Application For Associate Degree Nursing Program

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1 1 Application For Associate Degree Nursing Program

2 2 Florence Darlington Technical College Department of Nursing Associate Degree Nursing Program Application Requirements & Instructions This letter contains vital information and instructions that the applicant must implement completely in order to be eligible for consideration for admission to a Nursing Program. Pre-Application Requirements: Complete a Florence-Darlington College Admission Application Attend a Nursing Career Talk Take the TEAS Test and make a score of Proficient or above. Application for the Nursing Program (may only be submitted on Business Days in September 2015): Limit the Admission application to only one nursing program during a given application period. First, please print the Application for Admission to the Nursing Program on standard white printing paper. Completely fill out the Application once all of the instructions have been read and all of the information requested has been provided. Be sure to keep a copy for your records. The Application then must be returned in person by the applicant to the HSC Administrative Assistant (Ms. Evans), Room 362 in the Health Science Campus (HSC) at 320 West Cheves Street. Applications are accepted beginning on the first business day in September, between the hours of 8:00 a.m.-12:45 p.m and 2:15 p.m-4:00 p.m (M-Th) and 8:00 a.m.-11:00 a.m. (F). The Application deadline is the last business day in March, no later than 4:00 p.m. High School Diploma/GED/Transcripts: An official copy of the applicant s high school transcript/ged and official transcripts from all colleges or universities previously attended must be received in the Registrar s Office by the last business day of the application period deadline. High school credentials are required unless the applicant has earned 12 college credits or received an Associate in Arts/Science or Bachelor s degree or higher from a regionally accredited institution. DO NOT BRING OFFICIAL TRANSCRIPT(S) TO THE NURSING DEPARTMENT. ***PLEASE NOTE THAT IT IS THE APPLICANT S RESPONSIBILITY TO ENSURE THAT ALL DOCUMENTS ARE PROVIDED TO THE SCHOOL BY THE APPLICATION DEADLINE. DOCUMENTS RECEIVED AFTER THE APPLICATION DEADLINE WILL NOT BE CONSIDERED IN THIS APPLICATION SELECTION PROCESS.

3 Previous Nursing School Enrollment: If you have been enrolled previously at any nursing school taking NUR/PHM courses, you must disclose this during the application process AND submit official transcripts to FDTC from the college or university. If you were unsuccessful, there is a 2 year waiting period beginning with the last NUR/PHM course at the school taken. Attended a Previous nursing school taking NUR/PHM courses Yes No If yes, what Nursing School? Transcript sent? Successful: Yes No Admission Period: Fall Enrollment September 1 September 30 (Business Days Only: Monday-Thursday 8am- 12:45pm, 2:15pm-4:00pm and Friday 8am-11am) Campus Location: 320 West Cheves Street, Rm. 326, Florence, SC Nursing Career Talk (Mandatory) Career Talk must be current (valid 2 years of application period) to be eligible to apply. Date Attended: TEAS Score: Name: (Last) (First) (Middle) Any Former Names: Student ID Number: If mailing address is PO Box, you must also provide a home (street) address. Mailing Address: Home Address: City: County: State: ZIP Code: County of residence: (*Proof of residence required) Home Telephone Number: ( ) Work or Cell (specify): ( ) Address: *Proof of residence: Electric, water, gas, or telephone bill, bank statement, car registration, real estate tax property receipt, and rental agreements on business letterhead may be used as proof of residence. Bills must include the home address of the applicant, parent, or legal guardian. If the bill is in the same name of the legal guardian, it must be accompanied by guardianship papers signed by a judge. A driver s license or check will not be accepted as proof of residence. The following criteria must be met prior to submitting weighted admission form. Please check all that apply. Must complete the application process to FDTC and have received an acceptance letter from admission. Must have official transcripts from other colleges evaluated by FDTC Registrar office. Do not attach official transcripts to this form. Current major coded by college as AS.AS.NUR and verify that course/grades can be viewed in Web Advisor. Must have completed TEAS exam with a score of Proficient or higher. Attach a copy of one current certificate/licensure (CNA, medical assisting).

4 4 List the courses taken with the requested information below: (Count ONLY those courses earned with a grade C or better.) Course Taken Credit hours College/University Where Course Was Taken* Semester/ Year Letter Grade Course Transferred in Course Taken BIO Yes No BIO Yes No BIO Yes No MAT Yes No ENG Yes No PSY Yes No Humanities Elective 3 or 4 Yes No *Note: Transfer grades/credits may lower your program GPA. Background Checks and Drug Screening: Applicants are to be advised that due to specific contract requirements by the clinical agencies used for clinical by the Nursing Program, background checks and drug screenings are part of the admission and retention process. The background check/drug screening will be completed once the applicant has been accepted to the nursing program. Applicants with specific conviction histories or positive drug screenings may ultimately not be accepted into the Associated Degree Nursing Program. Positive background checks will be sent to the clinical agencies, without identifying information, for their decision whether or not to allow the applicant to perform patient care in their institution. One agency denial is considered a denial from all agencies; therefore, the applicant cannot be admitted to the nursing program. A student with a positive drug screen is not eligible for admission to the nursing program. Specific convictions or positive drug screens occurring after full admission and matriculation in the program will be addressed per Nursing Department policy, including dismissal. Florence-Darlington Technical College is an equal opportunity institution and Florence-Darlington Technical College does not discriminate on the basis of race, color, religion, national or ethnic origin, creed, marital status, veteran status, disability, sex, or age in its admission policies, programs, activities or employment practices. Return weighted admission form and attachments to: Ms. Debra Evan FDTC/Health Sciences Campus/ Room 362. **Candidates will be notified by mail of acceptance/denial approximately 8 weeks following weighted admission period deadline.

5 5 FDTC Nursing Department Associate Degree Nursing Program Weighted Admission Form NAME of Student Area Criteria Points Program GPA (2 decimal places without rounding) 4.00 = 6 points Must be a 2.5 or higher to qualify for admission = 5 points = 4 points = 3 points 2.50= 2 points TEAS- Must have a Proficient or higher to quality Exemplary= 6 points for admission. Advanced= 5 points Completion of Co-requisites (BIO 210, MAT 110, ENG 101, PSY 201, BIO 211, BIO 225, and a Humanities course) BIO Location- Taken at FDTC or Transferred In (BIO 210, BIO 211, and BIO 225) BIO courses must be within 5 years of the current application period to quality for admission. Proficient = 4 points 7 Co-requisites= 6 points 6 Co-requisites= 5 points 5 Co-requisites= 4 points 4 Co-requisites= 3 points <4 Co-requisites= 2 points All 3 BIOs taken at FDTC or 4 year state university= 8 points 2 BIOs taken at FDTC or 4 year state university= 6 points 1 BIO taken at FDTC or 4 year state university= 2 points All Transferred= 1 points BIO and MAT Grades (BIO 210, BIO 211, BIO 225, and MAT 110) Average of GPA of these course grades. Degrees/Certificates Degrees/certificates must be conferred/completed to receive these points. Service Area (Residence in Florence, Darlington, or Marion County) 4.00 = 6 points = 5 points = 4 points = 3 points 2.50= 2 points Bachelor s Degree= 6 points Associate in Science= 4 points CNA Certificate= 3 points Med. Assisting Cert. = 3 points None of the above= 0 points Within Service Area=6 points Out of service area= 3 points Total Weighted Admission Points

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