Chabot College Nursing Application Process Advanced Standing/Transfer/LVN s/program Re-Admission
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1 Chabt Cllege Nursing Applicatin Prcess Advanced Standing/Transfer/LVN s/prgram Re-Admissin Step 1 A Chabt Cllege Applicatin fr Admissin¹ must be submitted t the cllege. This applicatin can be submitted electrnically by ging t and is available year rund. Step 2 Cmplete Nursing Advanced Standing Applicatin¹ n-line r dwnlad applicatin. Nursing Advanced Standing / LVNRN Applicatins are accepted March 1 st thrugh Octber 1 st f each year. Step 3 Print, sign and MAIL the Nursing Advanced Standing Applicatin (Pages 3-6) t: Chabt Cllege, Admissin and Recrds Hesperian Blvd. Hayward, CA If yu are registered fr ne f the pre-requisite natural science curses verificatin f enrllment is required with the applicatin. It is recmmended yu btain a Certificate f Mailing and Return Receipt frm the U.S. Pstal Service at the time f the mailing. Step 4 The student must request fficial transcripts frm all previusly attended schls and clleges. These must be MAILED t Admissin and Recrds, Chabt Cllege. Hand carried transcripts will nt be accepted. LVN applying fr 30 unit (nn-degree) ptin must als submit high schl transcripts. Step 5 G t n-line t click Class-Web and lgn, click Student Services, Student Recrds t verify receipt f transcripts. Due t the vlume f applicants we are nt able t ntify students individually if any infrmatin is missing. Step 6 LVN s selecting Optin 1 r 3, and Advanced Standing Students shuld make an appintment with a cunselr fr a preliminary evaluatin f yur transcripts. Step 7 After evaluatin f yur transcripts, the Advanced Standing Applicatin and transcripts will be frwarded t the Nursing Prgram Directr. Yu will then be ntified by mail regarding yur eligibility and curses required fr yu t enter and cmplete the prgram. Please allw 6-8 weeks fr this prcess t cmplete. Step 8 AFTER receipt f letter frm the Nursing Prgram Directr, students wishing t enter the prgram must cmplete all curses r testing as utlined in their individual letter. Step 9: LVNRN Transitin Curse students must attend mandatry rientatin listed n webpage. In August, LVN s will be required t enrll in Nursing 70/N70L, LVNRN Transitin Curse. This curse is a review f nursing tpics including nursing care plan, nursing prcess, cmmunicatin principles, and legal/ethical cncepts cmmn t the rle f registered nurse. It will explain the functins f the Califrnia Bard f Registered Nursing and selected psychmtr skills utilized by the registered nurse in the delivery f patient care. Step 10: Once the Advanced Standing applicatin has been submitted yu have 2 years t cmplete the ATI exams, thery classes and/r skills testing and be ready fr admissin t the full time prgram. ¹Any falsificatin f data n the applicatin(s) will result in immediate disqualificatin.
2 Advanced Standing Order f Prgram Acceptance Waitlist frm previus semester Student must have cmpleted all ATI testing, all skills testing. All nursing prgram classes nted n evaluatin letters with C r better. All students must be enrlled in N84 Clinical Skills t practice and test skills at the beginning f the semester. All students in current prgressin fr: Fall Prgram Admissin must have basic skills and all ATI testing cmpleted by April 1st; Final skills exam by May 1 st and hspital by June 30 th *. Incming students will be evaluated January f each year t set ranking and again n April 15 th f each year t determine if standards have been met and re-ranked if necessary. Spring Prgram Admissin must have basic skills and ATI testing cmpleted by Nvember 15th; Final Skills exam by December 15 th and hspital by January 10 th *. If space is limited, students will be ranked by 11/15. In December the list will be evaluated t determine if standards have been met and re-ranked if necessary. 2. Re-admissin Chabt prgram students that left the prgram fr issues ther than failing academic standing. a. Additinal ranking by GPA frm prgram curse grades nly 3. LVN Students cmpleted N70 and N70L and basic skills by April 1 st, final skills exam by May 1 st, hspital by June 30 th. a. Additinal ranking by GPA frm N70 and N70L b. Cmpletin f ATI testing n first attempt r secnd attempt c. Passing f all thery classes assigned in evaluatin letter d. 30 Unit ptin students /Nn Degree Student (See #5) 4. Re-admissin Chabt prgram students wh withdrew due t failing academic standing. a. Student will be ranked by GPA frm prgram curse grades nly. b. Ties may be brken with skills exam scres and/r TEAS scres. 5. LVN Students Nn-Degree r 30 Unit Optin will cmplete N70 and N70L, Basic Skills by April 1 st, final skills exam by May 1 st, hspital by June 30 th Transfers frm ther Nursing Prgram at this time we are nt accepting any transfers frm ther nursing prgrams. *N hspital exam will be required fr thse students cmpleting their final acceptance fr Spring 2014 and Fall Additinal time and questins will be added t final skills exam. Cst is yet t be determined. AS_LVN_App2014_final AS_LVN_App2014_final Rev. July 2013 Please sign and submit pages 3-6 f this Applicatin Page 2 f 6
3 Advanced Standing and LVN * Registered Nursing Applicatin T be cmpleted by LVN s and Re-Admissin Chabt Students t the Chabt Nursing Prgram All applicants are advised that space availability is limited t penings that ccur after the first day f the Fall Semester f the first year f the Chabt Nursing Prgram. These penings are created nly when smene leaves the prgram r declines admissin t the prgram. Every effrt is made t tailr the applicant s educatinal needs t the available spaces as they ccur. Sme placements may take lnger than thers, depending n the individual applicant s needs. A backgrund check is required n all nursing students. We will review the fllwing n everyne accepted t the prgram: Scial Security Trace, Misdemeanr r Felny Criminal Cnvictin Search, Cmbined OIS.GSA exclude parties/debarment List Search and a Pre-placement Drug Screen. If yu have been cnvicted f a misdemeanr f felny it is pssible yu will be denied placement in ne r mre f ur hspitals that are used fr clinical experience r the Bard f Registered Nursing (BRN) may nt grant yu a license. Please cntact the BRN r make an appintment fr a cnfidential meeting with the Nursing Prgram Directr fr guidance in this area. Admissin Requirements: All students must take and pass the Test f Essential Academic Skills (TEAS ) Versin V with Adjusted Individual scre f 62.0%. Student must have been previusly enrlled in an accredited Registered Nursing Prgram within the last tw years. Student must have an verall GPA f 2.0 r higher. Licensed Vcatinal Nurse (LVN) must be currently wrking and hld a current State f Califrnia LVN License. LVN must have a minimum f ne year full time experience. Submit a letter frm emplyer stating jb title and start date f psitin. Pre-Requisite Requirements: the student must have a minimum in 4-5 Semester Units with a labratry cmpnent f each f the fllwing curses: Anatmy 1 Physilgy 1 Micrbilgy 1 If the abve curses have nt been cmpleted with a C r higher prir t submitting this applicatin, yu must prvide prf f current enrllment in the missing class at the time f submitting this applicatin. If yu d nt receive a C r higher in the curse, yur name will be withdrawn frm the candidate pl. Cmpletin f ne term f Anatmy/Physilgy cmbined curse WILL NOT satisfy this requirement. Space Availability; students are placed int the full time prgram when space nly if space is available. Students will be ranked by type f student (LVN, Advanced Standing, re-admissin), ATI scres and thery grades etc. See Ranking Infrmatin fr cmplete listing. If student cmpletes all testing and space is nt available a waitlist will be established. All candidates accepted int the prgram as Advanced Standing Students will need t demnstrate theretical and clinical cmpetency thrugh written and clinical perfrmance examinatins fr Fundamentals f Nursing, Nursing Care f Children, Maternal Newbrn Nursing, Nutritin and Pharmaclgy assessments. A fee is charged fr each exam and is the respnsibility f the student. Any prspective applicant needs t understand that Chabt Clleges Nursing Prgram has a tw admissin plicy. If any student des nt received a C r better in all the curses in the nursing majr she/he will be dismissed frm the prgram and is eligible fr re-admissin ne mre time nly. This applies t N70/N70L, N88/N88L and N84. LVN s selecting the 30-unit ptin this ptin is available ONLY in the State f Califrnia. Applicants must indicate a willingness t accept the nminatin fr the prgram within ten days f the date f the space available ntificatin letter Once accepted t the full time prgram the student will need t: Submit a satisfactry medical and dental examinatin statement n frms prvided by the Chabt Nursing Prgram Office. Dcumentatin f current test fr TB and immunizatins. Evidence f a current 2 year American Heart Assciatin Health Care Prvider CPR card. We d NOT accept nline curses r any ther type f CPR certificatin curse. ATI Testing Fee (apprximate cst is $105) fr the Fall semester fr examinatins. An additinal testing fee is cllected fr the Spring semester. Backgrund check and drug screen fees (apprximate cst is $87) I have read and understand the preceding infrmatin. Please sign and include with applicatin n page 3 & 4. Print Name: Chabt Student ID Number: Signature: Date: AS_LVN_App2014_final AS_LVN_App2014_final Rev. July 2013 Please sign and submit pages 3-6 f this Applicatin Page 3 f 6
4 Chabt Las Psitas Cllege District Advanced Standing / LVN / Re-Admissin - Last Name: Registered Nursing Prgram Applicatin Chabt Cllege Nursing Prgram Hesperian Blvd. Rm 2203 * Hayward * Califrnia * * Step 2 - Cmplete and submit this applicatin t Admissin and Recrds: Check ne Advanced Standing / LVN RN TEAS is required. Unfficial shuld be included with yur applicatin but an fficial cpy must be sent directly frm ATI t the Chabt Nursing Prgram. Mandatry Orientatin Required Date Attended: TEAS Adjusted Individual Scre: Last Name First Name Middle Maiden (Mailing) r Street Address City ST/ Zip W#: Chabt Student ID Number Address Day Phne Evening Cell Phne Name f High Schl/ Secndary Schl: Year Graduated: List all clleges and universities attended (including Chabt r Las Psitas Cllege) Name & ID Number Used Dates Attended Name f Cllege when attending Beginning Term & Year Ending Term & Year Date Transcript Requested by yu I have received (r a currently receiving) a C r higher in the fllwing ne-semester / quarter 4-5 unit curses that include a labratry cmpnent. All curses 4 5 units with Lab included Curse Title/Number Cllege/University Grade/Term/ Year Cmpleted Human Anatmy Human Physilgy Micrbilgy If ne f these curses has nt been cmpleted, evidence f current enrllment MUST be submitted with the applicatin. N applicatin will be cnsidered if tw r mre curses have nt been cmpleted prir t submissin. I have successfully (with a grade f C r higher ) cmpleted the fllwing nursing-related curses. List all that apply. Curse Title Name f Prgram Lcatin Term/Year Curse Taken LVN Curriculum I am mst interested in the fllwing ptin: Optin 1 AA Degree Optin 2 30 Unit Optin Optin 3 Nn-Degree AS_LVN_App2014_final AS_LVN_App2014_final Rev. July 2013 Please sign and submit pages 3-6 f this Applicatin Page 4 f 6
5 Wrked as LVN 1 year r 1000 hurs Current Emplyer: Chabt Las Psitas Cllege District Advanced Standing / LVN / Re-Admissin - Last Name: Registered Nursing Prgram Applicatin Dates: OR RN Curriculum: Cmplete nly if yu are seeking re-admissin t the Chabt Cllege RN Prgram. Curse Title Name f Prgram Lcatin Term / Year Taken Fundamentals Medical Surgical Nursing I Medical Surgical Nursing II Medical Surgical Nursing III Obstetrical Nursing Curse Title Name f Prgram Lcatin Term / Year Taken Pediatric Nursing Psychiatric Nursing Gerntlgy Nursing Clinical Nutritin Other Health Care Prgram (EMT, Paramedic, Etc.) Cntent Lcatin Term/ Year Taken Certificate Earned Please answer the fllwing questins. NO Applicatin will be cnsidered unless each questin has been answered. Falsificatin f any infrmatin will result in disqualificatin frm candidacy frm the prgram. 1. Have yu ever been arrested / cnvicted f a misdemeanr r felny? Yes N If yes, yu will need t cntact the Bard f Registered Nursing r make an appintment fr a Cnfidential meeting with the Nursing Prgram Directr fr guidance in this area.) 2. D yu hld a current LVN license? Yes N 3. If yes, has the LVN license ever been suspended r revked? Yes N If yes, yu will need t cntact the Bard f Registered Nursing r make an appintment fr a Cnfidential meeting with the Nursing Prgram Directr fr guidance in this area.) 4. If yu hld a current Califrnia LVN license, please list the number and attach a cpy frnt/back f yur current license and AHA CPR card: #: License Expires: Suggested guidelines fr schls f nursing regarding drug abuse, alchl and emtinal illness amng the students f Nursing Prgrams: Persnal and health prblems invlving the abve a named diseases, can affect a student s academic and clinical perfrmance. The student experiencing prblems in any r all f these areas may be a danger t self and a grave danger t patients in his / her care. The Califrnia State Bard f Registered Nursing recmmends that students be apprised at an early pint in their instructin that abuse f drugs, alchlic beverages r ther chemicals can prevent them frm being licensed r can result in the lss f licensure, in additin t criminal and civil censure. Students wh have these tendencies shuld be cunseled t ther prfessins r ccupatins. If yu have any questins cncerning this issue, cntact the Bard f Registered Nursing P.O. Bx , Sacrament, CA r call I hereby certify that I d NOT have nr have I ever had a drug r alchl abuse prblem. Signature Date AS_LVN_App2014_final AS_LVN_App2014_final Rev. July 2013 Please sign and submit pages 3-6 f this Applicatin Page 5 f 6
6 Chabt Las Psitas Cllege District Advanced Standing / LVN / Re-Admissin - Last Name: Registered Nursing Prgram Applicatin I have electrnically submitted the Chabt Cllege Admittance Applicatin t Admissin and Recrds and all OFFFICIAL transcripts frm my educatinal histry as well as with this applicatin. I hereby acknwledge under penalty f perjury, that I have read and understand all f the infrmatin and prcedures prvided with this applicatin and brchure. Further, I certify that all infrmatin I have prvided is cmplete and accurate t the best f my knwledge. I agree t cmply with all prcedures required in the Chabt Cllege Nursing Prgram. W PRINT FULL Name Chabt ID W# Signature I have included the fllwing dcumentatin: Checklist Cpy LVN License (frnt/back) Cpy f American Health Assciatin CPR card (frnt/back) Letter frm emplyer n letterhead stating psitin and hurs wrked I understand my applicatin will nt be prcess until all cllege transcripts have been received. All Transcripts are included Transcripts are n file with Chabt, Class-Web verificatin attached Transcripts will be mailed sent separately Date AS_LVN_App2014_final AS_LVN_App2014_final Rev. July 2013 Please sign and submit pages 3-6 f this Applicatin Page 6 f 6
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