BRCC LPN-RN NURSING CLINICAL COMPONENT APPLICATION PACKET

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1 BRCC LPN-RN NURSING CLINICAL COMPONENT APPLICATION PACKET Admission to the clinical portion of the Nursing Program will be selective and competitive. Applicants are advised that prior registration in BRCC general education courses for nursing does not imply acceptance into the clinical nursing component. Because the enrollment in the clinical component will be limited, there may not be space to admit all qualified applicants who apply. The primary criteria for competitive selection into the clinical nursing component includes, but will not be limited to, academic performance as determined by cumulative grade point average in required general education courses, and references. Admission preference will be given to residents of the Counties of Augusta, Rockingham, Highland & and the cities of Staunton, Harrisonburg, and Waynesboro. In order to be considered as a resident of the BRCC service region, applicants to the BRCC nursing program must have resided continuously in the service region for the 12 months preceding the clinical application deadline and must not be residents of the service region for the primary purpose of education. Completion of a medical evaluation form will be required prior to entry into clinical courses, but not prior to the meeting of the Admissions Committee. The Physical Form, CPR, Malpractice Insurance and Health Insurance should be turned into the Nursing Department in Suite J131B by 3:00 p.m. May 14, You will not be allowed to attend class in May if your Physical Form has not been turned in on time. A criminal background check and urine drug screen will be required prior to admission to the program. Upon acceptance, you will be receiving information on this and it is to be completed by May 14, KAPLAN payment fee due at the BRCC bookstore by Blue Ridge Community College does not discriminate on the basis of race, color, national origin, sex, or disability in its programs or activities. Inquiries related to the college s nondiscrimination policies should be directed to Tim Nicely, Director of

2 Human Resources, IMPORTANT INFORMATION To ensure that everything you turn in gets into your admissions file, please do the follow ing: 1. Put your EMPLID on all documents that you turn in. Be sure that all reference forms sent include your EMPLID. 2. If there w ill be transcripts, reference forms, or other documents coming in under a name other than the name you have w ritten on your application, please indicate the former name on your clinical application form. If you have been convicted of a felony or misdemeanor, this could prevent you from taking the licensing exam and should be discussed with the State Board of Nursing prior to beginning the nursing courses. IMPORTANT DATES: Date Requirement Location November 24, 2015 (by 3 PM) January 08, 2016 (by 3 PM February 01, 2016 (by 3 PM) KAPLAN test completed The Testing Center F-110 Official transcripts from all non-vccs colleges attended received by A &R Clinical Component Application Deadline and online Nursing Information Session (print out of quiz) Nursing File Complete March 30, 2016 Notification of Selection April 13, 2016 Deadline to Confirm Acceptance (by 3 PM) May 14, 2016 Physical Form; documentation of current (by 3 PM) immunizations; CPR, Health and Malpractice Insurance; two step PPD; criminal background Admissions & Records Houff Student Center Nursing Dept.- return in person to Sue Orebaugh, M-F (9:00am-3:00pm), J131B Nursing Dept. Nursing Dept. Nursing Dept. checks and drug screens due KAPLAN fee is due by: May 28, 2016 and failure to comply w ith this fee w ill result in dismissal from the program. Failure to comply with these deadlines will result in your being ineligible for admission to the Nursing Clinical Component. Transportation: You are responsible for your ow n transportation to and from BRCC

3 and to all clinical facilities. LPN-RN NURSING CLINICAL COMPONENT ADMISSIONS PROCESS 1. The applicant must meet minimum program admissions requirements: a. Must hold a current, unrestricted LPN license in the state of Virginia and be a graduate of an approved LPN program. b. Complete the general education requirements for nurses w ith a cumulative GPA of 2.5 and a minimum grade of " C" in all courses. c. Be a high school graduate or equivalent, including the follow ing courses; Biology w ith a lab course (one year w ith high school or one semester college BIO 101 at BRCC), Chemistry w ith a lab course (one year high school or Chemistry 101), but Chemistry 111 is highly recommended to transfer to a 4 year school. Algebra I or (MTE Modules 1-5 at BRCC) w ith minimum grade of " C". The exception to this is successful completion of a college-level math of 151 or above w ith a grade of C or better. d. Complete the BRCC placement testing process in math, reading, and w riting, and place at college level or satisfactorily complete any needed developmental coursew ork. e. Nursing entrance exam scores (Kaplan) Test scores of at least 45% in Reading, Math, Writing, Critical Thinking, and Science. (To be competitive), should have scores in the 80 s or 90 s. 2. The applicant' s nursing and admission files must be complete by the application deadlines. Nursing clinical applicants are responsible for insuring that materials have been received in the BRCC Nursing Department and the Admissions and Records Office. Files that are not complete by the deadline w ill not be considered by the Nursing Selection Committee. Files must include the follow ing materials: 3. Verification of review of the Online Nursing Information Session (printout of quiz), found on the Nursing w ebsite:

4 BRCC Admission & Records File must include: Official high school transcript GED & test scores - if applicable Placement Test Scores OR SAT scores Documentation that student is in the Health Sciences-Nursing program Official transcript from all colleges attended, except colleges in the VCCS. Student must fill out official Transcript Evaluation Request form to go to A & R in order to have incoming (non-vccs) transcripts evaluated for transfer credit. Official transcripts from all colleges attended, except colleges in the VCCS. Must be received by January 08, 2016 by 3 pm in Admission and Records. BRCC Nursing File must Include: Nursing Clinical Component Application by February 01, 2016, 3PM. Turn in person to Sue Orebaugh J131 B Tw o Reference Forms from place of employment. If not currently employed, use BRCC faculty as reference. (If reapplying to program, updated references are required) by February 01, 2016 by 3 PM. Form of Recommendation.doc Verification of Nursing Information Session attendance (copy of Quiz in file) with Clinical Component Application by February 01, Official LPN school transcript. Copy of current, unrestricted Virginia LPN license. Nursing entrance exam scores- KAPLAN BRCC Nursing Department J131 P.O. Box 80 One College Lane Weyers Cave, VA BRCC A & R-Houff Student Center P.O. Box 80 One College Lane Weyers Cave, VA You will be kept informed about the status of your nursing application file through your VCCS account. You are responsible for checking your VCCS regularly.

5 LPN-RN NURSING CLINICAL COMPONENT APPLICATION NAME (last) (first) (m.i) ADDRESS (street or box) (city) (state) (zip) (telephone) (cell phone #) EMPLID # VCCS Name of Emergency Contact: (please print) Relationship to applicant Phone number of contact I. I w ish to enroll in the nursing clinical component of the nursing program beginning the Summer Semester of. II. LPN TRAINING: Please list date of attendance, name of LPN School and address: III. LPN WORK EXPERIENCE: Current License Number and expiration date Total Year(s) of LPN Experience IV. HEALTH CARE EXPERIENCE: Briefly explain your job duties and skills related to health care.

6 V. EMTS, Volunteer Health Care experience w ith Rescue Squad of at least 50 hours w ithin the past year Supervisor s Name: Letter of recommendation attached: Yes NO Name of Rescue Squad: I certify that all statements on the Clinical Component Application are true and correct to the best of my know ledge. Applicant' s Signature Date BRCC Nursing Department (J131B) One College Lane Weyers Cave, VA Directions for Reference Form Due in Nursing Department by February 01, 2016 When completing the top of the reference form: 1. Only recommendations using the attached Reference Form w ill be accepted. No letters w ill be accepted. 2. No more than 2 references w ill be accepted. If more than 2 references are received, only the first tw o references w ill be evaluated. 3. Give these forms out as soon as possible. Please provide each person completing the reference form w ith a stamped, addressed (BRCC-Nursing Department, One College Lane, Weyers Cave, VA 24486) envelope. 4. Be sure that these Reference Forms are returned to the Nursing Department by the deadline-february 01, 2016 by 3pm. It is the student s responsibility to make sure these references are in their Nursing file by the stated deadline. 5. Fill in your name at the top of the Reference Form. If you choose not to view your records, check I hereby w aive. If you choose the right to view your records, check I do not w aive. 6. Include name and EMPLID on all documents.

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