BACHELOR OF SCIENCE NURSING PROGRAM APPLICATION FOR ADMISSION (Please PRINT Clearly)

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1 IMPORTANT DEADLINES *Applications Due: February 15 for Fall Admission September 15 for Spring Admission *Must be received with the $20 application fee (paid by money order or cashiers check) by the deadline date. Late or incomplete applications will NOT be considered. Boise State University School of Nursing Phone: (208) University Dr. MS 1840 Fax: (208) Boise, ID BACHELOR OF SCIENCE NURSING PROGRAM APPLICATION FOR ADMISSION (Please PRINT Clearly) This is the only information that the School of Nursing will use to communicate with you regarding your application status. Please allow for at least 8-10 weeks after the application deadline to receive any information. Any change of address OR name must be submitted in writing to the School of Nursing. Name: Preferred Name (nickname): *BSU Student ID #: Social Security #: Mailing Address: City/State/Zip: Cell Phone: Other Phone: Boise State Address: * You must have a Boise State ID number in order to apply to the School of Nursing. We are happy to announce a very special partnership between the School of Nursing at Boise State and the Nursing and Health Science Division of Lewis and Clark State College. With the permission of our applicants, we will forward the contact information of students who are qualified but not accepted to the School of Nursing to LCSC for consideration in their application cycle. Applicant information will only be sent for those students who are qualified for the Boise State Nursing Program but are not selected for a position. Yes, please send my contact information to LCSC for consideration. No, I do not wish my contact information to be sent elsewhere. Apply to Boise State University prior to applying to the School of Nursing. *Please note that admission to the School of Nursing is a separate process from admission to Boise State University. Early application to Boise State University is strongly recommended to allow the Registrar s Office sufficient time to process admission to the University and evaluate any transferred course work. Students should apply to Boise State University the semester before applying to the School of Nursing. The priority application deadline for Boise State University admissions for Fall is February 15 and for Spring is November 15. However, these University admission dates will be too late for purposes of applying to the School of Nursing during that same semester. (See Important Deadlines noted above.) 1

2 Prerequisite Information ALL Nursing courses, pre-requisites, and support courses MUST be successfully completed with a grade of C (75%) or better. C- (less than 75%) is NOT acceptable. All courses must be completed by the end of the semester in which the application is submitted. SECTION 1: The following courses must be completed with a grade of C or better and highlighted on your transcripts. These courses are the only courses used to calculate your GPA for admission to the School Nursing. BSU Course Title BIOL 227 Anatomy & Physiology 1 BIOL 228 Anatomy & Physiology 2 Course Grade Credits Lab Course Grade Credits # Times Class Was Taken Completed At (College/University) CHEM 101/101L Math 254** College Chemistry with Lab Math Statistics **This must be a MATH statistics course, meaning a course being transferred from another school must have a MATH prefix. The courses listed in Sections 2 and 3 are required but will NOT be used to calculate your GPA for admission. SECTION 2: The following courses must be completed with a grade of C or better with the course and a grade highlighted on your transcripts. These courses must also be completed BEFORE applying for the Program. BSU Course Title Gr. Cr. Completed At (College/University) ENGL 101 Freshman Composition ENGL 102 PSYC 101 Research Writing Intro to Psychology SECTION 3: Indicate the grade that you received in the following courses or provide proof of current enrollment. Highlight grades or in progress on transcripts. If classes are in progress, you must complete and submit documentation of a passing grade by May 30 if starting in Fall and December 30 if starting in Spring. BSU Course Title Gr. Cr. Completed At (College/University) Sociology (101 or 102 or 230) Only these courses HLTHST 207 BIO 205 HLTHST 300 Nutrition Microbiology Pathophysiology NOTE: PLEASE HIGHLIGHT ALL COURSES LISTED ON THIS PAGE ON YOUR UNOFFICIAL TRANSCRIPTS THAT YOU SUBMIT WITH THIS APPLICATION. NOTE: INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED FOR ADMISSION. THE $20.00 APPLICATION FEE WILL NOT BE REFUNDED. DO NOT SUBMIT CASH OR A PERSONAL CHECK, THE APPLICATION WILL NOT BE PROCESSED. 2

3 Your Success in the Nursing Program The School of Nursing faculty and staff understand their responsibility to create and support an environment conducive for learning. We are committed to your success. However, it is equally important that you are aware of your responsibilities for your own success in the Nursing Program. Please read the list of expectations below. Your initials on each line along with your signature at the bottom of the list, indicates that you have read and understand each item. 1. The Nursing Program requires a full-time commitment for five consecutive semesters. 2. All students are encouraged to submit their Free Application for Student Aid to Boise State University Financial Aid early to maximize their financial aid award possibilities. 3. Professional behavior is required. Review the Student Expectations and Responsibilities Policy found in the Student Handbook at 4. Students are required to attend and be prepared for ALL scheduled classes, including on-campus and off-campus clinical experiences. 5. Many students work to support themselves and their families. However, please consider carefully the amount of time spent working and the possible negative ramifications on your time to study and your grades. The need to work is not considered sufficient reason for lack of preparation for classes and/or on-campus and off-campus clinical experiences. 6. Students are expected to be able to read cursive writing and to read analog clock dials. 7. Students are expected to become familiar with and use all tools and materials available including Bronco Web, the Academic Advising Report, Blackboard, and the School of Nursing Handbook. 8. The preferred computer software at Boise State is Microsoft Office. It is the student s responsibility to ensure that they can open, read, modify and return in Microsoft format any documents that may be posted or received. 9. A grade of C in any nursing or support courses is considered a failing grade in the School of Nursing and will affect a student s ability to progress in the Nursing Program. 10. Students are responsible for providing their own transportation to and from the campus and to all clinical sites. 11. Students are required to meet health/background and drug testing requirements upon entry and during each semester in the program, the costs associated with meeting these requirements. 12. Students must meet certain physical/emotional standards and are required to update the School of Nursing of any changes in their health (please see Performance Standards on website). 13. A mandatory orientation is required prior to the beginning of classes. Student Signature Are you a recipient of one of the following Boise State University scholarships, a recruited and signed student athlete, or have a full scholarship from an outside source? Please check the appropriate space. Recruited & Signed Student Athlete: Brown/Honors: ROTC: Outside Scholarship: Name of Scholarship: Verification of scholarship is REQUIRED and MUST accompany this application. Background Checks/Drug and Alcohol Testing Clinical facilities require students to obtain a background and drug/alcohol check before entering their facility. The fee for this criminal background check is your financial responsibility. If the criminal background check indicates a criminal history or the drug/alcohol test is positive for controlled substances, you may be required to withdraw from the School of Nursing. You will be given information about where to complete the background/drug/alochol check in your 3

4 acceptance materials. You must utilize the company we indicate to complete your background check. Students will be required to repeat the background check process prior to each semester by pre-announced dates. Health Requirements Students must meet certain health requirements to enter clinical facilities. The fees for meeting these health requirements are your financial responsibility. If new students are unable to successfully complete the requirements by identified deadlines, they will be dismissed from the Program. For details, please refer to the General Information for New Students at Foundation and Support Courses Foundation and required support courses are not administered by the School of Nursing. The School of Nursing is not responsible for assuring course availability in any given semester or for assuring open seating in required foundation and support courses. Students are responsible to complete course requirements by deadlines as identified in the Progression Policy. If students are unable to successfully complete courses by identified deadlines, progression in the Program will be interrupted. Application Checklist Please read the check list below. Your initials on each line along with your signature at the bottom of the list indicate that you have read and understand each item. YES 1 I have attached the required copy/copies of all college/university transcripts and have highlighted all coursework listed in this application. Also attached are copies of any Academic Adjustment forms that have been completed for my course work. 2 I have attached ALL course descriptions for courses NOT taken at Boise State University. (This includes any college or university including those in the State of Idaho). 3 I have enclosed a $20 non-refundable application fee payable to Boise State University. MONEY ORDER OR CASHIERS CHECK ONLY! Cash or personal check will NOT be accepted. 4 I understand that, if accepted into the Nursing Program, my admission is conditional pending the criminal background check, meeting health requirements and my submission of transcripts showing a grade of C or better following completion of any class indicated as in progress on this application. 5 I have applied and been accepted as a full-time student to Boise State University as described in the Boise State University Undergraduate Catalog. I have carefully read this application and have answered all questions completely. I declare my answers and all statements made by me therein are true and correct. Any false information in this application shall be cause for denial of admission to and/or dismissal from the School of Nursing at Boise State University. Signature Date Mail complete application to: Boise State University OR Hand deliver to the School of Nursing Nursing Student Services in the NORCO Building, 4 th Floor, Room 430 School of Nursing 1910 University Dr. MS 1840 Boise, ID

5 PLEASE RETURN ALL PAGES OF THIS APPLICATION. The demographic information requested below will be used only for statistical purposes. This information is not considered in the admission process. ALL INFORMATION IS VOLUNTARILY GIVEN TO THE SCHOOL OF NURSING. ETHNIC BACKGROUND African-American Hispanic/Latino-American Asian Native America Caucasian Pacific Islander Other: What is the primary language spoken in the household? INDICATE IF YOU ALREADY HAVE ANY OF THE FOLLOWING DEGREES: Associate of Science or Arts Degree Bachelor of Science or Arts Degree Master of Science or Arts Degree INDICATE IF YOU ALREADY HAVE ANY OF THE FOLLOWING EXPERIENCES: I am currently a CNA (Certified Nursing Assistant) I am an EMT or Paramedic I am or have been a medic/corpsman in the military HIGHEST LEVEL OF EDUCATION OR DEGREE ATTAINED BY EITHER PARENT: Elementary High School Some College Credits College Degree ARE YOU A RESIDENT OF IDAHO? Yes DATE OF BIRTH: No CURRENT AGE: GENDER: Male Female Are you the head of household? Yes No Number in household 5