SAMPLE. master of nursing program. (for pre-licensure applicants only) 2008 Application. explore, engage, excel!

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1 master of nursing program (for pre-licensure applicants only) 2008 Application explore, engage, excel! This program is designed for individuals who have bachelor s degree in a field other than nursing and want to become a registered nurse.

2 program information The Master of Nursing Program The School of Nursing offers a graduate-level pre-licensure program for people who have a 4-year baccalaureate degree in another field and wish to become nurses. After 16 continuous months of intensive study, graduates receive a master of nursing degree (MN) that allows them to take the National Certification Licensure Examination (NCLEX) to become registered nurses. This is a full-time, day school program. This program provides an excellent foundation for either the Ph.D. with a major in nursing or the Doctor of Nursing Practice Degree (DNP) at the School of Nursing Program Tuition For current information about tuition and fees, see U of M One Stop Web site at Financial Aid For information on financial aid, contact the Office of Student Finance University of Minnesota, 200 Fraser Hall, 106 Pleasant Street S.E., Minneapolis, MN Telephone: , or (toll free). helpingu@umn.edu, Web site: International Students For information about U.S. immigration law and visas, contact the International Student and Scholar Services Office (ISSS) at or Mailing address is: International Student and Scholar Services (ISSS); 190 Hubert H. Humphrey Center; th Ave. S., University of Minnesota, Minneapolis, MN isss@tc.umn.edu. Online Course Components It is strongly recommended that you have a high-speed Internet connection. For full information on computer requirements and equipment needed for online course components, see You may be able to access course Web sites with computers that do not meet these specifications, but may encounter problems such as connection difficulties, browser freezing and inability to view all of the course features. For computer services and technology assistance, contact Academic and Distributed Computing Services at or Prior to Enrollment If admitted to the program, you must provide the items below prior to matriculation (we will provide all appropriate forms): Intent to Enroll form and $500 tuition deposit Health Examination Questionnaire Criminal Background Study (in compliance with the Vulnerable Adult Act, Minnesota Statute See Current CPR certification at the provider level HIPAA training certification (see Evidence of completion of all prerequisites AHC Student Immunization Record Students with Disabilities The School of Nursing works through the University of Minnesota Disability Services to accommodate students with disabilities. To register with Disability Services, contact (voice/tty) or see Equal Opportunity The School of Nursing encourages all qualified persons to apply for admission, regardless of race, color, creed, ethnicity, national origin, gender, sexual orientation, marital status or disability. The School is an equal opportunity educator and employer Application, Master of Nursing Program 2

3 about your application The Application Process Students are admitted to the Master of Nursing (M.N.) program once a year, for the fall semester. All application materials for fall 2008 admission must be received (not postmarked) by 4:30 p.m., December 1, Late or incomplete applications will not be reviewed. A complete application includes everything on the checklist on page 5. A $55 application fee must accompany the application. The Graduate Admissions and Progressions Committee reviews all complete applications after the December 1 deadline and then selects candidates to interview. The School of Nursing notifies applicants by whether or not they will receive an interview. During February, interviews are hosted on the University of Minnesota campus. The School of Nursing will communicate admissions decisions via to applicants after completing all interviews. is the official means of communication for the University of If you also wish to be considered for the bachelor of science in nursing (B.S.N.) program, you must complete a separate application. The B.S.N. application deadline for the 2008 entering class is February 1, Please refer to the School of Nursing Web site for information and application materials: Eligibility and Prerequisites for the M.N. Eligibility criteria are as follows: A bachelor s degree completed by June 1, Preferably an undergraduate cumulative GPA of 3.4 or higher and a prerequisite GPA of 3.4 or higher (based on a 4.0 scale). Prerequisites: Full details on prerequisites are found online at You must submit grades for five prerequisite courses, including three science courses (choose from chemistry, human anatomy, human physiology, and microbiology) and at least two of the other prerequisites, to the School of Nursing, Office of Student and Career Advancement Services no later than January 4, You must complete any remaining prerequisites before the Master of Nursing program begins in fall Computer competence: See Online Course Components on page 2 and for more details. Petitions If you are petitioning a prerequisite course, you must file a petition form no later than October 19, Petitions take approximately 4-6 weeks for review, after which a response will be ed to you. Minnesota. If you need a petition form, visit M.N. vs. B.S.N. Application Privacy All information in your application is private. It will be used exclusively for identification and to determine admission. We recommend you keep a copy of your application. We will not copy the application or parts of it for you. Information sessions To learn more about the School of Nursing, the Master of Nursing and application procedures, you are encouraged to attend an information session. Go to for dates, times and location. Please contact the School of Nursing Office of Student and Career Advancement Services to make a reservation: , or sonstudentinfo@umn.edu Application, Master of Nursing Program 3

4 requirements Admission is competitive and decisions are based on the applicant's entire file. Refer to the School of Nursing Web site at for Master of Nursing admissions and application materials. Prerequisites include the following: Completed baccalaureate degree (B.A. or B.S.) from an accredited institution in a non-nursing field. An applicant's undergraduate degree must be completed no later than the end of spring semester Successful applicants typically will have a GPA of 3.4 or above (on a 4.00 scale). Completion of ALL prerequisite courses for graded credit, prior to starting the program. At least five prerequisite courses must be completed by end of fall semester The five courses must include at least three of the four science courses listed below (indicated with an asterisk). A successful applicant typically will have a GPA of 3.7 or English Language Proficiency If your native language is not English, you must take the Test of English as a Foreign Language (TOEFL) and score at least 240 on the computerized version, 95 on the Web version (ibt) or 586 on the paper version. Information is available on the TOEFL website at If the TOEFL is not available in your country, you must take the Michigan English Language Assessment Battery (MELAB) and score at least 85. Information about the MELAB is available at You are exempt from taking the test if, within the past 24 months, you have completed 24 quarter credits or 16 semester credits in residence as a full-time student at a recognized institution of higher learning in the United States. Students may be asked to take a locally administered English test after arrival on campus. above (on a 4.00 scale) in the prerequisite courses. PREREQUISITE SEMESTER PREREQUISITE COURSE INFORMATION COURSE TITLE CREDIT *General Chemistry 3 Must have been completed within the last 10 yrs (at start of the program) *Human Anatomy 3 Must have been completed within the last 10 yrs (at start of the program) *Human Physiology 3 Must have been completed within the last 10 yrs (at start of the program) *Microbiology (lab preferred) Life Span, Growth & Development 3 Must have been completed within the last 10 yrs (at start of the program) 3 Completed prior to starting the program Human Nutrition 3 Completed prior to starting the program Must have been completed within the last 10 yrs (at start of the program) Pathology 3 Completed prior to starting the program Must have been completed within the last 10 yrs (at start of the program) Abnormal Psychology 3 Completed prior to starting the program Inferential Statistics 3 Completed prior to starting the program Must have been completed within the last 2 yrs (at start of the program) *Three of four must be completed at the time of appliation Application, Master of Nursing Program 4

5 application checklist All materials listed on this page must be received (not postmarked) by 4:30 p.m., December 1, Incomplete applications will not be reviewed. It is strongly advised that you keep a copy of all materials submitted; we will not copy the application or parts of it for you. It is your responsibility to notify the School of Nursing of any changes in name, address, phone number or address, or if you do not plan to enter or complete the program. Submit the following School of Nursing application materials to: University of Minnesota School of Nursing Office of Student and Career Advancement Services - Master of Nursing Program Weaver-Densford Hall 308 Harvard Street S.E. Minneapolis, MN We recommend that you enclose the following documents in one envelope unless otherwise noted Master of Nursing application Complete all sections, except where noted Optional. Application fee of $55 Check or money order accepted. Make check payable to University of Minnesota. Please do not send cash. Completed profile essays See Essays section on page 8. Two completed admission reference forms Two references from past or current professors or supervisors are required. Reference letters must accompany this application and must be in sealed envelopes with the recommender s signature across the seal. Official transcripts from all institutions An official transcript/s from each post-secondary institution you have attended must be sent directly from those institutions to the School of Nursing Office of Student and Career Advancement Services and received by the deadline. Current résumé English language proficiency test scores Submit the official, original notice of your scores, if applicable (see page 4) Application, Master of Nursing Program 5

6 2008 application master of nursing (m.n.) Please follow the accompanying instructions when filling out this application. Submit it and all materials listed on the checklist on page 5, including the application fee, to the School of Nursing. Type or print clearly. All requested information is required, except where noted. Remember to keep a copy of this application for your records Deadline: 4:30 p.m., December 1, A PERSONAL INFORMATION Last name First Middle U of MN ID# Previous name Date of birth Social Security Number Mailing address (street, apartment number) B NURSING BACKGROUND C RESIDENCY City State Zip Home phone Cell phone address (use U of MN if available) Have you ever been enrolled in an RN education program? Yes No If yes, the School of Nursing must receive a letter from that program stating that you left in good standing. Do you hold an LPN license? Yes No Have you completed Certified Nursing Assistant training or are you listed with the Minnesota Nursing Assistant Registry? Yes No Certification as a nursing assistant is strongly recommended prior to beginning the MN program. State of legal residency Country of citizenship If you are not a U.S. citizen, what type of visa do you have or expect to secure? F-1 J-1 Permanent resident Other (specify): D ENGLISH LANGUAGE PROFICIENCY See page 4 of instructions for information about tests and exemptions. English is my native language or I qualify as being exempt from taking the TOEFL or MELAB test. English is not my native language. I have completed the TOEFL or MELAB exam and am enclosing the original, official notice of my scores (not a photocopy) with this application, along with the information below. Exam date Exam taken (MELAB OR TOEFL) Score 2008 Application, Master of Nursing Program 6

7 E EDUCATION HISTORY Please list in chronological order all undergraduate, graduate or professional schools you have attended or currently attend, whether or not you earned a degree. If you are enrolled at the University of Minnesota, list the college you are attending. Use additional paper if necessary. COLLEGE/UNIVERSITY/SCHOOL LOCATION MM/DD/YY MAJOR DEGREE DATE RECEIVED OR EXPECTED Please provide the following information about prerequisite courses you have taken or are currently taking. Read the Eligibility and Prerequisite section on page 3 for important information about completion deadlines. PREREQUISITE General Chemistry* Human Anatomy* Human Physiology* Microbiology* (lab preferred) Life Span, Growth & Development COURSE TITLE NUMBER TERM/ YEAR WHERE TAKEN GRADE CHECK COMPLETION IF IN PLAN PROCESS (TERM/YEAR) Human Nutrition* Pathology* Abnormal Psychology Inferential Statistics** * Cannot be older than summer term 1998 ** Must be completed within two years of entering the Master of Nursing program 2008 Application, Master of Nursing Program 7

8 F ESSAYS Please respond to both of the following essay questions. Prepare your responses carefully because they are your opportunity to tell the Graduate Admissions and Progressions Committee about yourself in ways that your academic record does not. The School seeks to admit and educate a diverse student body, both in order to enrich the students' educational experience and to prepare them to meet the health needs of a diverse society. Student body characteristics that will enhance the diversity in the School include leadership qualities, a strong work record, community or public service record, special talents and interests, gender (males are under-represented in the nursing profession), and a wide range of economic, social, racial/ethnic and geographic backgrounds. If there are any factors that have influenced your GPA or your test scores, and you would like these factors to be considered when your application is reviewed, please include this information in Essay #2. G RÉSUMÉ H BACKGROUND Each essay must not exceed 500 words. Use a separate sheet of paper for each essay. Type and double-space your answers, and put your name on all sheets. Essay 1: Describe how life experiences (e.g., personal, family, educational and work-related experiences) have prepared you for excellence in nursing. Essay 2: Given that there are many more applicants than can be admitted, discuss what makes you an excellent candidate for this intensive program. A current résumé must be included with this application. If you answer the following questions in the affirmative, you will not be excluded from review for admission. Your circumstances will be individually evaluated. Have you ever been found guilty of cheating or been disciplined for any other offense at any college or professional school? If yes, please describe on a separate sheet the offense, sanction, date of occurrence and circumstance. Please include any disciplinary action taken by a regulatory board of professional practice. Yes No Have you every been convicted of a felony of any kind, or involuntarily confined based on harm to self or others? Yes No 2008 Application, Master of Nursing Program 8

9 I CERTIFICATION I certify that, to the best of my knowledge, all information I have provided on this application and in supporting documentation, except reference forms and transcripts, is correct, complete and composed by me. I understand that any omission, misinformation or misrepresentation may void my admission or result in dismissal or revocation of any degree awarded upon this admission. Applicant's signature Date J PRIVACY STATEMENT K ACCESS TO YOUR FILE (OPTIONAL) L CONTACT INFORMATION The information requested on this application will be used to identify you and determine your qualifications for admission to this program. Demographic information is optional, all other items are required. Failure to provide required items may result in your application not being considered. The private information on this form is accessible only to staff, the School of Nursing Graduate Admissions and Progressions Committee, employees at the University who have a need to know the information to perform their job responsibilities, and outside organizations and government bodies in limited circumstances as authorized by state or federal law. In addition, you may review your own file except for any confidential letters of recommendation (if applicable) for which you have waived access. No one else may review your file without your written consent or a subpoena or court order. We recommend you keep a copy of your application. We will not copy the application or parts of it for you. If you want the University to give information to someone else, such as your parent, spouse, other relative or friend, you must fill out and sign this section of the application. I hereby authorize the School of Nursing to release my file information to the following person/s: Name Address Applicant signature Relationship to me Date Please send this application to the address below. It must be received (not postmarked) by 4:30 p.m., December 1, applications are not accepted. Office of Student and Career Advancement Services - Master of Nursing University of Minnesota School of Nursing Weaver-Densford Hall 308 Harvard Street S.E. Minneapolis, MN Phone: Toll-free: Fax: sonstudentinfo@umn.edu Web site: Application, Master of Nursing Program 9

10 M DEMOGRAPHIC INFORMATION The information requested below is optional. It may be used to support affirmative action efforts in the admissions process, and will be used for summary reports required by federal and state laws and regulations. You will not be penalized if you choose not to provide this information. Name Gender: Male Female Predominant ethnic background: White (non-hispanic) Black (non-hispanic) Hispanic (non-white) American Indian or Alaskan native Asian or Pacific Islander Multi-ethnic background or other (please list) 1) 2) The University of Minnesota is committed to the policy that all persons shall have equal access to its programs, facilities and employment without regard to race, color, creed, religion, national origin, sex, age, marital status, disability, public assistance status, veteran status or sexual orientation. Inquiries regarding compliance may be directed to the Director, Office of Equal Opportunity and Affirmative Action, University of Minnesota, 419 Morrill Hall, 100 Church Street S.E., Minneapolis, MN 55455, , Web site Application, Master of Nursing Program 10

11 2008 admission reference form master of nursing The person whose name appears below has applied for admission to the University of Minnesota Master of Nursing (M.N.) program. The Graduate Admissions and Progression Committee at the school would appreciate your assessment of the candidate's professional abilities and personal qualities. Please complete this form and return it to the candidate in a sealed envelope with your signature across the seal. Note that all application materials must be received by 4:30 p.m., December 1, Please promptly return this form to the applicant to ensure timely submission. APPLICANT INFORMATION (COMPLETED BY APPLICANT) Last name First MI U of MN ID# Mailing address EVALUATOR INFORMATION (COMPLETED BY EVALUATOR) City State Zip Phone/s address I hereby waive any right of access to this confidential letter of evaluation. Signature Date Name and Degree/s Title/Employer Work Address Signature Phone Date APPLICANT EVALUATION How well do you know the applicant: very well fairly well minimally unknown How long and in what context do you know the applicant? Continued 2008 Application, Master of Nursing Reference Form 11

12 APPLICATION EVALUATION (CONTINUED) 1. Evaluate the applicant in comparison to all others you know who are applying to a graduate degree program: APPLICANT S ABILITIES TOP 5% TOP 10% TOP 25% TOP 50% BELOW AVERAGE UNABLE TO ASSESS Intellectual capability Personal integrity Motivation/Initiative Dependability Emotional maturity EVALUATION SUBMISSION Ability to work with others Quality of written communication Quality of oral communication Analytical ability Leadership potential Strongly recommend Recommend Recommend with reservations Do not recommend 2. Please submit a one-page letter of recommendation in which you Evaluate the applicant's initiative and aptitude for independent work. Evaluate the applicant's maturity, motivation, self-confidence and strength of commitment to a career in nursing. Describe strengths and weaknesses in the applicant's oral and written communication skills. Return to the applicant this form and your letter of recommendation in a sealed envelope with your signature across the seal. The applicant must submit all application materials by 4:30 p.m., December 1, 2007, for the Master of Nursing program no exceptions will be made. Please promptly return the form and letter to the applicant to ensure timely submission. If you have any questions, contact the School of Nursing Office of Student and Career Advancement Services at Application, Master of Nursing Reference Form 12

13 2008 admission reference form master of nursing The person whose name appears below has applied for admission to the University of Minnesota Master of Nursing (M.N.) program. The Graduate Admissions and Progression Committee at the school would appreciate your assessment of the candidate's professional abilities and personal qualities. Please complete this form and return it to the candidate in a sealed envelope with your signature across the seal. Note that all application materials must be received by 4:30 p.m., December 1, Please promptly return this form to the applicant to ensure timely submission. APPLICANT INFORMATION (COMPLETED BY APPLICANT) Last name First MI U of MN ID# Mailing address EVALUATOR INFORMATION (COMPLETED BY EVALUATOR) City State Zip Phone/s address I hereby waive any right of access to this confidential letter of evaluation. Signature Date Name and Degree/s Title/Employer Work Address Signature Phone Date APPLICANT EVALUATION How well do you know the applicant: very well fairly well minimally unknown How long and in what context do you know the applicant? Continued 2008 Application, Master of Nursing Reference Form 13

14 APPLICATION EVALUATION (CONTINUED) 1. Evaluate the applicant in comparison to all others you know who are applying to a graduate degree program: APPLICANT S ABILITIES TOP 5% TOP 10% TOP 25% TOP 50% BELOW AVERAGE UNABLE TO ASSESS Intellectual capability Personal integrity Motivation/Initiative Dependability Emotional maturity EVALUATION SUBMISSION Ability to work with others Quality of written communication Quality of oral communication Analytical ability Leadership potential Strongly recommend Recommend Recommend with reservations Do not recommend 2. Please submit a one-page letter of recommendation in which you Evaluate the applicant's initiative and aptitude for independent work. Evaluate the applicant's maturity, motivation, self-confidence and strength of commitment to a career in nursing. Describe strengths and weaknesses in the applicant's oral and written communication skills. Return to the applicant this form and your letter of recommendation in a sealed envelope with your signature across the seal. The applicant must submit all application materials by 4:30 p.m., December 1, 2007, for the Master of Nursing program no exceptions will be made. Please promptly return the form and letter to the applicant to ensure timely submission. If you have any questions, contact the School of Nursing Office of Student and Career Advancement Services at Application, Master of Nursing Reference Form 14

15 directions to the school of nursing The School of Nursing is located in Minneapolis, Minnesota, on the University of Minnesota East Bank campus, east of downtown Minneapolis. It is on the corner of Washington Avenue and Harvard Street in Weaver-Densford Hall. Parking is available in the Washington Avenue Parking Ramp, directly across Washington Avenue from the School. For more directions and parking options, see: Office of Student and Career Advancement Services - Master of Nursing University of Minnesota School of Nursing Weaver-Densford Hall 308 Harvard Street S.E. Minneapolis, MN Phone: Toll-free: Fax: sonstudentinfo@umn.edu Web site: Regents of the University of Minnesota. All rights reserved Application, Master of Nursing Program 15