St. John Fisher College Wegmans School of Nursing

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1 St. John Fisher College APPLICATION FOR JUNIOR CLINICAL YEAR SPRING 2016 Students apply for the nursing junior clinical year during their second semester sophomore year. Transfer students should apply 1 2 semesters prior to the nursing junior clinical year. Transfer students must be accepted to St. John Fisher College before their application for the clinical year will be reviewed. Prerequisite courses may be in-progress when the application is submitted but must be completed with a C or higher before starting the clinical program. At the time of application for the clinical year, students should have completed at least liberal arts and science credits of the college core. Student academic progress is monitored and updated until the student starts the clinical year. Only students who were enrolled as SJFC freshman nursing majors are given preferred placement in the junior clinical year. For all others, admission to the junior clinical year is competitive. Acceptance to SJFC does not mean you have been accepted into the clinical portion of the nursing program. Students must meet the minimum requirements below to be considered for admission to the junior clinical year. The Admissions Committee will identify the most qualified eligible candidates. Admission to the program is competitive and preference may be given to applicants who exceed minimum requirements. Minimum requirements for admission to the junior clinical year are: Cumulative GPA of 2.75 or higher from all previously attended colleges. Prerequisite GPA of 2.40 or higher that includes all attempts at anatomy, physiology, microbiology, chemistry, nutrition, statistics and lifespan development. A minimum grade of C is required for all prerequisite courses. Score 84% or higher on the SJFC Math Assessment Level A exam. Full criteria and application materials are attached. Applications are being accepted now. Admissions Deadline: September 1, 2015 Admissions Notification: Students who complete the application process by the deadline will be notified of admission decisions by early October.

2 *Completed applications are accepted on a rolling basis after the deadline on a space-available basis. For questions, contact: Judy Martz St. John Fisher College 3690 East Avenue Rochester, NY Phone: Fax: Prerequisite GPA calculation for the seven required science prerequisite courses: anatomy, physiology, microbiology, nutrition, chemistry, statistics, and lifespan development. Overall Quality Points Overall Quality Points Grade Quality Points Credit Hours Grade Quality Points Credit Hours A A A A B B B B B B C C C C C C D D D D D D F F Add the quality points from each of your prerequisite courses; divide that number by the total number of credit hours to get your prerequisite GPA. Count ALL attempts at the seven courses. E.g. If your transcript shows an F for one of the four-credit courses, add in 4 credit hours but no quality points for that attempt. Procedures to Apply for the Spring 2016 Clinical Year Please read the following information carefully. Applications are due on or before September 1, Applications are accepted on a rolling basis (space-available) after that time. PROCEDURE Students apply for the nursing junior clinical year during their sophomore year. Transfer students should apply 1 2 semesters prior to the nursing junior clinical year. Transfer students must be accepted to St. John Fisher College before their application to the Wegmans School of Nursing to begin clinical will be reviewed.

3 At the time of application for the clinical year, students should have completed at least liberal arts and science credits for the college core. Student academic progress is monitored and updated until the student starts the clinical year. The following criteria are used for admission decisions for all applicants. Application for the Clinical Year: Complete the application form carefully. Fill in all information and sign the application. Scholastic Ability: Selection to enter the junior clinical year is competitive. Minimum cumulative Grade Point Average (from all previously attended colleges) is A grade of C or better must be achieved in each of the prerequisite courses: anatomy, physiology, microbiology, chemistry, statistics, nutrition, and lifespan development. The minimum prerequisite GPA is 2.40, including all attempts at the seven sciences. Mathematics Screening Test: For ALL Applicants: To meet the math competency, students must get a grade of 84% or above on the Math Assessment Level A. Although students have a total of four chances to meet this competency, failure to score 84% or above after the second attempt requires the student to complete the Math Remediation Contract (available on BlackBoard or the SJFC WSON website). Students must complete the terms of the contract for remediation before taking the test for the third time. If a student does not meet the math competency after four tests, the student will not be eligible for the nursing clinical program at Fisher. The math competency must be met for the clinical application to be complete. Testing date information will be available through the Math Center and on the WSON website. If you are currently a sophomore SJFC Nursing Major: You should have access to the BlackBoard (BB) site for the WSON Math Screening Test. If you cannot access this BB site, call Judy Martz in the WSON office at to have your name added. Incoming transfer students do not have access to BlackBoard and will sign in as a transfer student when taking the math exam. This is a paper test and must be taken at SJFC. Personal Statement: Please submit a short (1-2 page) well-developed essay, which speaks to your specific professional plans and career objectives. The quality of your essay is an indication of your ability to constructively express your thoughts in a cogent manner. Please view this essay as an opportunity to analyze your past professional development (if applicable) and consider future contributions as a result of professional nursing education. Submit your essay on a separate sheet of paper, typed, double-spaced, and clearly identified with your name and student identification number (if available). References: Two references are required for all applications to the clinical year. The appropriate forms are included in this packet. At least one of the references must be from a college-level professor from one of your seven prerequisite science classes. The other may be from an employer or person who can comment on personal characteristics. Family members or personal friends are NOT appropriate references. Forward a reference request to each individual you select to serve as a reference for you and indicate that the form is to be returned directly to St. John Fisher College,, Attn: Judy Martz, in a sealed envelope. It will NOT be accepted from the student unless it is in a sealed envelope. Please complete/sign the Waiver of Right to Review Statement on EACH reference form.

4 The following requirements are not due with the application but must be submitted after you have been accepted into the program -- about six to eight weeks prior to starting clinical: CPR Certification: o Contact either the American Heart Association (course: BLS for Health Care Providers) or the American Red Cross (course: CPR/AED for Professional Rescuers and Health Care Providers) for this requirement. Students with Advanced Cardiac Life Support (ACLS) must still complete Basic Life Support (BLS) to meet this requirement. Your CPR is good for one or two years depending on location. Submit a copy of your card and keep the original. o Send a copy of your CPR card to the. Students are required to have current CPR certification for each semester they are in clinical. Physical Examination and Immunizations: Students are expected to have a current physical examination or health update, PPD, and immunizations on file each semester/year they are in clinical. o The College s Health History Form must be submitted to the Wegmans School of Nursing. ALL students must have a history and physical completed by a health care provider dated no more than 6 months before beginning the first semester of the clinical year clearing them for full participation for nursing student clinical training. After the junior year, an annual health update is required. The form is available on the nursing website, or you may also use a health update form to indicate you continue to meet health requirements for clinical work. o ALL students must submit an immunization history or proof of immunity against measles, mumps, rubella, meningitis, polio, tetanus, chicken pox, hepatitis B, as well as proof of an annual PPD. o Accepted students need the seasonal flu shot each year in order to participate in clinical. Plan on getting this when the new season s flu vaccine is available, usually after the middle of August. o For students with a positive PPD, a chest x-ray report must be submitted. NOTE: Nursing students are NOT exempt from immunizations against measles, mumps, and rubella due to age when entering the clinical component of the program. Your application to begin the clinical year is considered to be complete ONLY when: You have passed the WSON mathematics screening exam The application is submitted The personal statement is submitted Both references are submitted. A transfer student has been accepted to St. John Fisher College No student will be considered for the clinical program until ALL these items have been received. It is the student s responsibility to have updated transcripts for all prerequisite courses taken at institutions other than SJFC sent to the as soon as the course(s) are completed. You do not need to send us a transcript for classes taken at SJFC. SEND TRANSCRIPTS TO: St. John Fisher College 3690 East Avenue Rochester, NY QUESTIONS? Call (585)

5 St. John Fisher College Application for Clinical Year: Spring 2016 PERSONAL DATA Name: (first) (middle) (last) Campus Address: Bldg: Box #: Local address (during school semesters only): (street) (city) (state) (zip) SSN or SJFC ID#: Cell Phone: Home Phone or other contact phone #: for questions/info RE admissions that you check frequently--please print carefully: Mailing Address to send correspondence RE admissions: (street) (city) (state) (zip) (Circle as applicable) I have the following degree: AS AAS BS BA BS MS from: (school) (year) ACADEMIC My cumulative Grade Point Average is 2.75 or above. Yes No Unknown My prerequisite Grade Point Average is 2.40 or above. Yes No Unknown Please indicate yes or no in appropriate column for each prerequisite course: PREREQUISITE COURSES COMPLETED (Yes or No) ENROLLED/WILL TAKE IN SPRING ENROLLED/WILL TAKE IN SUMMER ENROLLED/WILL TAKE IN FALL Anatomy Physiology Microbiology Nutrition Chemistry Statistics Lifespan Development -- Continued over

6 WORK EXPERIENCE PLACE OF EMPLOYMENT/ CITY/STATE POSITION HELD DATES EMPLOYED SUPERVISOR NAME/ PHONE NUMBER Please indicate if you are a (check all that apply): Service scholar First Gen student ROTC/Veteran Student Athlete: (if so, which sport(s)/which season(s)?) / REFERENCES List the names and addresses of the two people whom you have asked to provide us with a reference for you. One must be from a college-level professor in one of the seven science prerequisite courses. It is your responsibility to get the reference request to them and then verify the references have been received by the. a) _ b) _ HAVE YOU EVER BEEN CONVICTED OF A CRIME (Misdemeanor or Felony)? Yes No If Yes, please attach a letter of explanation. HAVE YOU EVER BEEN ENROLLED IN NURSING COURSES AT ANOTHER COLLEGE? Yes No HAVE YOU EVER FAILED ANY NURSING (NURS) COURSES? (C- or less) Yes No ARE YOU TRANSFERRING FROM A NURSING PROGRAM STARTED AT ANOTHER COLLEGE? Yes No If Yes, please attach a letter from your previous program chair/director/dean that you left the program in good standing. I hereby apply for the clinical year in the nursing program at St. John Fisher College. I state and certify that the information, statements, and answers as herein recorded on all application materials are full, true, and correct to the best of my knowledge and belief, and that no information required to be given therein, either expressly or by implication, has been knowingly withheld. I understand the statements and answers/omissions are a part of this application and, if contrary to the fact, could constitute grounds for my dismissal from the nursing program. (Signature of applicant) (Date) RETURN COMPLETED FORM TO: St. John Fisher College 3690 East Avenue Rochester, NY QUESTIONS? Call (585)

7 St. John Fisher College REFERENCE REQUEST WAIVER OF RIGHT TO REVIEW STATEMENT All completed forms will be treated confidentially. Applicant MUST complete and sign this block. I,, waive/do not waive the right to access of confidential material (Applicant Name) (Circle one.) in this reference. Signature of Applicant: Date: I, am requesting that you serve as a reference for my application to (Applicant Name) the clinical year in the baccalaureate nursing program in the at St. John Fisher College. To assist in evaluating my application, please complete this form and return it to the address listed. Thank you. Exceptional Above Average Average Below Average No Information Intellectual Ability Caring Attitude Leadership Ability Motivation To Work Ability To Work With Others Ability To Express Self Verbally Writing Ability Emotional Maturity Likelihood Of Career Success Problem Solving Ability Analytic Ability - Continued over -

8 How long have you known the applicant and under what circumstances? If you are faculty specify the course that this student studied with you. What limitations do you see that this individual may have in completing the baccalaureate nursing program? Please make any comments that you think would assist faculty members in evaluating this candidate. Please sign and return to the address below. Signature Name (Print or type) Address Date Title Phone (Print or type) DUE DATE: 2 weeks after receipt PLEASE RETURN TO: Attn: Judy Martz St. John Fisher College 3690 East Avenue Rochester, NY For questions call Judy Martz at (585)

9 St. John Fisher College REFERENCE REQUEST WAIVER OF RIGHT TO REVIEW STATEMENT All completed forms will be treated confidentially. Applicant MUST complete and sign this block. I,, waive/do not waive the right to access of confidential material (Applicant Name) (Circle one.) in this reference. Signature of Applicant: Date: I, am requesting that you serve as a reference for my application to (Applicant Name) the clinical year in the baccalaureate nursing program in the at St. John Fisher College. To assist in evaluating my application, please complete this form and return it to the address listed. Thank you. Exceptional Above Average Average Below Average No Information Intellectual Ability Caring Attitude Leadership Ability Motivation To Work Ability To Work With Others Ability To Express Self Verbally Writing Ability Emotional Maturity Likelihood Of Career Success Problem Solving Ability Analytic Ability - Continued over -

10 How long have you known the applicant and under what circumstances? If you are faculty specify the course that this student studied with you. What limitations do you see that this individual may have in completing the baccalaureate nursing program? Please make any comments that you think would assist faculty members in evaluating this candidate. Please sign and return to the address below. Signature Name (Print or type) Address Date Title Phone (Print or type) DUE DATE: 2 weeks after receipt PLEASE RETURN TO: Attn: Judy Martz St. John Fisher College 3690 East Avenue Rochester, NY For questions call Judy Martz at (585)

11 Applicant Checklist The following checklist is for your use to track the various parts of the application process. CHECK OFF ITEMS WHEN COMPLETED: To be submitted by September 1, 2015: Application Essay/personal statement References requested from: 1) 2) Passed Mathematics Screening Test Updated transcript(s) with grades for all pre-requisite courses taken other than Fisher have been submitted to the. Items to be submitted after you have been accepted into the clinical year: Immunizations updated and sent to SJFC physical exam form to the CPR certification achieved and copy of certificate submitted to the Wegmans School of Nursing Updated transcript(s) for any recent classes (taken other than at Fisher) DATE SUBMITTED ALL REQUIREMENTS MUST BE MET AND DOCUMENTATION RECEIVED BY THE WEGMANS SCHOOL OF NURSING FOR ADMISSION TO THE NURSING JUNIOR CLINICAL YEAR. IT IS THE STUDENT S RESPONSIBILITY TO VERIFY THAT ALL MATERIALS (INCLUDING REFERENCES AND TRANSCRIPTS) ARE RECEIVED BY THE WEGMANS SCHOOL OF NURSING. For questions contact: Judy Martz, (585) or fax number (585) /17/15

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