Application Instructions for Certificate in Primary Health Care Nurse Practitioner (PHCNP)

Application Instructions for Certificate in Primary Health Care Nurse Practitioner (PHCNP) Submitting an application package and your supporting documentation By mail/courier Graduate Admissions Office Attention: Martin Rochon School of Graduate Studies Ryerson University 350 Victoria Street Toronto, Ontario M5B 2K3 Canada Drop off in person Graduate Admissions Office Attention: Martin Rochon Ryerson University 1 Dundas Street West, 11 th Floor Toronto, Ontario Canada Applicants are required to submit a complete package by including ALL application materials as outlined on the Required Supporting Documents checklist. Note that all documentation submitted becomes the property of Ryerson University and cannot be returned. Ryerson University strives to ensure the completeness and accuracy of information contained in this application package. However, the University reserves the right to change any of the information at any time without notice. Minimum Admission Requirements Please note that for admission consideration, applicants MUST meet the minimum overall B (72 percent) in their undergraduate degree with at least a B+ (77 percent) in the final half or 20 single-term/semester graded courses. Applicants must have obtained a Baccalaureate in Nursing from a program accredited by CASN or approved by the appropriate provincial body. PLEASE NOTE FOR ADMISSION TO THE PHCNP CERTIFICATE ONLY (OPTION 1), STRONG PREFERENCE WILL BEGIVEN TO APPLICANTS WITH A MASTER S DEGREE IN NURSING OR A RELATED FIELD. IF YOU DO NOT POSSESS A MASTER OF NURSING DEGREE OR EQUIVALENT AND ARE INTERESTED IN THE PRIMARY HEALTH CARE NURSE PRACTITIONER CERTIFICATE, YOU ARE STRONGLY ENCOURAGED TO CONSIDER TAKING THE PHCNP PROGRAM IN CONJUNCTION WITH THE MASTER OF NURSING (OPTION II). SHOULD YOU HAVE ADDITIONAL QUESTIONS PLEASE CONTACT GERRY WARNER AT 416-979-5000 EXT 7852 OR BY EMAIL AT gerry.warner@ryerson.ca. In addition, admission to the Primary Health Care Nurse Practitioner Certificate requires the following: 1. Applicants must have the equivalent of two years of full-time nursing practice (3640 hours) within the past five years by September 1, 2010. 2. Other documents, such as official transcripts, written profiles, and references are required. Please see the Required Supporting Admission document for detailed descriptions. 3. Current RN Registration by the College of Nurse or eligibility for registration in Ontario. Application Fee A non-refundable cheque or money order for $100 Canadian, payable to Ryerson University must be submitted with the application form. Applications received without the required fee will not be processed. Application: First Consideration February 1, 2010 Applicants who submit all required documentation by February 1, 2010 will be given first consideration for admission. Please note that the cycle for September 2010 admission closes on June 30, 2010. 1

Transcripts Include in your application package, two officially certified and officially sealed undergraduate and, where applicable, graduate transcripts, from each post-secondary institution attended. Official transcripts are transcripts received by the Graduate Admissions Office in a sealed/stamped envelope directly from the issuing institution. Do not open the envelope(s). Transcripts received in an unsealed envelope cannot be considered official. Photocopies/student copies of transcripts will not be accepted. Arrange for transcripts with final marks for courses in progress to be sent directly from the institution to the above address. If your transcripts/documentation are in a language other than English, you must also submit notarized English translations. Translations do not replace original documentation. Both must be submitted. An official translation must be received in a signed/sealed envelope directly from an accredited translation service. If your transcripts are from institutions outside North America, you may be required to submit the institution s grading scheme, accreditation statement and profile (date established, programs offered and relevant course descriptions). Ryerson University Transcripts Applicants are not required to submit official transcripts of study undertaken at Ryerson University if they were registered for the first time after September 1984. COMPLETING THE APPLICATION FORM Please PRINT, and complete ALL sections. Answer every question; enter N/A for questions not applicable to you. Incomplete forms will not be processed. TWO (2) copies of the application form must be submitted. Please Ensure that ALL documents are submitted in one complete package Ryerson History Indicate if you previously applied to, or were registered at Ryerson University, provide date and program information. If you were previously assigned a Ryerson Student Number or Reference ID, please provide the student number. Name State your first, middle and last name (legal family name). If they appear differently on your official documents, indicate the version appearing on your official documents. Personal Data/Status in Canada All applicants should complete these sections. Canadian Citizens, Permanent Residents, or those applicants presently working in Canada must indicate their Social Insurance Number. E-mail Please print your e-mail address clearly. If the Graduate Admissions Office needs to contact you this will be the address to which they will direct their correspondence. Address Information In this section, please be as accurate as possible. If this information changes at any time, please ensure that you inform the Graduate Admissions Office in writing immediately. Address updates can be sent via e-mail to the Graduate Admissions Office at grdadmit@ryerson.ca. Please include your name, reference ID# and program in the e-mail when updating your address. 2

Expected Enrolment Date Please note at this time Ryerson University admits new students in the Fall term (September) only. Academic History You must list all universities and/or colleges that you have attended, even if a degree has not been awarded. Note: Official transcripts from each university attended must be submitted. State the name of the degree/diploma that you received (or are expected to receive). For example, if you were awarded a Bachelor of Arts degree, you would write B.A. here. State the specific year and month during which you were enrolled in the program. If you have not yet completed your program, state the approximate date of graduation. Specify the language of instruction at the universities you attended. English Proficiency Test Results Applicants whose language of instruction during their undergraduate/graduate studies was a language other than English are required to submit a test of English language proficiency. Some programs have a higher requirement than the minimum required by the School of Graduate Studies so applicants are advised to consult specific program policies on English proficiency. For further details or updates, visit http://www.ryerson.ca/graduate/admissions. Please be aware that where an English Proficiency Test is required, the application will not be assessed for admission without a test result that meets the program minimum. For exemption from this requirement, applicants may be required to provide an official statement from their institution confirming the use of English as the language of instruction and examination. Applicants may demonstrate facility in English using one of the following methods: Test of English as a Foreign Language (TOEFL). For reporting purposes, please use Institution Code 0886-02. International English Language Testing System (IELTS) Michigan English Language Assessment Battery (MELAB) The current test score minimums for the Primary Health Care Nurse Practitioner Certificate are as follows: TOEFL Internet-based: Overall score of 93, plus 22 minimum in Speaking and 22 in Writing sections TOEFL computer-based: Overall score of 237 TOEFL paper-based: Overall score of 580 IELTS: Overall band score of 7.0 MELAB: Total score of 85 Letters of Recommendation Referees should be well acquainted with your education and abilities, and are normally professors and/or your workplace managers or those in a position to speak to the reference requirements. Provide each referee with a Letter of Recommendation form or instruct them to print it from the website. All letters of recommendation, whether they are submitted in a Ryerson University envelope, or in the envelope of the referee s university or institution, must be sealed and signed by the referee across the sealed flap and dated. If not sealed and signed properly when received, they WILL NOT be accepted. Admission Decision PLEASE NOTE THAT THE ADMISSIONS COMMITTEE RESERVES THE RIGHT TO INTERVIEW APPLICANTS PRIOR TO MAKING AN ADMISSION DECISION. The Offer of Admission is valid only for the commencement date indicated on the Offer of Admission. Any questions regarding this application are to be directed to: Gerry Warner Program Administrator, Ryerson University 350 Victoria Street, Toronto, Ontario M5B 2K3 Canada Tel: 416-979-5000 ext. 7852 gerry.warner@ryerson.ca 3

For your application to be processed this completed form and your non-refundable application fee of $100 Canadian, paid by cheque or money order to Ryerson University, must be included with your application submission. It is not tax deductible or part of the tuition fee. Please PRINT clearly. Attach your cheque or money order below. Applications without the correct fee payment will not be processed. Note: We are unable to accept credit card or wire transfer. Last Name First Name Apartment # Street Number and Name City Province/State Country Postal or Mailing Code Program for which you are applying Ryerson Student Number (current/previous, if applicable) Canadian Social Insurance Number (SIN) (if applicable) Attached cheque or money order, payable to Ryerson University here. 4

Certificate in Primary Health Care Nurse Practitioner: Application Form Complete all sections. TYPE or PRINT carefully. Read and follow the attached Instruction Sheet. Include all submissions. Applications without the correct fee payment will not be processed. Have you previously applied to Ryerson University? NO YES, year and program name: Previous Ryerson Student # (if applicable) Personal Information Mr Miss Other: LAST NAME/FAMILY NAME Ms Mrs FIRST NAME MIDDLE NAME PREVIOUS LAST NAME or NAME ON DOCUMENTS (if different from above) Personal Data Status in Canada Social Insurance # (if applicable) Canadian citizen Permanent resident Currently on, or will require, a Study Permit Other, specify: GENDER: Male Female Other: COUNTRY OF CITIZENSHIP DATE OF BIRTH (MM/DD/YYYY) / / HOME TELEPHONE # (include country, region and city code) BUSINESS TELEPHONE # OTHER #: FAX # E-MAIL ADDRESS - Print CLEARLY - This will be the main point of contact for correspondence. Please check your email account regularly. To ensure you receive your Ryerson University, Graduate Admissions emails, please add grdadmit@ryerson.ca to your address book. Permanent Address APT. # STREET NUMBER STREET NAME CITY PROVINCE/STATE COUNTRY POSTAL/ MAILING CODE Mailing Address Check if same as above APT. # STREET NUMBER STREET NAME CITY PROVINCE/STATE COUNTRY POSTAL OR MAILING CODE Program Option You are applying to (Please Check One): Option I (PHCNP Certificate Only) Option II (Combined MN Degree and PHCNP Certificate) Program Plan You are applying to (Please Check One): Option I Full-time (9 to 18 Months) Part-time (27 Months) Option II Full-time (18 Months) Part-time (27 to 36 Months) Academic history of ALL Universities and/or Colleges attended. Begin with current or most recent. For more space add another page. Official name and location (country) of each university or college attended in chronological order starting with the most recent Official name of degree, diploma, or other award Program Date Of/ Expected Date of Graduation From YY/MM Attendance To YY/MM Language of instruction Awarded Yes No Awarded Yes No English Proficiency Test Results. (Refer to Instruction Sheet.) Please send your official test results directly to the Graduate Admissions Office at Ryerson University (institute code 0886-02). Test: TOEFL IELTS MELAB Date of your test: Date your official test score submitted to Ryerson: Declaration - Applicant must sign application form Applicant s signature I certify that all statements on this application and in material filed in support are correct and complete, including my declaration of citizenship and status in Canada, and all material information has been disclosed. I understand that I may have to provide documentation in the future to substantiate my claim and that any misrepresentation of this information may result in my association with, admission to, or registration in the university being rescinded and cancelled. I acknowledge that Ryerson University has the right to verify any and all information included as part of this application and to cancel any program due to lack of enrolment. The name at the top of this form is the complete name by which I am legally and correctly known. I understand that all documentation submitted becomes the property of Ryerson University and cannot be returned. Date This Application must be signed and dated. Applications without the correct fee payment will not be processed. 5