Placement: LVN to RN
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1 Placement: LVN to RN Application Checklist I understand that to be c considered for admission to the Registered Nursing Program at Hartnell College, I must have all of the following: Application for Admission: Submit if necessary, an online application to Hartnell College Admissions Completion of all Prerequisite Courses Course-to-Course Evaluation Form: Courses completed at other colleges or institutions must be evaluated by a Hartnell College counselor. Foreign transcripts must evaluated by an outside credential evaluator before a request for a Course-to-Course Evaluation form can be completed b y a Hartnell College counselor. Official Transcript(s): Submitted with th e application packet. o One (1) sealed official Hartnell College transcript o Two (2) sealed official transcripts from other colleges and/or institutions Official High School Transcript and/or a GED Report: Proof of US high school through 12 th grad e as documented by an official high school transcript and /o r a GED report. ATI Test of Essential Academic Skills (TEAS) Version V Score: A computer generated print-out of a minimum final comprehensive score of 62% must be obtained in order to be considered for acceptance. Scores within 2 years of the application submission date are acceptable. You may take the ATI TEAS more than once, the highest score will be considered. Personal Statement: words maximum Cop y o f current California Vocational Nursing License Foreign High School Students Only: High School through 12 th grade proficiency report and /or equivalency letter by an outside credential evaluator. All required documents must be submitted in-person or mailed to the Nursing and Allied Health office by Friday, October 31, 2014 at 4:30 pm. Mailed documents must be post-marked no later than the deadline date.
2 P lacement: LVN to RN Application Instructions Admission to Hartnell College: Students not yet enrolled at Hartnell College must complete an online application for admission. Refer to Hartnell College s website at artnell.edu/admissions/apply.html Required Prerequisites: Prerequisites taken at Hartnell College: An official Hartnell College transcript must be included with the application packet. A list of required prerequisites is listed on the Nursing & Allied Health s website at artnell.edu/nursingandalliedhealth/ Prerequisites taken at any other college/university/institution(s): An authorized Hartnell College Course-to- Course Evaluation Form must be included with the application packet. The Nursing and Allied Health counselor will evaluate course descriptions and official transcripts provided by the student for each course completed at other colleges and universities. Once reviewed, the Nursing and Allied Health counselor completes and signs the form that must be included when the application is submitted. Appointments with the counselor are made by calling the Hartnell College Counseling Office at (831) Official Transcripts. It is the student s responsibility to submit official, sealed transcripts prior to the application deadline. o Hartnell College transcript (1) Stu dents who have completed coursewo rk at Hartnell Co llege mu st have one (1) sealed o fficial transcript fro m the Admissio ns & Records Office inclu ded in their applicatio n packet. o Other college tra nscrip ts (2) Stu dents who have completed prerequisites and coursework at other colleges must have two (2) sealed o fficial transcripts included in their application packet. The co mpleted prerequ isites and cou rsework must be evalu ated with a Cou rse Equ ivalency Fo rm completed by the Nu rsing cou nselor. A Cou rse Equ iva len cy Fo rm is o nly accepted if signed b y th e Nu rsing and Allied Health cou nselo r. Please call to make an appo intment. o Foreign tra nscrip ts High schoo l and co llege tran scripts fro m o ther cou ntries mu st be evalu ated compreh en sively. A list o f approved credential evalu atio n service agen cies is available fro m the Admission and Records, Cou nseling, and Intern atio nal Stud ent offices. Costs and co mpletio n times vary. ATI TEAS (Version V): Pre-readiness for Nursing Assessment: A copy of the score report from the ATI TEAS V must be submitted with the application packet. A minimum score of 62% must be obtained to be considered for acceptance. If the ATI TEAS is taken more than once, the highest score will be considered. Scores within 2 years of the application submission date are acceptable. ATI TEAS V information can be obtained at
3 Personal Statement: words maximum typed document describing the applicant s desire to be accepted into the nursing program at Hartnell College. Life experiences, work and/or volunteer experiences, and any other information that would support the applicant to be an ideal and successful candidate in the nursing program. Please include correct grammar, punctuation, and spelling. Californi a LVN Licens e: Applicants must provide proof of current California LVN License. Application Dates : The completed application with official documents of verification must be submitted in person and/or mailed to the Hartnell Colle ge Nurs ing and Allied Hea lth office by the published deadline date. Final Submission Date: Friday, October 31, 2014 by 4:30 PM. There are no exceptions. Contact Informati on: Mailing address: Hartnell Colle ge Attn: Nursing and Allied Health 411 Central Avenue, Salinas CA Office location: Hartnell Colle ge Main Campus, B Building, 2nd Floor Te le : (831) Fax : ( 831) Nursing counselor: LaVerne Cook, Te le: (831) Admissions and Selection Chair: Dr. Janeen Whitmore, jwh itmo re@hartn ell.ed u Dean of Academic Affairs: Nursing and Allied Health, d kaczm ar@hartn ell.ed u A series of immunizations, a health screening, a drug screen, a live scan background check, and a current American Heart Association Healthcare Provider certification are required after conditional accept ance in the program. Questions regarding these checks should be directed to the Dean of Academi c Affairs: Nursing and Alli ed Healt h (831)
4 Placement: LVN to RN Application Name: Student ID Number: Last Middle First Former names used in high school or college: Address: Street City State Zip Code Home/ Cell Phone: Work Phone: address: College/University Include all colleges/universities attended Dates Attended Total Units Completed Overall GPA Degree (completed) All prerequisite courses must be completed prior to applying. Hartnell College Course Name and # ENG 1A College Composition (3 units) MAT 123 Intermediate Algebra (5 units) or higher BIO 5 Human Anatomy (4 units) BIO 6 Intro Physiology (3 units) Completed at Hartnell? Completed at Other College or University? Other Equivalent Course Title and # Sem/Yr Units Grade BIO 6L Physiology Lab (2 units) BIO 7 General Microbiology (5 units) or BIO 27 Principles of Microbiology (4 units) HES 120 American Heart Association Health Care Provider Basic Life Support Certification Card Expiration Date: California LVN License LVN License Number: License Expiration Date: Required general education associate degree courses required prior to graduation. These courses maybe in progress at the time of applying. *ANT 2 Cultural Anthropology (3 units) COM 1 Introduction to Public Speaking (3 units) or COM 3 Introduction to Communication (3 units) Ethnic Groups in the U.S. (3 units) * SOC 1 Introductio n to Sociolo gy is acce ptable in lieu of ANT 2 ; however, a separate course maybe required to satisfy the Humanities general educatio n requi rement.
5 Stud ent Supp ort Services: Plea se check a ll tha t apply. Department of Support rive Programs & Services (DSP S) Financial Aid Veteran Extende d Op po rtu nity Pro gram & Ser vices (EOPS) First generatio n o f family to attend co llege 12 Units o r mo re taken at Hartnell College I h ereb y acknowledge that fa ilure to follow ad mission procedures o r omission o f required documentation will result in d isqualification of my a pp lication fo r ad mission to th e Hartn ell Colleg e Pla cemen t LVN to RN. I u nd erstand after a ccep tance. I will b e g iven a co mp reh en sive ATI RN p roficiency exa m to d etermin e my p la cemen t. Signature : _ Date:
6 Personal Statement APPLICANT: In words please share a little about yourself. Include life circumstances, work, or volunteer experiences that may support your success as a registered nursing student. Please include correct grammar, punctuation, and spelling. I understand that this document is significant for the selection and application process. My signature below validates that I have written this personal statement. Applicant Signature: Date: Applicant Name: (Please print)
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