CHECKLIST FOR APPLICATION SECOND DEGREE ACCELERATED BACHELOR OF SCIENCE IN NURSING

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1 CHECKLIST FOR APPLICATION SECOND DEGREE ACCELERATED BACHELOR OF SCIENCE IN NURSING PLEASE BE SURE THAT YOU HAVE COMPLETED EVERY STEP BELOW, AND THAT YOU HAVE ENCLOSED ALL DOCUMENTS BEFORE SUBMITIING YOUR APPLICATION. 1. Apply for admission to Arkansas State University (Jonesboro Campus) for Summer 2016 undergraduate post degree. You must be admitted to A-State-Jonesboro before accepted to the nursing program. 2. Complete in full, sign, and date the Second Degree Bachelor of Science in Nursing Application for Admission, mail application to: A-State CNHP ATTN: Carla McCain P.O. Box 910 State University, AR Beginning, Spring 2015, an Admission Exam will be required. The Admission Exam includes, but is not limited to, Reading Comprehension, Vocabulary, and Math. Please review the School of Nursing website for Admission Exam test dates and for information on registering for the exam. 4. Submit a copy of your Spring class schedule if you are enrolled at any institution. 5. Request three official transcripts from each institution you have attended since high school (including ASU) and submit: a) one in the original sealed envelope(s) along with the School of Nursing application, b) one to the Admission Office and c) keep the third unopened for future use. 6. If you have withdrawn, been dismissed, or otherwise not completed any other nursing program, obtain a letter of good standing from previous nursing program director/chair (letter must be sealed and in official university envelope) 7. If you are selected for admission, you MUST attend a full-day, mandatory orientation session on June 29, Class starts on July 5, DO NOT RETURN THIS PAGE If you need further assistance, contact Carla McCain (cmccain@astate.edu) or Jenafer Wray (jwray@astate.edu) at at the ASU-Jonesboro Campus. PREFERRED METHOD OF COMMUNICATION IS Thank you for your interest in ASU's Second Degree Accelerated Bachelor of Science in Nursing Program

2 ARKANSAS STATE UNIVERSITY COLLEGE OF NURSING AND HEALTH PROFESSIONS SCHOOL OF NURSING P.O. BOX 910 STATE UNIVERSITY, AR SECOND DEGREE ACCELERATED BACHELOR OF SCIENCE IN NURSING Students must apply online for admission to Arkansas State University - Jonesboro at Contact Office of Admissions at Deadline to apply is March 15 for Summer 2016-applications are reviewed after the application deadline and are NOT reviewed on a first come, first served basis. INCOMPLETE OR LATE APPLICATIONS WILL NOT BE CONSIDERED. LAST FIRST MIDDLE Other name(s) by which Academic Records may be found. ASU STUDENT ID#: HOME PHONE: CELLPHONE: LOCAL ADDRESS: CITY STATE ZIP CODE PERMANENT ADDRESS (If different from above): CITY STATE ZIP CODE Notification of admission decision should be sent to (check one): local address or permanent address (If applicant does not indicate choice, notification will be sent to the first address given above). *NOTE: If your name, address, or phone number changes during your enrollment, it is your responsibility to notify the School of Nursing and the Office of the Registrar in writing of these changes. 1. What is your previous degree: Major: Do you have or have you ever had a license as a nurse or other health care profession? YES NO (If "Yes", what type? (enclose a copy of the license with this application) 3. Is your license currently suspended, revoked or on probation or reprimanded for any reason? YES NO Has your license ever been disciplined (revoked, suspended, placed on probation or reprimanded) or voluntarily surrendered in any state or jurisdiction? YES NO 4. Have you written, been dismissed, or otherwise attended but did not complete another Nursing Program? YES NO ( if you marked "yes", you MUST submit a letter of good standing from the director/chair of each nursing program you have attended, been withdrawn or dismissed from or otherwise not completed) 5. Do you speak Spanish proficiently? YES NO If yes, you must provide documentation of proficiency score (see website) 6. Were you born in a foreign country? YES NO If yes, what country? *NOTE: All foreign born students MUST take one of the following tests 1) Test of English as a Foreign Language (TOEFL) with a minimum TOEFL score of 83 on the preferred internet-based test (ibt), 570 on the paper-based test, or 213 on the computer-based test; 2) International English Language Testing System (IEL TS) with a score of at least 6.5 and a spoken band score of 7; or 3) Pearson Test of English Academic(PTE) with a score of 56 (see website for details).

3 Applicants for admission will be selected by the Admission Committee using the following criteria: prerequisite GPA and Admission Exam score. Based upon the above criteria, the top 40 applicants will move on to the interview process. All prerequisites courses must be completed by the end of the Spring term. See website ( for application requirements. If your GPA is below 3.0 and/or you do not have university acceptance, PLEASE DO NOT SUBMIT AN APPLICATION AT THIS TIME. All applicants will be notified in writing of the decision of the Accelerated BSN Admissions Committee. NO results will be given over the phone. APPLICATION PACKET DOCUMENTS: Applicants must submit the following documents together as a nursing application packet (1-4). Again, INCOMPLETE OR LATE APPLICATIONS WILL NOT BE CONSIDERED. 1. The completed College of Nursing and Health Professions Second Degree Accelerated BSN Program Application for Admission form. 2. Make payment and register to take the Admission Exam. Please see website for test dates and payment form. 3. Submit a copy of your Spring class schedule if currently enrolled at any institution. 4. Official (sealed) transcript(s) of all college work completed (including A-State Jonesboro) with grades on courses taken in the last semester of enrollment. You must request these from EACH institution (including A-State). 5. Letter of Good Standing: If you have withdrawn, been dismissed, or otherwise not completed any other nursing program, obtain and submit a letter of good standing from the director(s) of the nursing program(s) previously attended. Submit all application packets: HAND DELIVER TO: College of Nursing and Health Professions Building School of Nursing Office Suite 203 MAIL TO: A-State CNHP ATIN: Carla McCain P.O. Box 910 State University, AR All applicants: List all colleges (including A-State), universities, or other institutions attended since high school, credit hours earned, and degree(s) if applicable (Please include additional paper if you run out of room) College/LI n iversity/school #Credit Hours I Degree Date I hereby affirm that all information supplied on this application is complete and accurate. I understand that I will not be permitted to enroll in the professional courses in the Bachelor of Science in Nursing (BSN) Program without a letter of acceptance into the program. Your signature below also indicates you have read and understand the guidelines of "Abilities and Skills for the Undergraduate Nursing Major." Signature of Applicant Date

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CHECKLIST FOR APPLICATION SECOND DEGREE ACCELERATED BACHELOR OF SCIENCE IN NURSING

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