatly facilitates nursing faculty being able to advise applicants during the year prior to their planned entrance in the program. a. properly completed Application for Admission to the Nursing Program b. copy of updated college transcript(s) including SSC transcript c. copy of composite, math, and reading ACT scores d. copy of Oklahoma Board of Nursing LPN license e. documentation of relevant HESI test scores Students will be notified when their application materials have been received and their application file has been established. During that notification discussion, students will be informed if they meet the minimum qualifications to advance to candidacy. Students who do not meet the admission standards have the option to submit updated materials in support of advancing to candidacy. The deadline for updating application files is October 15 th for Option I applicants and March 31 st for Option II applicants. IV. Admissions Procedure Applicants who meet minimum LPN to RN admission standards and who have submitted a properly completed Application for Admission to the Nursing Program, up-to-date college transcript(s), a copy of composite, math, and reading ACT scores, a copy LPN license, and documentation of HESI test score(s)prior to the application deadline will be considered candidates for admission by the Admission Committee. Following the selection of candidates for fall admission, each candidate will be notified in writing of his/her admission status by the nursing Program Director.It is imperative that candidates keep their application file in the Nursing Office current by submitting updates to address and contact information as changes occur. Any candidateor applicant not selected for admission is encouraged to meet with the Program Director and/or nursing faculty for advisement and continued planning for possible future admission to the program. In the event the admissions quota is not met after the stated deadline, there may be additional admissions meetings following the initial admission selections to consider admitting additional candidates. Students are encouraged to keep the information in their file current with updated contact information, address, address, transcripts, and test scores. V. LPN to RN Post-Admission Requirements Before entering the nursing program and beginning NURS courses via an LPN to RN advanced standing option, students must satisfy the following requirements. These requirements may be completed before or after formal admission to the program. a. Complete with a grade of C or better the following technical-occupational support courses required for the nursing degree: Principles of Biology or Introduction to Chemistry Human Physiology Human Anatomy Microbiology (Required for Options I and II) (Required for Options I and II) (Required for Option II) (Required for Option II) 2 of 3 Revised: May, 2016

5 and b. Complete with a grade of C or better the following LPN to RN bridging course: and Bridging to Associate Degree in Nursing c. Applicants admitted to the Program must complete the student health screening form prior to entering the program. Nursing faculty reserve the right to deny matriculation into clinical nursing courses, should the student s health impinge on the safety of the student and/or patients. Such a decision would be a joint deliberation of college administration, the nursing faculty, the student involved, and the student s health care provider. Applicants who are admitted to the program will be required to submit a background check and submit to a drug screen which meet the specific requirements of the healthcare agencies where clinical learning experiences occur. and d. Once admitted to the Program, students will be required to complete CPR Certification (American Heart Association: Basic Life Support for Healthcare Providers) courses and provide verification of certification prior to entering NURS 1616 Survey of Human Dimensions. Contact the Nursing Office for information regarding where certification may be obtained. These certifications are not a requirement to be considered for admission, but must be completed prior to entering the Nursing Program. American Red Cross certification will not be accepted. VI. Graduation Requirements In order to graduate from Seminole State College with an Associate in Applied Science in Nursing degree, and therefore be eligible to take the National Council Licensing Examination for Registered Nursing (NCLEX-RN), the student must meet the following graduation requirements: 1. All financial obligations to the college must be paid. 2. The student's overall grade point average must be 2.0 or higher. 3. All courses in the entire nursing curriculum must be completed with at least a C grade, which also requires passing clinical labs with a satisfactory grade. 4. Students are responsible for applying for degrees and licensing examinations within the deadlines set by the College and Oklahoma State Board of Nursing. 5. The student must meet any other requirements for graduation set by the College. 3 of 3 Revised: May, 2016

6 SEMINOLE STATE COLLEGE - NURSING DIVISION ESTIMATED COSTS OF SSC NURSING PROGRAM* Tuition* - $ (in-state) x 72 hrs. $9, Lab Fee - 6 courses x $ Nursing Fee - $40 x 40 credit hours 1,600 Electronic Access Fee - $10 x 9 courses 90 (Tuition & Fees are subject to change annually, check with Business Office for current cost). Books/Lab Supplies* (SSC Bookstore) $3,700** NOTE: The majority of required text are purchased at the beginning of the Program (approximately $1,000.). ATI Fee (SSC Bookstore) $1,000 ($250 per semester) Uniforms (need 2-3 sets) $150 (estimate) Class Fee $100 ($25 per semester) CPR $75**** (2 year card) Portal Fee (Hospital Clinical Fee) $40 ($20 per year) Mailbox Key $3 National Student Nurses' Association Dues $68 Local Student Nurses' Association Dues $100 Malpractice Insurance $30 ($15 per year) Background Checks $45 Drug Screen $40 Fees for Licensure exam (after graduation) $350 Travel $1,600*** Immunizations Varies Nursing Pin $30 Lamps for pinning ceremony $23 Cap & Gown $35 Total (all 4 semesters of program) $18, *These cost estimates are for the entire seventy two credit hour nursing curriculum. If the student has already completed non-nursing courses, e.g. American History, Government, Psychology, etc., cost for tuition and books will be less. To determine approximate costs per year, these figures may be divided by two or three depending on # of years attending. ***Based on estimated miles to clinical lab sites at.25/mile. Travel expenses would vary for the student depending upon distance traveled to SSC and the site of his/her assigned clinical laboratory. Travel to clinical is the responsibility of the individual student. ****CPR Fees vary between providers ($45-$75) 2 year card. Revised: 2/18/16 K:NURSING: APPLICATION PACKETS:TRADITIONAL:ADMSNS07 EST COST PROG

7 SEMINOLE STATE COLLEGE - NURSING DIVISION DEGREE REQUIREMENTS: ASSOCIATE IN APPLIED SCIENCE IN NURSING CAREER MOBILITY PROGRAM - OPTION #1 FOR CANDIDATES ENTERING SPRING Courses Class Clinical Credit Hours First Year - Summer Semester *BIOL 1214 Principles of Biology 4 4 ENG 1113 English Comp I 3 3 PSY 1113 General Psychology 3 3 Total Summer Hours 10 First Year - Fall Semester *BIOL 2214 Physiology 4 4 ENG 1213 English Comp II 3 3 GOV 1113 American Government 3 3 Total Fall Hours 10 First Year Winter Intersession NURS 2301 Special Projects in Nursing 1 1 Total Winter Intersession Hours 1 First Year - Spring Semester **ANAT 2114 Human Anatomy 4 4 NURS 1528 Nursing Across the Lifespan NURS 1421 Health Deviations I Total Spring Hours 13 Second Year Summer Semester BIOL 2224 Microbiology 4 4 Total Summer Hours 4 Second Year - Fall Semester NURS 2519 Nursing Care in Health Disruption NURS 2521 Health Deviations II Total Fall Hours 10 Second Year/Spring Semester NURS 2529 Nurs. Care in Health Maint. & Promotion NURS 2531 Health Deviations III HIST 1483or American History 3 3 NURS 2623 Nursing Capstone Total Spring Hours 16 Advanced standing for the following courses may be obtained by: 1) satisfactory performance in NURS 1512; or 2) graduation from an ACEN accredited PN Program. (See Standards of Admission for Career Mobility Students.). Nursing hours, Nursing hours, for a total of 8 advanced standing hours. * Principles of Biology and Physiology must be completed prior to the First Year, Spring Semester Nursing Courses. Students who 1) earn a C or better in Principles of Biology; and 2) are declared as a health-related major; and 3) have an active application on file to the SSC Nursing Program may enroll in BIOL 2114, Human Anatomy, and BIOL 2214, Physiology. ** Anatomy must be completed prior to Second Year, Fall Semester Nursing Courses. ## Electives must be approved by the Division Chair of Nursing. There are 72 semester credit hours required for the Associate in Applied Science in Nursing Degree for Career Mobility Students in Option #1. Updated 12/14/15 K:NURSING:APPLICATION PACKETS:CAREER MOBILITY:ADM00105.DegRequir.Opt#1.Opt#2

8 SEMINOLE STATE COLLEGE - NURSING DIVISION DEGREE REQUIREMENTS: ASSOCIATE IN APPLIED SCIENCE IN NURSING CAREER MOBILITY PROGRAM - OPTION # 2 FOR CANDIDATES ENTERING FALL Courses First Year - Summer Semester Class Clinical Credit Hours *BIOL 1214 Principles of Biology 4 4 ENG 1113 English Comp I 3 3 Total Summer Hours 7 First Year - Fall Semester *BIOL 2214 Physiology 4 4 ENG 1213 English Comp. II 3 3 PSY 1113 General Psychology 3 3 GOV 1113 American Government 3 3 Total Fall Hours 13 First Year - Spring Semester *BIOL 2114 Human Anatomy 4 4 Total Spring Hours 4 First Year - Intersession NURS 1513 Intro. to Associate Degree Nursing 3 3 Total Intersession Hours 3 Second Year - Summer Semester BIOL 2224 Microbiology 4 4 Total Summer Hours 4 Second Year - Fall Semester NURS 2519 Nursing Care in Health Disruption NURS 2521 Health Deviations II Total Fall Hours 10 Second Year - Spring Semester NURS 2529 Nurs. Care in Health Maint. & Prom NURS 2531 Health Deviations III HIST 1483or1493 American History 3 3 NURS 2623 Nursing Capstone Total Spring Hours 16 Advanced standing for the following courses may be obtained by: 1) satisfactory performance on the identified challenge examinations; or 2) graduation from an ACEN accredited PN Program. (See Standards of Admission for Career Mobility Students.). Nursing hours, Nursing hours, Nursing hours, Nursing hour, for a total of 17 hours. *Principles of Biology, Anatomy, and Physiology must be completed prior to the Second Year, Fall Semester Nursing Courses. Students who 1) earn a C or better in Principles of Biology; and 2) are declared as a health-related major; and 3) have an active application on file to the SSC Nursing Program may enroll in BIOL 2114, Human Anatomy, and BIOL 2214, Physiology. ## Electives must be approved by the Division Chair of Nursing. There are 72 semester credit hours required for the Associate in Applied Science in Nursing Degree for Career Mobility Students in Option #2. Updated 12/14/15 K:NURSING:APPLICATION PACKETS:CAREER MOBILITY:ADM00105.DegRequir.Opt#1.Opt#2

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