Associate Degree in Nursing Program-- Application for Admission SPRING 2017 NEW REGISTRATION PROCESS

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1 Associate Degree in Nursing Program-- Application for Admission SPRING 2017 NEW REGISTRATION PROCESS APPLICATION INSTRUCTIONS FOR APPLICANTS AND REAPPLICANTS DEADLINE IS AUGUST 5, 2016 BY 2:00PM NO EXCEPTIONS 1. You must apply or reapply before registering for the exam. 2. You can apply or reapply any time prior to the deadline. Nursing department hours are: Monday-Thursday 8am- 5pm; Friday 8am-2:00pm 3. Applications must be submitted IN PERSON OR BY ANOTHER PERSON ON THEIR BEHALF to room Reactivation requests can be submitted either in person or by ing Chelsea Tibus at 5. Submission of an initial application or reactivation request must be submitted by FRIDAY, AUGUST 5, BY 2:00PM 6. If you register without submitting an application or reapplying YOU WILL NOT BE ALLOWED TO TEST. PRE-ENTRANCE EXAM INSTRUCTIONS Students will register ONLINE ONLY for the entrance exam for nursing. Registration opens August 1, 2016 at 12:00am and ends August 6, 2016 at 11:59pm. YOU MUST APPLY OR REAPPLY PRIOR TO REGISTERING. Failure to follow the directions as provided will prevent you from taking the exam. There are NO EXCEPTIONS to the deadline. Payment for the exam is a $16 non-refundable fee and will also be paid online. INSTRUCTIONS FOR REGISTERING Please follow instructions below. If needed, the Student Guide to NLN at: is also available for further reference. DEADLINE FOR REGISTERING IS AUGUST 6, 2016 BY 11:59 PM NO EXCEPTIONS How to Create and Account: 1. If the website does not display all content please close out and try a different browser. 2. Every student must create a new account UNLESS you tested in May If you tested in May 2016 you can use your existing account. To create a new NLN account or to log on, go to 3. Click on the blue link Create new account 4. You will be prompted to create a new username and password, as well as enter your name, , phone, and school membership (make sure to select Goodwin College),etc. For time zone you will select America-New York. 5. Once you have entered all the required fields, click create new account located on the bottom of the screen. 6. After you select create new account NLN will you a time sensitive link to the you provided. You must confirm your account before it can be used. If the link expires you can return to the website and select request new password. If you need further assistance you may call the NLN customer service (available Monday-Friday; CST at: ) Registering for an Exam Session: (You must apply or reapply prior to registering for the exam) 1. After creating an account, you must register for an exam session by Saturday, August 6, by 11:59pm. NLN will automatically close the sessions after the deadline and you will not be allowed to register. 2. To register, log in to your NLN account and click on the exam sessions tab. Type in Goodwin College in the school name box or select from the drop down menu. If exam dates do not appear, try typing in just Goodwin. 3. Click on the exam session you are registering for. Exam sessions have limited space and are first come, first serve. 4. Once you click on the correct session and pay, ($16) you can select the register button. Then select save registration. 5. PROOF OF REGISTRATION WILL BE ED TO YOU. PLEASE PRINT AND BRING TO THE EXAM Exam Day: 1. On the day of your exam, please report to room 310 at least 30 minutes prior to your test time. 2. Bring a photo ID to check in and your proof of registration OR YOU WILL NOT BE ALLOWED TO TEST. 3. Please remember your username and password so you may access the exam. 4. It is the responsibility of the student to remember their exam date and time. NLN A&P exam dates and times Thursday, September 1, 2016: 9:00 a.m. 10:30 a.m. OR 2:00 3:30 p.m. Friday, September 2, 2016: 9:00 a.m. 10:30 a.m. OR 2:00 3:30 p.m.

2 Associate Degree in Nursing Program Application for Admission Complete this application answering all questions. Application must be typed or printed in ink, signed and dated. PERSONAL INFORMATION (please print) Name: Male Female Last First Middle Address: Street City State Zip Home Phone: Alternate Phone: Best Time to Contact: Date of Birth: Information concerning date of birth, gender, ethnic group, and social security number is being collected for reporting purposes only and will not be used in the selection process for admission. Demographic Information: Married Single Divorced Children White Black, Non-Hispanic Hispanic Asian/Pacific Islander American Indian/Alaskan Native Non-Resident Alien I choose not to respond Is English your native language? Yes No If no, please indicate primary language Citizenship: Are you a U.S. citizen? Yes No if no, list Visa type: EDUCATIONAL BACKGROUND EDUCATIONAL BACKGROUND SECONDARY EDUCATION: List the high school from which you graduated. Dates From To Name of School City and State Date Diploma Received Do you have a GED certificate? Yes No Pending Actual / anticipated year earned Certification of High School Diploma or its Equivalent: I hereby certify that I have graduated from high school or attained the equivalent credential. This certification will provide proof of this prerequisite until such time as Goodwin College receives a copy of my transcript, diploma or GED certificate. Student Signature Date POST-SECONDARY EDUCATION

3 Dates From To Name of College City and State Major Credentials Earned EMPLOYMENT INFORMATION Starting with present or most recent employment: Employer Position Dates FT PT Description of Duties Employer Position Dates FT PT Description of Duties EMERGENCY CONTACT INFORMATION Name Relationship Address Phone ADDITIONAL INFORMATION Are you now or have you ever been licensed as a health care provider? Yes No If so, please specify: Have you ever been enrolled in another nursing program? Yes No If yes, which program? Why did you leave? Are you now or have you ever been enrolled in Goodwin College? Yes No Dates: Which program? Health clearance is required for all students admitted to the Nursing Program. I, the undersigned, apply for admission to Goodwin College s ADN program. I understand that once accepted, it is my responsibility to familiarize myself with and abide by the policies and regulations of Goodwin College. I agree that the information given on this application is true to the best of my knowledge. I further understand that any falsification of information may result in my being withdrawn from the program. Signature Date Goodwin College admits qualified students without regard to race, religion, color, age, gender, maritial status, ethnic origin, and handicap status to all rights, privileges, programs, and activities generally accorded or made available to students at the College. Goodwin College does not discriminate in the administration of educational policies, admission policies, financial aid policies, and other College administered programs. FOR OFFICIAL USE ONLY RE: Fee Received: Per:

4 Associate Degree in Nursing Program Application for Admission APPLICATION CHECK LIST ALL APPLICATIONS MUST BE COMPLETE WHEN SUBMITTED OR THEY WILL NOT BE EVALUATED. 1. Completed Application Form. 2. Official College or University Transcripts: a. (Name of College) b. (Name of College) c. (Name of College) d. (Name of College) e. (Name of College) Do you have official Transcripts on file at Goodwin College? 1. Only courses that are completed will count towards points for courses taken at Goodwin. 2. Application Fee of $75 (if not a current Goodwin College student). Make all payments in the Business Office

5 NURSING PROGRAM POINT SYSTEM New Goodwin College Students Item No. of Pts. Previous College Education Associate Degree (or 60 credits) 2 Bachelor's Degree 3 Master's Degree 4 Completion of Goodwin College Courses with a C- or better (ASD 110 will count towards 1 point) 1 course 1 2 courses 2 3 courses 3 4 courses 4 5 courses 5 6 courses 6 7 courses 7 Students who have earned greater than or equal to 12 credits at Goodwin College will receive points based upon their Goodwin College cumulative GPA. (Minimum GPA is a 2.7. GPA not rounded when scored) Composite Score on NLN Pre-Admissions Exam (Minimum score of 50%) 50%-55% 1 56%-59% 2 60%-65% 3 66%-70% 4 71%-75% 5 76%-80% 6 81%-85% 7 86%-90% 8 91%-95% 9 96%-99% 10 FINAL TOTAL (TOTAL POSSIBLE POINTS 25) Questions? Please contact Janice Watts at or

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