Practical Nursing Program

Transcription

1 SCHUYLKILL TECHNOLOGY CENTER 101 Technology Drive, Frackville, PA (570) or Fax (570) Practical Nursing Program Date: School Year From: To: Mrs. Cindy Schucker, MSN, M.Ed., RN Practical Nursing Coordinator Practical Nursing Program Applicants Subject: Practical Nursing Program Information Packet ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Thank you for your interest in our Practical Nursing Program at Schuylkill Technology Center~North Campus, Frackville, PA (STC). The Practical Nursing Program consists of one full time day program beginning in July of each calendar year. Please contact the Practical Nursing Program at , Extension 4881 for the next available class being offered. The full time day program will take one year to complete and is comprised of four terms. Students attending the day program receive theory at STC Monday thru Friday from 8:00 AM to 2:30 PM. Approximately 3-4 weeks into the program students receive theory on Monday and Friday at STC with the clinical rotation on Tuesday, Wednesday and Thursday (6:45 AM - 2:15 PM) for 3 terms. Term IV theory and clinical rotation days will vary. If you have any questions, please contact the Practical Nursing Program at , Extension An Equal Opportunity Educational Facility Accredited by Pennsylvania State Board of Vocational Education, Bureau of Career and Technical Education

2 SCHUYLKILL TECHNOLOGY CENTER 101 Technology Drive, Frackville, PA (570) or Fax (570) Memo From: Heather Boyer Postsecondary Program Specialist To: Subject: Practical Nursing Program Applicants Practical Nursing Program Pre-Admission Assessment Exam ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ NOTE: You must complete the Pre-Assessment process before submitting an application to the Practical Nursing Program. To register for the next pre-admission exam, please contact Heather Boyer at , Extension 4885 or at This pre-admission test will be administered at the Schuylkill Technology Center-North Campus and will last approximately 2 hours. There is no charge for the pre-admission assessment and academic remediation. All applicants for the Schuylkill Technology Center Practical Nursing Program will be required to take a pre-admission assessment in Reading, Mathematics, and English. The purpose of the pre-admission exam is to evaluate whether you have the academic skills and aptitude necessary to successfully complete the program. The assessment will determine if academic remediation is necessary. Generally remediation is a minimum of four sessions per area; however, additional remediation may be required. Upon successful completion of remediation, you will be required to retest. If remediation is not required, you can proceed and contact the Practical Nursing Office at , Extension When you have successfully completed the pre-admission assessment, you can then submit your application/application fee to the Practical Nursing Office. Thank you. An Equal Opportunity Educational Facility Accredited by Pennsylvania State Board of Vocational Education, Bureau of Career and Technical Education

3 Schuylkill Technology Center North Campus Practical Nursing Program Program Catalog 101 Technology Drive Frackville, PA (570) , Extension 4881 FAX: (570)

4 Practical Nursing Program **********INSTITUTIONAL MISSION STATEMENT********** The mission of the Schuylkill Technology Center is to enable the student to acquire the attitudes, knowledge, skills, and values necessary to become a life-long learner and a productive citizen of a global economy by developing an educational pathway for excellence driven by a partnership with education, business, industry, government, family, and the community. **********INSTITUTIONAL BELIEF STATEMENT********** The Schuylkill Technology Center believes that: Education is the responsibility of the student, parent, teachers, and the community All individuals can learn, but learning occurs at different rates through diversified learning styles Individuals are more successful when they are active participants and demonstrate learning Individuals are more successful when they set goals, make choices, and accept responsibility Individuals enrich their learning by participating in family, school, and community activities Humanity prospers when people work together Diversity enhances growth and strengthens society Excellence is achievable and a worthwhile investment Learning is a life-long process that is essential for economic stability The future of our society depends on the effectiveness of a high-quality education **********INSTITUTIONAL OUTCOMES********** The Schuylkill Technology Center is an integral part of the educational process and is reflective of the local educational culture. The faculty and staff of the Schuylkill Technology Centers choose to articulate tomorrow s educational challenges through curriculum, human relations, business, industry, and the community as identified by the internal and external needs assessment. Therefore, the Schuylkill Technology Centers embrace the following institutional outcomes for each graduate: Mathematical, verbal, and written communication skills Rigorous performance-based skills Effective interpersonal and teamwork skills Work ethic and civic responsibility skills Lifelong learning skills *********ACCREDITIONALS/APPROVALS********** ACCREDITATION (For information about national and program accreditations, contact the institution.) Accredited by Pennsylvania State Board of Vocational Education, Bureau of Career and Technical Education APPROVALS Approved by the Pennsylvania Department of Education Pennsylvania State Board of Nursing United States Department of Education for Pell Grants and for participation in the Federal Family Education Loan Program Pennsylvania Department of Education for Veterans Training Bureau of Vocational Rehabilitation for training of rehabilitation students ********* Practical Nursing Program Coordinator********* Cindy Schucker, M. Ed, MSN, RN, Coordinator~ MSN, University of Phoenix M. ED., Penn State University BSN, Penn State University ~ RN, Pottsville Hospital School Nursing ********* Practical Nursing Program Staff********* Lisa Shustack ~ MSN, University of Phoenix ~ BSN, RN Cedar Crest College Kimberly O Neill~ BSN, RN Lycoming College ******* Practical Nursing Program Part-Time Staff******* Amanda Gallagher---BSN, Penn State University, ADN, Lehigh Carbon Community College Mary Scheetz BSN, Penn State University, RN, Pottsville Hospital School of Nursing ******* Practical Nursing Program Secretary******* Lisa Bickelman ******************************* 1

5 STC Practical Nursing Program *********ADMISSIONS********* Practical Nursing Program Requirements In order to be considered for admissions to the Schuylkill Technology Center s (STC) Practical Nursing Program, you must be a graduate of an accredited high school or possess a General Education Diploma (GED) and successfully complete STC s admission/application process. Classes begin in July and approximately 40 students are selected for the class. Applicants who successfully complete these requirements are considered for admission to the next available class. ADMISSION PROCESS I. Pre-Admission Assessment Exam A. All applicants for the Practical Nursing Program will be required to take a pre-admission assessment in reading, Mathematics, and English. The purpose of the pre-admission exam is to evaluate whether you have the academic skills and aptitude necessary to successfully complete the program. The assessment will determine if academic remediation is necessary. Generally remediation is a minimum of four sessions per area; however, additional remediation may be required. B. Upon successful completion of remediation, if needed, you will be required to retest. When appropriate or if remediation is not required, you can proceed and contact the Practical Nursing Office at , ext.4881 for application information. C. To register for your pre-admission exam, please contact Heather Boyer at , Extension 4885 or at [email protected] for the next available test dates and times. The assessment exam is administered at the Schuylkill Technology Center-North Campus, Frackville and will last approximately 2 hours. There is no charge for the pre-admission assessment and academic remediation. Upon successfully passing the pre-admission exam, you will be recommended to the Practical Nursing Office for testing. II. Application Process A. At this time you may request an application by calling the Practical Nursing Office at , Extension Submit your $80.00 non-refundable processing fee. to STC-Practical Nursing Program, 101 Technology Drive, Frackville, PA Check or money order (NO CASH) should be made payable to Schuylkill Technology Center. B. Request official copies of your high school transcript or GED scores to be sent to the PN Office. C. Upon receipt application/application fee, and high school transcript or GED scores you will be notified of a testing date for the Test of Essential Academic Skills (TEAS), which will be administered as a paper/pencil test at the Schuylkill Technology Center, Frackville and will take approximately 4 hours. D. The Test of Essential Academic Skills (TEAS) measures basic essential skills in the academic domains of Reading, Mathematics, and English and language usage. The test is intended for use primarily with adult nursing program applicant populations. The objectives assessed on TEAS are those which nurse educators deemed most appropriate and relevant to measure entry level skills and abilities of nursing program applicants. The TEAS is a 170-item, four option, and multiple-choice assessment. To prepare in an organized and efficient manner, you should know what to expect from the real assessment. Content Area Number of Test Items Amount of Time Allotted Reading minutes Mathematics minutes English and Language Usage minutes TOTAL MINUTES E. Two products are available to help as you prepare for the TEAS Assessment: TEAS Study Manual (highly recommended) and the Online Practice Assessment. For a complete student package, both may be purchased at or review the free practice site on ATI s website. III. Acceptance Process A. Admission to the Practical Nursing Program is competitive based upon the TEAS results and educational background. Classes of approximately 40 students are selected for the July class. Students will be notified of their admission by mail. B. In order to be considered for selection/acceptance, applicants will be required to submit a completed PA State Police Criminal Record Check, FBI Background Check (Fingerprinting), and a PA Child Abuse History Clearance and Drug Screening. Please note: Individuals who have a positive criminal history may be denied admission to the Practical Nursing Program. Also a criminal record may be a potential barrier to completing the program, receiving permission to take the state licensing examination and obtaining a practical nursing license. It is the student s responsibility to inform the program coordinator of any criminal infraction which occurs while a student is attending STC. C. Once an applicant is selected they will need to submit a non-refundable enrollment deposit (currently $275.00) in order to be accepted. CPR training will be offered to accepted students at STC and they will be notified of dates and fees. 2

6 STC Practical Nursing Program The Practical Nursing Program is held at the North Campus in Frackville and is available on a full time basis. The day division covers a 12 month period with enrollment beginning in July of each calendar year. Employment opportunities for LPN s are available in hospitals, clinics, prisons, schools, public health agencies, doctor s offices, extended care facilities and private homes. LPN s can also continue their education to enter professional nursing and other health care fields. Upon successful completion of the program, graduates will be eligible to sit for the National Council Licensing Examination (NCLEX-PN). Success in the examination qualifies graduates to function as licensed practical nurses. Program of Learning Anatomy & Physiology ~ 97hr. A study of basic anatomy and physiology of all body systems is prefaced with a brief introduction to the principles of chemistry, microbiology and physics as they relate to body physiology. Family Centered Health Care ~ 60hr. This course deals with the normal physical, psychological, and social patterns of development from conception through adolescence. Included are theory and related clinical experience in the care of mothers, newborn infants, and children. Geriatrics ~ 32hr. A study of the concepts, theories and characteristics of aging. The student is introduced to the programs available to help the elderly maintain quality of life. Death and dying are presented with an emphasis on the role of the care provider as he/she relates to the event and significant other. Mental Health Nursing ~ 24hr. An introduction of basic mental health nursing as it relates to the total health of the patients. Theories of crisis intervention, mental defense mechanisms, and basic communication techniques are presented. The student is introduced to the more common mental health disorders and their treatment modalities, including medications. Nursing I ~ 93hr. A study of theory and clinical practice of basic bedside nursing care. Course emphasizes the principles underlying procedures, development of skills in patient observation, effective communication and utilization of principles of teaching to help achieve patient, family and community health. Note: Includes 17 hours of lab/clinical hours. Nursing II ~ 27hr. A study of theory and clinical practice of advanced nursing care. This course emphasizes the principles underlying procedures, development of skills in therapeutic measures, and preparation of the patient for diagnostic tests. Note: Includes 9 hours of lab/clinical hours. Nursing III ~ 208hr. A study of specific diseases and disorders affecting the various body systems of adults and children that includes common symptoms, diagnostic studies, treatment regimens (including diet therapy and related pharmacology), and nursing care as it relates to that specific disorder. Note: Includes 16 hours of lab/clinical hours and 18 hours of NCLEX Review. Nursing IV ~ 25hr. A study of basic leadership skills in geriatric settings is discussed. Observations of roles of Treatment Nurse, Clinical Manager and/or Charge Nurse are scheduled for the students. Various cultural aspects will be studied, as well as community services available to the public. Immunological disorders, cancer & AIV are discussed, including the pathology, etiology and treatment options. Pharmacology ~ 114hr. Students will learn the fundamental principles of drug action; develop skills to administer specific drugs used in the treatment, prevention, and diagnosis of disease; and develop the ability to implement appropriate nursing actions to maximize the desired outcomes of therapy. Note: Includes 12 hours of lab/clinical hours. Personal and Vocational Relations ~ 40hr. The student is oriented to Practical Nursing and the health delivery system. A study of vocational, legal, and ethical aspects of nursing preparation for the world of work; and the process of applying for licensure and the NCLEX are included. Clinical Practicum ~ 771hr. Each clinical term is an entity unto itself with unique experiences that enable the student to apply skills in a specific clinical setting. 3

7 STC Practical Nursing Program Program of Learning The Practical Nursing Program consists of 1545 hours. Students receive 720 hours of theory and 825 hours of clinical exposure. This program encompasses the giving of direct patient care, recording data, performing treatments, assisting with restoration of function, and administration of medications. Practical Nursing also involves participation in assessment of planning, implementation, and evaluation of nursing care in all settings where nursing takes place. Theory and laboratory sessions are held at the Schuylkill Technology Center ~ North Campus in Frackville. Clinical experience is concurrent and/or sequential to theory, and is scheduled at Rest Haven in Schuylkill Haven, Schuylkill Center Genesis Eldercare, Schuylkill Medical Center-East Norwegian Street and Schuylkill Medical Center-South Jackson Street in Pottsville, Broad Mt. Manor Nursing & Rehab Center and STC School Nurse, Frackville, Schuylkill IU 29 Early Intervention Preschool, Schuylkill IU 29 Maple Avenue, Schuylkill Learning Academy Maple Avenue, Marlin. Reliable transportation is imperative to proper learning. *********GRADING********* Students are required to complete each Term with a satisfactory minimum grade of 80% in each Theory course of study, and satisfactory grade in the Clinical Practicum for the term. Passing Grade - 80% in Theory Performance 1. Grading Scale: = A = B = C 79 - Failure 2. Numerical grades are used for theory achievement, as well as reports, and care plans, pass or fail is used for clinical achievement. 3. Final grade for Academic Achievement is determined by: A. Written Exams B. Class Presentations C. Class Projects This grading policy is refined to meet program guidelines and all requirements of the Schuylkill Technology Center s grading policy. The student must achieve an 80% in all theory courses required, as well as a satisfactory grade in the clinical practicum in each term. Students who have failed or withdrawn are readmitted on a space-available basis only in accordance with the Practical Nursing Program policies. *********FINANCIAL AID********* The Schuylkill Technology Center recognizes the expense of a quality education and encourages students to apply for all available financial aid. The Financial Aid Office assists students in applying for federal grants, loans, and the Veterans Administration Program. Other agencies providing funding are Team PA Career Link and the Office of Vocational Rehabilitation. Financing opportunities available to qualified students include: Federal Pell Grants, Subsidized Federal Stafford Loans, Unsubsidized Federal Stafford Loans, and Federal Plus Loans. *Tuition and fees are established by the Schuylkill Intermediate Unit Board of Directors. The tuition and fee schedule for the current year is listed below *Tuition & Fee Schedule Program Start Date Length Cost Practical Nursing Full Time Day March August 12 months (1545 hours) $12, (Does not include textbooks, uniforms, clearances, medical, lab & test fees) *The tuition and fee schedule is subject to change on June/July 1 of each year. In the event that a student fails to pay the term tuition payment in full (less any approved PELL, GSL, or Scholarship Awards), the student will not be permitted to continue attending classes. Definition of an Academic Year: PN Program 48 weeks/1545 clock hours. When determining refunds, the following fees will be considered NON-REFUNDABLE $80* ($30 Application Fee and $50 Pre-entrance Test Fee) $275.00* Enrollment Deposit Fee (Lab/Test Fees) All books, uniforms, medical, lab, and test fees For more information about our graduation rates, the median debt of students who completed the program, and other important information, please visit our website at 4

8 Schuylkill Technology Center Post~Secondary Schuylkill Technology Center ~ North Campus 101 Technology Drive Frackville, PA (570) FAX: (570) Schuylkill Technology Center ~ South Campus 17 Maple Avenue Marlin, PA (570) FAX: (570) Important Telephone Numbers North Campus (570) South Campus (570) Pre-Admissions Testing Ext Admissions: Ext Job Placement: Ext Student Accounts Office Ext Fax: Job Placement: Ext Practical Nursing Office Ext Fax Financial Aid Coordinator address: [email protected] Ext Airport Campus Tractor Trailer Program Heavy Equipment Operator Fax *********NON-DISCRIMINATION POLICY********** The Schuylkill Intermediate Unit #29 will not discriminate in its educational programs, activities, or employment practices, based on race, color, national origin, sex, sexual orientation, disability, age, religion, ancestry, union membership, or any other legally protected category. This policy is in accordance with state law, including the Pennsylvania Human Relations Act, and with federal law, including Title VI and Title VII of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1972, Sections 504 of the Rehabilitation Act of 1973, the Age Discrimination in Employment Act of 1975, and the Americans with Disabilities Act of The Schuylkill Intermediate Unit s commitment to non-discriminatory practices extends to prospective students and employees, current students and employees, parents of students, community members, and representatives of outside agencies. Schuylkill Intermediate Unit employees, community members, and agency representatives who have a complaint of harassment or discrimination or who seek information about accommodations for individuals with disabilities should contact Dr. Diane M. Niederriter, Executive Director, Equal Rights and Opportunities Director, Schuylkill Intermediate Unit #29, PO Box 130, 17 Maple Avenue, MarLin, PA 17951, telephone number , or fax number Visit our website at

9 The TEAS V (Test of Essential Academic Skills) Purpose of the TEAS V The Test of Essential Academic Skills (TEAS V) measures basic essential skills in the academic area domains of Reading, Mathematics, and English and language usage. The test is intended for use primarily with adult nursing program applicant populations. The objectives assessed on TEAS V are those which nurse educators deemed most appropriate and relevant to measure entry level skills and abilities of nursing program applicants. The TEAS V is a 116-item, three-option, multiple-choice assessment. To prepare in an organized and efficient manner, you should know what to expect from the real assessment. Content Area Number of Test Items Amount of Time Allotted Reading minutes Mathematics minutes English and Language Usage minutes Total minutes *116 questions will be scored. Two products are available to help as you prepare for the TEAS V Assessment: Test of Essential Academic Skills (TEAS V) Study Guide) The study manual is written specifically to address the needs of students preparing to take the TEAS V or those who need additional help after testing. Strategies: Your Guide to Classroom & Test Taking Success (This book is available for test taking strategies. Test of Essential Academic Skills (TEAS V) Online Practice Assessment The TEAS V Online Practice Assessment is available for students desiring additional test preparation material. For a complete student preparation package, the TEAS V Online Practice Assessment and the TEAS V Study Guide and book may be purchased at Answers your Important Questions The Guide will also answer your two most urgent questions: What is on the TEAS V examination? How can I best prepare for this test? Observance of a few simple test taking guidelines can improve your understanding of what is required on the test, without a great effort on your part. For example, numerous investigations have shown that applicants can often save from one fourth to one third of their test taking time if they systemize their efforts in accordance with well researched, but well know, principles of test taking. Reading & Math Skills The Guide will assess your reading comprehension and basic mathematics skills that are assessed on the TEAS V English and Language Usage Skills Grammar and Word Meanings in Context, Spelling and Punctuation, and Structure will be covered. Avoid Exam Stress With the Guide you can anticipate the test with fewer unknowns and, therefore, less stress and anxiety as you prepare for the TEAS V Prepare for Your New Career The Guide will also improve your basic academic processing skills of math, reading comprehension, and English and Language Usage which is absolutely essential for success in your chosen career. To order the TEAS V Study Guide visit or Call

10 Reading Sample Questions: Directions: Read the following passage and answer questions 1 and 2. The 2,315-mile Missouri River tops this year s list of the 10 Most Endangered Rivers in North America, compiled annually by the conversation group American Rivers. The Big Muddy has been dammed, channeled, and diked to the point that one-fifth of the species native to the river and its floodplain are now classified as endangered, threatened, or of special concern, according to American Rivers. The other nine rivers on the list are New York s Upper Hudson, Washington s White Salmon, California s San Joaquin, Wisconsin s Wolf River, Arizona s Pinto Creek and Potomac, Ohio s Mill Creek, the Lower Colorado and the Tennessee River. 1. Which of the following may be concluded from the passage? A. Wolf River is located in Washington, DC. B. Bodies of water with creek in their names are not rivers. C. The damming, diking, and channeling of a river is detrimental to the organisms that inhabit it. D. The rivers of North America have been found to be more endangered than those of South America. 2. A conservation group organizes for which of the following principle purposes? A. Collecting data for scientific research B. Saving rain forests C. Channeling rivers D. Preserving nature Mathematics Sample Questions: 3. Thirty percent of the students in a mathematics class received an A. If 18 students received an A, which of the following represents the number of students in the class? A. 18 B. 30 C. 54 D A student earns $1, each month at a part-time job. The student pays the following amounts for expenses each month: Rent. $ Food $ Utilities. $ Car expenses $ After paying the monthly expenses listed above, which of the following represents the amount of money the student has left for other expenses? A. $ B. $ C. $1, D. $1, ATI Sample Question TEAS V

11 English and Language Usage Sample Questions: 5. The rapacity of our vile, disgusting, and despicable stepfather was not satisfied until he had taken all that we had. Which of the following words are redundant in the sentence above? A. rapacity, vile B. vile, disgusting C. rapacity, despicable D. disgusting, despicable 6. Jennifer mailed a sympathy card to the family of the dead man in a hurry. Which of the following phrases is misplaced in the sentence above? A. in a hurry B. to the family C. of the dead man D. Jennifer mailed a sympathy card Solutions to sample questions 1 C 2 D 3 D 4 B 5 B 6 A ATI Sample Question TEAS V

12 SCHUYLKILL TECHNOLOGY CENTER 101 Technology Drive, Frackville, PA (570) or Fax (570) Practical Nursing Program ~ Fees and Tuition The following are current costs (subject to change) related to the Practical Nursing Program. Please Note: Term I is the most costly term. Approximate cost is $4, Term I Term II Term III Term IV Total *Fees Entrance 406 Hrs. 374Hrs Hrs Hrs Hrs. Tuition (hours by term) $3, $3, $3, , $ Lab/Test Fees Enrollment Deposit Application/Test Background Uniforms (Estimated) Medical Screening (Estimated) Textbooks (Estimated) Total $ $ $ $ *Term I Additional Fees Application/Test State Police Criminal Record Check Child Abuse History FBI Fingerprinting Background Checks Enrollment Deposit/Lab Fees Textbooks: Required Optional Estimated Costs Uniforms Medical Screening (Physical, Immunizations, Drug Screening) Estimated Additional Term I Total Graduation Costs Estimated Costs Graduate Nursing Pin Cap Graduate PA Temporary Practice PA State Board of Nursing Licensing Fee NCLEX Testing Total Graduation Fees $ TOTAL ESTIMATED COST $ Tuition: Students are responsible for payment for their tuition amounts (less any approved Pell, GSL, or Scholarship Awards) within ten (10) days prior to the start of each new term. The Practical Nursing Program is comprised of four terms. Refer to your student handbook for term dates. Students are also responsible for the following: application/lab/test fees, clearances, uniforms, textbooks, immunizations, drug screening, and graduation expenses. In the event that a student fails to pay in full the term tuition payment (less any approved Pell, GSL or Scholarship Awards), the student will not be permitted to attend classes. Tuition Refund will be based on each term payment. If a student enrolled in a program withdraws or is terminated by the school, the following refund policy is applicable after the first full class day: Refund Due Practical Nursing Program 75% Day 2 to 10 50% Day 11 to 15 25% Day 16 to 30 No Refund After Day 30 Students receiving Pell or Loan money will be subject to additional refund policies set forth by each respective agency. The major factor in determining Title IV Funding is class attendance. Any money returned to these agencies will be charged to the student when applicable. STC students receive a complete FA Policy Handbook upon acceptance *All costs are approximate and subject to change. Tuition and fee schedule is subject to change on July 1 of each calendar year. Revised: 9/09, 10/09, 1/10, 4/10, 7/10, 10/10, 2/11, 5/11, 12/11, 1/11, 6/12, 8/12, 1/13, 2/13, 7/13, 12/13, 1/14, 4/14, 5/16/14, 09/14 C: Desktop/Day/Class #93/93 Program Costs

13 15-16 STC Financial Aid Application Process Process Student Financial Aid Services, 1730 Hans Herr Drive, Willow Street PA 17584, Ph: (717) Fx: (717) Questions: contact Linda Losito at or Students are required to complete their financial aid applications on-line. The school cannot determine your financial aid eligibility until your financial aid applications have been processed and verified if required, so, it is important to complete your applications as early as possible. Some FAFSA applications are flagged for a process called verification. If your application is flagged, additional information will be required by our office. You will be notified in writing of what documentation is needed and no financial aid will be processed until it is received and verified. Once you have completed and submitted your financial aid applications AND the Office of Financial Aid has received all required paperwork from you, our office will have everything required to determine your financial aid eligibility. 1. Gather required Information for FAFSA application. Before you begin completing the FAFSA application, you will want to gather the information required to apply. Listed below are some of the data items you will need in order to complete this application. You will be notified in writing if your application is flagged for verification. Your Social Security Number and your parents Social Security number if you are providing parent information. Your driver s license number if you have one. Your Alien Registration Number if you are not a U.S. Citizen. Information on savings, investments, and business and farm assets for yourself, your spouse if you are married, and for your parents if you are providing parent information. When calculating investments, do not include IRA accounts or the home in which you live. Child Support Received or Paid 2. Complete your financial aid application requirements on-line at Obtain a PIN number from the US Department of Education. If you already have a PIN number, skip this step. Select Apply for a PIN option located in the Tools & Resources section of the webpage. You will use this number to sign each of your on-line financial aid applications. NOTE: If you are required to provide parent information on your FAFSA application, then one of your parents must also apply for a PIN number of his/her own in order to be able to sign your application electronically. Complete the Free Application for Federal Student Aid (FAFSA). School Code Your school code is located at the top of the Cover Letter attached to these instructions Select FAFSA located in the Tools & Resources section of the webpage. You must complete a FAFSA application in order to receive any federal assistance Grants OR Loans. This step cannot be omitted. When completing the tax section of this application, it is highly recommended that you import your 2013 Tax Return information from the IRS. If you do not use the IRS Data Retrieval tool when completing your initial FAFSA application, you can return to FAFSA.gov, log in to your FAFSA record, select Make FAFSA Corrections, and navigate to the Financial Information section of the form. Follow the instructions to determine if you are eligible to use the IRS Data Retrieval Tool to transfer 2014 IRS income tax information into your FAFSA. It takes up to two weeks for IRS income information to be available for the IRS Data Retrieval Tool for electronic IRS tax return filers, and up to eight weeks for paper IRS tax return filers. Complete Loan Entrance Counseling. Sign-in to the website using the green Sign In button located under the Managing My Direct Loan section of the page. If prompted, select the Language and Correspondence options you prefer, select Complete Counseling, and then select Entrance Counseling and follow the on-screen prompts. You are completing Entrance Counseling to receive and Undergraduate Loan. Complete a Master Promissory Note. Sign-in to the website using the green Sign In button located under the Managing My Direct Loan section of the page. Next select, Complete MPN located on the left hand side of the screen and follow the on-screen prompts.

14 NOTE: You must complete the Pre-Assessment Testing and be cleared for the TEAS test before submitting this application. SCHUYLKILL TECHNOLOGY CENTERS 101 Technology Drive, Frackville, PA (570) or Fax (570) An $80.00 non-refundable application fee must accompany this application. Please print in ink or type all information. ALL APPLICATION FEES ARE NON-REFUNDABLE PART I DEMOGRAPHICS Social Security Number: - - Name: ( ) First Middle Name Last Maiden Name Address: City: State: Zip Code: address: Home Phone ( ) - Cell Phone: ( ) - Work Phone: ( ) - School District: Birth Date: / / Gender: Male Female Ethnic Background: White (Non-Hispanic) Black (Non-Hispanic) Race/Ethnicity Unknown Hispanic American Indian/Alaskan Native Non-Resident Alien Have you been a resident of Pennsylvania for two or more years? Yes No Are you an American Citizen? Yes No If no, please complete: Permanent Resident Card No: Foreign Student (F1 Student Visa): Country of Citizenship: Other VISA (Please list): In Case of Emergency Contact: Name: Relationship: Address: Phone: ( ) - PART II EDUCATIONAL BACKGROUND 1. Are you a high school graduate? Yes What year did you graduate No Anticipated graduation date 2. Name of high school you attended or will graduate from: 3. If you are not a high school graduate, do you possess a GED? Yes No 4. For which year are you applying? Year 5. Have you previously attended STC? Yes No Dates attended 6. Have you attended another college or school? Yes No If yes name of college or school: 7. Have you completed? Certificate Program Associate Degree Bachelor s Degree Master s Degree Master s Degree Plus

15 PART III EDUCATIONAL GOALS Please indicated your primary educational goal at the STC (please check one): Improvement of existing job skills Preparation for a job Personal interest Preparation for articulation to Associate Degree Program PART IV EMPLOYMENT DATE List all present and past employment beginning with the most recent. Employer Name & Address Position Date Employed From To Other (specify) Reason for Leaving Please indicate where you obtained this application or where you heard about our program: College Fair High School Mail Public Agency STC Admissions Office STC Career Fair Radio Friend/Relative Newspaper Other Signature Date The Schuylkill Intermediate Unit #29 will not discriminate in its educational programs, activities, or employment practices, based on race, color, national origin, sex, sexual orientation, disability, age, religion, ancestry, union membership, or any other legally protected classification. Announcement of this policy is in accordance with state and federal laws, including Title VI of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1972, Sections 503 and 504 of the Rehabilitation Act of 1973, the Age Discrimination Act of 1975, and the Americans with Disabilities Act of The Schuylkill Intermediate Unit s commitment to nondiscriminatory practices extends to prospective students and employees, current students and employees, parents of students, community members, and representatives of outside agencies. Schuylkill Intermediate Unit employees, community members, and agency representatives who have a complaint of harassment or discrimination or who seek information about accommodations for individuals with disabilities should contact Dr. Diane Niederriter, Executive Director and Equal Rights and Opportunities Director, at Schuylkill Intermediate Unit 29, P.O. Box 130, 17 Maple Avenue, Mart-Lin, PA 17951, telephone number (570) , fax number (570) Revised: 5/10, 7/11, 7/13, 12/13, 2/14, 4/14 For Office Use only Date Application Received: Date of Application Fee Payment: Test Fee Payment Waived: Test Fee Waived: Form of Payment: Check#: Cash: Money Order#: Amount Paid: Comments:

16 SCHUYLKILL TECHNOLOGY CENTER Practical Nursing Program 101 Technology Drive, Frackville, PA (570) or Fax (570) Request for Secondary Education (High School) Transcript I am requesting an Official Transcript. Since this transcript is for educational purposes, please forward to: Schuylkill Technology Center~North Campus Practical Nursing Program 101 Technology Drive Frackville, PA , Extension , Extension My signature below authorizes you to send my transcripts. Please print the following information: Name: Other Name (if applicable): Current Address: City: State: Zip: Year of Graduation: Signature: Submit this form to your high school guidance counselor or principal. Most institutions require a fee for processing transcripts. It is your responsibility to contact the high school to determine the institutional policy and remit the proper amount with this request. 7/11 C:\Newstudent/HS/GED request form An Equal Opportunity Educational Facility Accredited by Pennsylvania State Board of Vocational Education, Bureau of Career and Technical Education

17 SCHUYLKILL TECHNOLOGY CENTER Practical Nursing Program 101 Technology Drive, Frackville, PA (570) or Fax (570) Request for Transcript of GED Test Scores I have applied for admissions to the Practical Nursing Program of the Schuylkill Technology Center. An Official Transcript of my scores on the General Education Development Test (GED) is required to complete the application process. Note: If you are a third party requesting information on behalf of a GED test-taker, the test-taker MUST complete and sign this release. Please print the following information: Name at time of testing: Date of Birth (00/00/0000) Social Security Number ( ) - - Current Address: City: State: Zip: GED Testing Center when GED Tests were taken Approximate year of test: Daytime Telephone Number with area code: ( ) - Check appropriate box (es): Please send transcript(s) to me at the address above. Please send transcript(s) to at the address below. (Person/employer/institution) Signature of GED Test-taker: Date Please mail transcript to: My signature above authorizes you to send my transcripts to: Schuylkill Technology Center~North Campus Practical Nursing Program 101 Technology Drive Frackville, PA , Extension 4881 Print out, sign, and mail this request to: Commonwealth Diploma Program Pennsylvania Department of Education 333 Market Street Harrisburg, PA A non-refundable processing fee of $3.00 is required for each transcript requested. Please submit a money order made payable to Commonwealth of Pennsylvania. Allow 2-4 weeks for processing. 7/11 C:\Newstudent/HS/GED transcript request form An Equal Opportunity Educational Facility Accredited by Pennsylvania State Board of Vocational Education, Bureau of Career and Technical Education