Doctorate of Nursing Practice Application Instructions

Transcription

1 Doctorate of Nursing Practice Application Instructions Applicants to the Nell Hodgson Woodruff School of Nursing at Emory University are considered for admission on an individual basis. The Admission Committee will review an applicant s file when all materials have been received by the Office of Enrollment and Student Affairs. Applicants are encouraged to submit self-managed applications: collecting all required materials, including sealed official transcripts and sealed letters of recommendation, and submitting them in a single envelope will expedite the processing and review of an applicant s file. Applicants may contact the Office of Enrollment and Student Affairs at any time during the application process with questions or concerns. They may also view the status of their applications by accessing OPUS, which is the Emory online student information system. Instructions on how to use this system will be sent to each applicant once the application form and fee have been received. APPLICATION DEADLINE - Priority application deadline: March 1, We will begin reviewing fall 2014 applications on March 1 and will continue until the program is full. - Applications received after the priority deadline will continue to be reviewed on a space-available basis. APPLICATION PROCEDURES All Doctorate of Nursing Practice (DNP) applicants must submit: - A complete School of Nursing DNP application form. The Office of Enrollment and Student Affairs will acknowledge receipt of other materials once this form has been received. - A $75 application fee in the form of a check or money order made payable to Emory University. This fee is nonrefundable and is not applied towards tuition and registration fees. The application fee is waived for those applicants who are current employees of Emory University or Emory Healthcare. - All applicants must provide three letters of recommendation from clinical, academic or professional sources. Letters of recommendation should be mailed directly to the Office of Enrollment and Student Affairs by the recommender or provided with the applicant s application materials in a sealed envelope with a signature across the back flap. Please mail to: Emory University School of Nursing, 1520 Clifton Road, Atlanta, GA A statement of purpose focused on leadership, transformation of healthcare and implications for health policy. The statement of purpose is an important part of the application process. Additional information on the statement of purpose can be found on the application form. - Resume and/or CV including work experience, community service, leadership roles and research opportunities. - Official transcripts from each college or university attended, regardless of whether or not a degree was conferred, including a college transcript indicating completion of a BSN and/or MSN degree from a school accredited by the National League for Nursing or the Commission on Collegiate Nursing Education. Transcripts received become property of the School of Nursing and can neither be given to the applicant nor transferred to another institution. The Office of Enrollment and Student Affairs must receive transcripts in an unopened envelope bearing the registrar s official seal. - Applicants may be required to interview with a designated faculty member once all other application materials have been received by the Office of Enrollment and Student Affairs. Skype and phone interviews are available. - Applicants must submit official scores on either the Graduate Record Examination (GRE) or Millers Analogies Test (MAT) that are no more than five years old. The GRE institutional code for Emory University is 5187 and the department code for the School of Nursing is International applicants must also submit: - Request official scores on the Test of English as a Foreign Language (TOEFL) to be sent to the institution code 5187 (Emory University). This requirement is for non-native speakers of English only. - Request an official CGFNS credentials evaluation to be sent to the School of Nursing (only for internationally trained nurses). - Submit a photocopy of green card or other paperwork indicating current immigration status. It is each applicant s responsibility to allow ample time for application materials to be compiled and sent through the mail and to make certain that all materials arrive by the priority deadline for admission. The Nell Hodgson Woodruff School of Nursing cannot assume

2 responsibility for delays that occur before the materials are received by the Office of Enrollment and Student Affairs. The Office of Enrollment and Student Affairs will send the only official notification of the admission decision to the applicant.

3 Doctorate of Nursing Practice Application PERSONAL INFORMATION- Please type or print Name Last Name First Name Middle Name Preferred Name SSN (not required) Home Phone Number Cell Phone Number Address Date of Birth Month Day Year Other Name(s) under which documents might be received Place of Birth Country of Citizenship City State Citizenship Status: US Citizen Nonimmigrant alien (Visa type ) Permanent resident alien Refugee Asylee Other (please explain) Will you be requesting a visa? Yes (if so, which type? ) No Do you currently hold a visa? Yes (if so, which type? ) No Is English your first language? Yes No (if no, what language? ) Language of college instruction (if not English) STATISTICAL INFORMATION The following information is voluntary and refusal to provide it will not result in any adverse treatment. It will be kept confidential and will be used only in accordance with Title IV of Civil Rights Act of Marital Status: Single Married Divorced Gender: Male Female Unknown Ethnicity: Are you Hispanic/Latino? Yes No If yes, please describe your background American Indian/Alaska Native Asian Black Not Specified/Unknown Native Hawaiian/Other Pacific Islander White Other Religious Preference

4 PROGRAM INFORMATION Expected Entry Term: Fall Have you previously applied to the School of Nursing? Yes (semester year ) No Intended Degree Program Health Systems Leadership Population Health For applicants interested in the population health track, a graduate level course on community or public health is highly recommended. EDUCATIONAL BACKGROUND List in chronological order all colleges or universities that you have attended including all schools you are currently attending, regardless of dates or academic performance or if the credit appears on another institutions transcript. List additional schools on a separate page if necessary. College Name Location Attendance Degree Granted/Expected Date Received/Expected From: mm/yy- To: mm/yy TEST SCORES Please provide the following information regarding your GRE or MAT test scores. Official scores are required to complete the application. GRE: Date Taken Verbal Score Quantitative Score Analytic Score MAT: Date Taken Raw Score Percentage Score (Major) RN LICENSURE Percentage Score (Individual.) Date of initial licensure / / Are you licensed in Georgia? Yes No Have you ever had an RN license suspended, place on probation or revoked? Yes No If yes, please attach a statement explaining the circumstances. Do you hold RN licensure in any other states? If so, which one(s)? LETTERS OF RECOMMENDATION Please list three persons from whom you will request letters of recommendation. Letters may be from clinical, academic, and/or professional references. Name Title Phone Number Type 1. Clinical Academic Professional 2. Clinical Academic Professional 3. Clinical Academic Professional

5 STATEMENT OF PURPOSE Please submit a typed double spaced essay, not to exceed two pages in length, focused on leadership, transformation of healthcare and implications for health policy. Your response will be regarded as confidential and you are encouraged to elaborate in each area thoroughly and openly. The essay is an important part of the application process. The Admission Committee members read it for content, grammar and spelling. It should reflect your own writing ability and interest in nursing. RESUME/CV Please submit a typed resume and/or CV detailing your employment history, publications, as well as activities and honors. I ATTEST THAT EVERYTHING IN THE STATEMENT OF PURPOSE AND RESUME/CV ARE TRUE AND WRITTEN BY ME. Please sign FAMILY INFORMATION Father Living Deceased Name State of Residence Occupation Employer College(s) attended and highest degree earned Mother Living Deceased Name State of Residence Occupation Employer College(s) attended and highest degree earned Spouse, Guardian or Life Partner Name State of Residence Occupation Employer College(s) attended and highest degree earned

6 Please list the names, relationship to you and years of attendance of any family members who have been students at Emory University. Name Relationship to You Year(s) of Attendance Do you have court convictions other than traffic violations? Yes No If yes, please attach a statement explaining the circumstances. To the best of my knowledge, the information in this application is complete, true and correct. I understand that falsification or purposeful misrepresentation of my qualifications may result in the denial of my admission application. I agree that if admitted to the Nell Hodgson Woodruff School of Nursing at Emory University, I will, during such time as I may be enrolled as a student, abide by all the rules, regulations, practices and policies of Emory University as they may be at the time of my admission or as they may be changed during my continuance as a student. I further agree to pay any fines or assessments that may be made against me for violation of campus traffic or safety rules, including parking, and for such charges to be added to my tuition and rent statements from Emory University. Signature Date The Doctorate of Nursing Practice (DNP) program at the Nell Hodgson Woodruff School of Nursing is in the final stages of accreditation from the Southern Association of Colleges and Schools (SACS). Admission decisions will be released to applicants once final SACS approval has been obtained. Emory University does not discriminate in admissions, education program or employment on the basis of race, color, religion, sex, sexual orientation, national origin, age, disability or veteran/reserve/national Guard status and prohibits such discrimination by its students, faculty and staff. Students, faculty and staff are assured of participation in University programs and in the use of facilities without such discrimination. The University also complies with all applicable federal and Georgia statutes and regulations prohibiting unlawful discrimination. All members of the student body, faculty and staff are expected to assist in making this policy valid in fact. Inquiries and complaints should be directed to the Equal Opportunity Programs Office, Emory University, Administration Building, Atlanta, Georgia PLEASE SEND ALL APPLICATION MATERIALS TO: The Office of Enrollment and Student Affairs, Emory University School of Nursing, ATTN: DNP Program Application, 1520 Clifton Road, Atlanta, GA revised 02/17/2014