Northern Michigan University School of Nursing Application for Admission: BSN Track Deadlines for applying for admission into the BSN Track February 1 for Fall admission October 1 for Winter admission Please complete and return to: School of Nursing, Northern Michigan University, 1401 Presque Isle, Marquette, MI 49855. Name: Other Names: NMU ID #: Date of birth: Male Female Mailing address: (Street) (City) State (Zip) Current phone: Cell phone: NMU E-mail address: Permanent address: (Street) (City) State (Zip) Permanent phone (if different from current phone #): Application Directions: Required Prerequisites: Please indicate when you completed all of the prerequisite courses on the table on the reverse side. Application Attachments: Please attach the following to this application: A copy of your ufficial NMU student transcript. Include current semester of classes & gpa. Ufficial transcripts for all colleges or universities you have attended. A copy of your NMU Transfer Credit Evaluation (TCE) if you have transferred credit from ather college or university. (Obtained from the Registrar s Office; takes several weeks.) If you transfer from ather nursing program, please provide a letter of good standing from the director of the previous nursing program. All required prerequisite courses should be highlighted on transcripts & TCE. Eligibility requirements for the BSN Track: Admitted to Northern Michigan University Achieved a minimum cumulative grade point average of 2.75 Have completed with a minimum of a C-; or be concurrently enrolled for all the following prerequisite courses: BI 201, BI 202, BI 203, CH 109, HN 301 A&B, PY 100, SO 101 Please answer the following questions: 1. Are you currently enrolled at Northern Michigan University? 2. If t currently enrolled, have you been informed by letter of your acceptance to Northern Michigan University? 3. Have you completed a minimum of 12 credits at NMU? If, is your NMU GPA > 2.75? 4. Have you completed or are currently enrolled for all of the following prerequisite courses: BI 201, BI 202, BI 203, CH 109, HN 301A & B, PY 100, SO 101? 1
I wish to be admitted as: (May check more than one) Please check if applicable: an entering first semester BSN student an entering first semester LPN to BSN student a re-entry student. Specify semester reentered: other, Explain I am a transfer student; specify institution(s): I have ather Degree, specify: I have previously applied for admission to the NMU nursing program; When? REQUIRED PREREQUISITES FOR BSN TRACK PLEASE COMPLETE; INDICATE IF CURRENTLY ENROLLED Course Semester Credits Semester Year Grade Institution BI 201: Human Anatomy (3) Requirements met (office use only) BI 202: Human Physiology (5) BI 203: Medical Microbiology (3) CH 109 Chemistry (4) HN 301 A&B: Nutrition for Health Professionals (4) PY 100 General Psychology (4) SO 101: Intro to Sociology (4) Attach transcript and/or Transfer Credit Evaluation to the application. Highlight all listed courses on transcripts & TCE. NMU GPA TRANSFER GPA TRANSFER INSTITUTION Applicants will be ranked by the Nursing Department Admissions Committee. The Admission Criteria Scoring Grid found in appendix, will be utilized to rank students for admission to the BSN program. Students will be tified by mail by the time of registration (mid semester) regarding their admission status. The faculty reserves the right to select the applicants who shall be admitted and that action by the Admissions Committee of the School of Nursing is provisional, pending receipt of evidence that all prenursing requirements have been met. The Admission Committee will t review your application if you are t admitted to NMU or any part of the application is incomplete. This includes missing transcripts & TCE. Students who are t admitted to the nursing program must reapply to be considered for future admission. I have met the eligibility requirements for the BSN Track. Signature Date 2
LPN to BSN Students Additional Application Directions: LPN to BSN students must complete this page. Application Attachments: In addition to previous directions, please attach the following to this application: A copy of your LPN license: The license must be unencumbered and have restriction and/or sanctions. A letter verifying employment within the last 5 years. (if LPN > 5 years.) I am a registered LPN; specify State: License # I am currently enrolled in an LPN program. School: Expected date of graduation: LPN EMPLOYMENT HISTORY PLEASE COMPLETE; INDICATE IF CURRENTLY EMPLOYED Employer & Supervisor Dates Address & Phone Requirements met (office use only) 3
NMU Department of Nursing Student Application Information Form Core Performance Standards Potential BSN Students: Please read the following statements carefully before signing. Nursing is an occupation which involves daily contact with individuals and requires ability to perform a wide variety of activities. Some individuals might t be suited to perform the activities of a registered nurse. Many hospitals require physical examination, laboratory testing and x-rays prior to hiring an individual to rule out pre-existing conditions which could cause problems in performing the expected duties. If you have any condition which might impair your ability to perform the activities required of a registered nurse, you might wish to reconsider applying for admission to the nursing major. Indicated below are core performance standards for admission and progression in the BSN program. CORE PERFORMANCE Communication Mobility Motor Skills Hearing Visual Tactile STANDARD Communication abilities sufficient for interaction with others in verbal and written form. Physical abilities sufficient to move from room to room and maneuver in small spaces. Gross and fine motor abilities sufficient to provide safe and effective nursing care. Auditory ability sufficient to monitor and assess health needs. Visual ability sufficient for observation and assessment necessary in nursing care. Tactile ability sufficient for physical assessment and performance of skilled nursing activities. Adapted from MAIN Dimensions: February 1993, Vol. 4 Issue 2 EXAMPLES OF NECESSARY ACTIVITIES (t all inclusive) Explain treatment procedures, initiate health teaching, document and interpret nursing actions and client responses. Move around in client rooms, work spaces and treatment areas, administer cardio-pulmonary procedures. Calibrate and use equipment, position clients, administer medications orally and parenterally Hears monitor alarms, emergency signals, auscultatory sounds, cries for help. Observes client responses; recognizes subtle physical changes. Performs palpation, functions of physical examination and/or those activities related to therapeutic nursing interventions, e.g. insertion of a catheter or starting and IV. OTHER CONSIDERATIONS 1. Registered nurses must be licensed by the state(s) in which they plan to work. Persons making application for licensure are screened for criminal records and/or convicted felonies. If you have a criminal record, you should consider seeking individual legal counsel as to the possibility of being ineligible for licensure prior to applying for admission to the program. See the BSN Student Handbook for further information regarding criminal background check requirements. 2. Admission to the BSN Program involves a significant time commitment. Students should expect to spend 20-30 hours per week on course related work on campus and in clinical placements. Students are required to be in clinic at 6:30 a.m. for some clinics and on occasion may also be assigned afteron or evening clinics. Transportation to clinic sites is the responsibility of the student. 3. Registered nurses are exposed to a variety of substances within the work environment and other work sites such as occasional fluctuations in temperature and electro-magnetic radiations. Exposure to blood and other body tissue and fluids, dust, electrical hazards, loud or unpleasant ises and occasional high humidity or wetness are the rm. 4. All students will be required to complete criminal background checks for entry into the nursing program. Students will be provided contact information regarding criminal background checks upon admission and will be responsible for all associated costs. 5. The Department of Nursing does t review individual cases as to medical and/or legal suitability. However, we do wish to have prospective students informed of performance standards prior to making an investment of time and money in the program. 4
PLEASE RETURN THIS PORTION WITH YOUR APPLICATION I believe I have fulfilled the requirements for admission as set forth by the School of Nursing. I understand incomplete applications will t be reviewed or considered. I understand that if I am t selected for admission, I will need to go through the application process again to be considered for admission. I understand the faculty reserves the right to select the applicants who shall be admitted and that action by the Admissions Committee of the School of Nursing is provisional, pending receipt of evidence that all prenursing requirements have been met. I understand the previously described Core Performance Standards. Printed Name: Signature: Date: NOTE: This form must accompany application form and transcript. Return to the Department Secretary later than October 1 for winter semester admission and later than February 1 for fall semester admission. Optional: Please complete the following information: Used only for program report. 1. Indicate citizenship: U. S. Other, specify 2. Indicate location of home: Upper Peninsula Lower Peninsula Out of State 3. Indicate racial/ethnic background: Caucasian/White Multiracial, Specify African-American Asian-American Hispanic/Lati Native American 5
Checklist for Nursing Application (highlight all prerequisites) Please attach the following to your application: An ufficial copy of your NMU transcript. Include current semester of classes and gpa. Transcripts from all colleges and universities you have attended. A copy of your NMU Transfer Credit Evaluation (TCE) if you have transferred credit from ather college or university (obtained from the Registrar s Office and takes several weeks). 6
Appendix I Northern Michigan University School of Nursing Admission Criteria Scoring Grid Category I Cumulative GPA (Use Transfer GPA if student has less than 12 NMU credits. If student has accrued 12 NMU credits use NMU GPA). 4.0-3.75 3.74-3.5 3.49-3.25 3.24-3.0 2.99-2.75 15 12 9 6 3 Category II Science GPA (Chemistry 109 grade stands alone, even if student has taken lower level Chemistry prior to CH 109. If student has taken two (2) chemistry courses in lieu of CH 109, the two grades will be averaged for a single score, i.e.: CH 107 & 108; or CH 107 & CH 112; or CH 111 & CH 108; or CH 111 & CH 112; or CH 105 & CH 112). A A- B+ B B- C+ C C- Anatomy 10.00 8.75 7.50 6.25 5.00 3.75 2.50 1.25 Physiology 10.00 8.75 7.50 6.25 5.00 3.75 2.50 1.25 Chemistry 10.00 8.75 7.50 6.25 5.00 3.75 2.50 1.25 Category III Previous Degree (maximum of 5 points) LPN or Baccalaureate/Masters 5 Category IV 12 credits completed at NMU Completed at NMU 10 Total Points of Admission Criteria /60 Reviewer Initials Date Reviewer Notes: Rev. 2/24/12ng 7