Doctor of Nursing Practice BSN to DNP Application Packet Mailing address for completed application packet: Missouri State University Department of Nursing 901 S. National Ave. Springfield, MO 65897 Phone: (417) 836-5310
Dear Prospective BSN to DNP Student: The Department of Nursing appreciates your interest in the BSN to DNP Doctor of Nursing Practice (DNP) program at Missouri State University (MSU). The University has been offering graduate programs since 1996 and we are pleased you are pursuing graduate education. Doctoral education provides nurses with many exciting and rewarding opportunities. The BSN to DNP program prepares graduates for the Family Nurse Practitioner certification examination. Our DNP program is focused on community leadership to improve health disparities. The program is offered for full-time study for registered nurses with a Bachelor of Science in Nursing Degree from an accredited institution and the department currently is pursuing CCNE accreditation for the DNP program. All graduate programs at MSU have been continuously accredited. The Family Nurse Practitioner program has a long history of success with a greater than 99% national certification first time pass rate since the program began. The Department makes every attempt to accommodate the adult learner. Many of the courses are online; clinical courses are block scheduled for one day of on-campus classes. In addition, there will be two to three required on-campus visits for orientation and DNP project requirements during the program. Students are able to remain employed while completing the program. Grants and scholarships may be available to assist qualified full-time students. Contact the Missouri State University Department of Nursing if you would like to find out more about our exciting programs and how we can help meet your career goals. Phone the Department of Nursing at 417-836-5310 or toll-free 1-877-728-0001 to request additional information.
Missouri State University BSN to DNP Doctor of Nursing Practice Application for Admission Date of Application: Part A Identification Information Mr. Mrs. Ms. Other * Social Security # Date of Birth Legal Name (on RN License): Last First Middle Name Maiden Preferred First Name:_ Suffix: (Jr, Sr, III, etc.) Address: (Street and Number) (City) (State) (Zip Code) State of Legal Residence: Primary Phone Number: _-_ Home Mobile Work Secondary Phone Number: - Home Mobile Work **E-mail Address:_ Citizenship: US Citizen International Permanent Resident/Resident Alien Non-citizens must apply to the International Student Services Office Visa Status *Your Social Security Number is optional for the application, however if you are admitted it is required for grants, scholarships, and financial aid. **After submission of your application, check your email often for important updates on the application process. 1
Part B Specialization Information Degree Name of Institution DATE Graduated BSN CUM GPA CCNE or ACEN (NLNAC) Accredited Yes/No Other degrees or certificates Part C Professional Information I. Provide RN license for each state in which you hold a current license. State: License NumberExpiration Date:_ Active Inactive State: License NumberExpiration Date:_ Active Inactive State: License NumberExpiration Date:_ Active Inactive State: License NumberExpiration Date:_ Active Inactive II. Have you ever had an action taken against your nursing license? Yes No If yes, please attach separate documentation explaining the situation and resolution including date of action. III. Have you ever been convicted of a felony, drug or alcohol offense, or action against another person? Yes No If yes, please attach separate documentation explaining the charge, offense, and resolution including date of action. 2
IV. Are you currently employed in any of the following settings? (Please check all that apply) Community Health Center Migrant Health Center Homeless Health Care Public Housing Primary Care Rural Health Clinic State or Local Health Dept. National Health Service Corps Indian Health Service Federal Qualified Health Center Ambulatory Practice Sites Primary Care/Family Practice Physician Office None of the Above V. Curriculum Vitae (CV): Although a CV is required as part of the application, it is not a substitute for items on this application. Therefore, please do not reference the CV such as See CV etc. on this application. All blanks are required to be filled in. VI. Attach a CV that includes the following information, in chronological order from most current to least current with dates: All higher education institutions attended, including degrees earned Nursing work experience (time on job indicated in months) o 1 year equivalent of full-time experience in nursing is required before the summer start Other work experience Leadership experience Community service Part D Scholarly Writing A scholarly essay is a required part of your application. The essay length is 500-1,000 words. The reference format for the writing the essay is the APA format. See the following text. American Psychological Association. (2010). Publication Manual of the American Psychological Association (6th ed.), Washington D.C. Your essay will be evaluated for scholarly writing style, content, and APA format and will be utilized in the overall analysis of your application. 3
Provide an essay that addresses the following topics: 1. You are applying to a Doctor of Nursing Practice Program. Compare and contrast this terminal degree with that of a Ph.D. in Nursing. It is recommended that you view the DNP materials on the American Association of Colleges of Nursing (AACN) https://www.aacn.nche.educ website as a reference to your response for this question. 2. Describe your proposed DNP project and discuss how it will impact health and healthcare disparities. Part E Interview Topics Be prepared to discuss the following interview discussion topics: 1. Discuss your vision of being a leader in healthcare 2. Describe your plan for completing requirements of a doctoral level program 3. Identify your career goals and how the DNP program will help you achieve these goals 4. Identify and describe a DNP project topic that fits MSU s focus on leadership in health and health disparities in a vulnerable population Part F is Mandatory for the On Campus Orientation If accepted into the DNP program, I understand that classes are blocked one day a week on campus with additional courses online. I understand that there will be a mandatory on-campus orientation in June. The dates will be included on your acceptance letter. I further understand that failure to attend this orientation will result in my administrative withdrawal from the BSN to DNP program. Signature _ Date 4
Part G Statements of Release and Certification I authorize the release of information contained in this application to be used for the purpose of considering me for scholarship and traineeship funds and so that aggregate data concerning the Missouri State University may be compiled. Signature _ Date I certify that the information provided is true and complete; I understand that withholding information requested, with the exception of information designated as optional, or giving false information may make me ineligible for admission and enrollment and may result in termination from the program. Signature _ Date 5
Missouri State University BSN to DNP APPLICATION CHECKLIST All required application items must be submitted together AT ONE TIME in a large envelope to the MSU Department of Nursing. Submit the application to the address on the front of this packet. Initial that you have submitted each item in ONE envelope in the following order: Application checklist with your initials indicating completion Completed BSN to DNP application Curriculum Vitae (See requirements on page 3) Scholarly Writing Sample (See Page 3) Copy of RN license verification from State Board of Nursing Website in every state for which you hold an active license Proof of negative Tuberculosis (TB) status (within 1 year, renewed yearly) or appropriate medical follow-up if positive Evidence of Tetanus (TD) Vaccination (within 10 years, renewed when expired) Evidence of Vaccination (Series of 3) for, or immunity (by Titer) to, Hepatitis B Documented immunity to Measles, Mumps and Rubella by Titer or MMR immunization as an Adult Varicella (Chicken Pox), evidence of Titer, or Immunization Series as an Adult 6
Evidence of Influenza (Flu) Vaccination (within 1 year, renewed yearly) Family Care Safety Registry Evidence of current CPR certification: American Heart Association BLS for Healthcare Providers Three recommendations from Healthcare Professionals with a Master s Degree or higher that can address the applicant s potential as a clinician, leader, and scholar using the standardized DNP reference form. Form available on MSU DNP Website $50 Non-Refundable application fee pay online at https://commerce.cashnet.com/nursingdept *Submit a copy of your paid receipt in your application packet Pre-requisites: Healthcare Informatics Course Institution Taken Date Multivariate Statistics Course Institution Taken Date 7
Technology and Proficiency Requirements By initialing below, you acknowledge that you are proficient or will become proficient by the start of the program in the following computer skills: Have access to a computer with an internet connection. Access to DSL or cable connections are required. Do not rely on corporate computers for this access as many times content will be blocked by a firewall. Have basic web search and browsing skills (know what browser you are using, understand how to open and close new browser windows or tabs, and understand how to override pop-up blockers) Have basic file management skills (create/locate/delete/move a file or folder on your computer) Understand various file formats (.doc,.docx,.pages,.wps, etc.) and able to follow instructions on the type of file preferred by your instructor for the course. *Search for and obtain articles from online databases, the university library and inter-library loan. Be able to use Microsoft Office, iwork (Mac) or Open Office software to create documents, spreadsheets or presentations, edit them, save them, scan them, convert them to other formats as needed, print them and email them as attachments or upload them to the *Blackboard *Instruction provided in Orientation 8
Items required for complete admission that are not part of the submission envelope: MSU Graduate College Application Items required for complete admission into DNP Program after acceptance: Proof of current NP Student Liability Insurance due on or before May 1. (minimum limits of $1,000,000 each occurrence and $6,000,000 aggregate) Insurance to begin June 1 st (renewed yearly) Proof of current Personal Health Insurance due on or before May 1 (must stay current while in the program) Submit Typhon clinical tracking fee (Approx. $80.00) Pay for and complete Background Check without disqualifications due on or before May 1. (you will be notified via email when/where to go with instructions) Pay for and complete Urine Drug Screen without disqualifications due on or before May 1. (you will be notified via email when/where to go with instructions) Please indicate how you heard about the BSN to DNP program at MSU. Website Friend DNP Brochure Other Please Specify 9