REGISTERED NURSING (RN) APPLICATION PACKET

REGISTERED NURSING (RN) APPLICATION PACKET Deadline is April 15, 2015 @ 4:00 pm INCOMPLETE OR LATE APPLICATIONS WILL NOT BE ACCEPTED Return completed application, including other required documents, IN PERSON to: ARDOIN BUILDING ROOM 103 (between 7:30am- 4pm) 1101 Bertrand Drive Lafayette, Louisiana 70506 337.521.9628 Applications returned through the mail will not be accepted For additional information please contact: RN Department Phone: (337) 521-6910 It is the policy of South Louisiana Community College not to discriminate on the basis of age, sex, race, color, religion, national origin or disability in its educational programs, activities or employment policies. PROGRAM INFORMATION

Graduates receiving an Associate of Science in Nursing (ASN) from SLCC are eligible to apply for licensure through the Louisiana State Board of Nursing (LSBN) as a Registered Nurse (RN). The RN is educated as a generalist who delivers health care to clients and family groups and has competencies related to the art and science of nursing. The RN may be employed in a variety of acute, long- term, and community- based health care settings. Registered Nurses function within the legal scope of practice and use professional standards of care when caring for clients and families across the life span. The degree provides the graduate with an educational foundation for articulation into the University setting for a Bachelor s of Science in Nursing (BSN), if desired. Upon completion of the ASN degree, the graduate is eligible to apply to the LSBN for initial licensure and to take the National Council Licensure Examination for Registered Nurses (NCLEX- RN). The examination is designed to test the knowledge, skills and abilities essential to the safe and effective practice of nursing at the entry level. Upon successful completion of this examination, the graduate becomes licensed to legally practice as a Registered Nurse in the State of Louisiana. Louisiana State Board of Nursing (LSBN) The LSBN requires all applicants to complete an Application for Approval to Enroll in a Clinical Nursing Course form and an authorization form for a criminal background check. Applicants who have been charged with, pled guilty or nolo contendere to, been convicted of, or committed a criminal offense that involves a crime of violence or distribution of drugs may be denied the right to practice nursing as a student in Louisiana. LSBN can approve, deny, delay, or otherwise restrict the enrollment of the student. If approval is not granted by the LSBN the student will not be admitted to the program. APPLICATION PROCESS In order to be eligible for admission to the RN Program, the applicant must first be admitted to South Louisiana Community College. The College application is available online at http://www.solacc.edu/students. The application and all supporting documents must be received by the designated deadlines. Applicants will not be considered for admittance to the RN program until all required documents have been submitted and the applicant s file is complete. A copy of the application and all supporting documents should be retained by the applicant since the RN Program will not return the original application or any supporting documents. All correspondence will be sent to the applicant s address listed on application. Admission to the RN Program is competitive and will be based on the following criteria: 1) GPA in 16 credit hours of required pre- requisite courses, 2) student s score on the TEAS V nursing admission test, 3) number of required courses completed with a grade of "C" or higher at SLCC, 4) Current licensure or certification in a clinical healthcare provider profession with employment in that field within the last two years, and 5) Number of times required courses repeated. It is important to note that simply meeting requirements for admission to the nursing program does not guarantee admission. STEP 1 SOUTH LOUISIANA COMMUNITY COLLEGE (SLCC) ADMISSION REQUIREMENTS In order to be considered for admission to the nursing program you must be admitted to SLCC. If you are not already a student at SLCC or were a student and have missed a major semester (Fall or Spring), you must complete and meet the SLCC admission requirements. If you need assistance contact the Admissions Office in the Ardoin building or call 337-521- 9622. STEP 2 RN PROGRAM ADMISSION REQUIREMENTS 1. Must have completed and met SLCC admission requirements 2. Applicant must have cumulative GPA of 2.0 or higher. 3. Applicant must have a GPA of 2.8 or higher in the following 16 credit hours of courses 4. Applicant must have a grade of C or higher in each of the following 16 credit hours of courses Required Non- Nursing/Pre- requisite Courses Course No. Course Title Credit Hours

MATH 1105 College Algebra 3 ENGL 1010 English Comp I 3 BIOL 2022/2023 Human Anatomy & Physiology I 4 (Lec 3; Lab 1) PSYC 2010 Introduction to Psychology 3 Elective Art or Humanities Elective (see attached list) 3 TOTAL 16 5. Take and pass the TEAS V nursing admission exam with a composite score of 60 or greater. In addition, preference will be given to students achieving a score of 58 or greater on each subsection of the exam (Science, Math, Reading, and English/Language). 6. Applicant must submit a copy of ALL unofficial transcript(s) with their application. 7. If applicable, submit a copy of current license or certification in a clinical allied healthcare provider profession and proof of employment in that area (Example: Pay stub, letter from supervisor on company letterhead, etc.) 8. Pay $20 application fee at cashier s window, in Ardoin building, and attach receipt to application. This fee is nonrefundable. Submit completed & signed RN Program Application (and documents) to Ardoin Building, rm. 103 by April 15, 2015 4:00 PM. STEP 3 SELECTION NOTIFICATIONS 1. All applicants will be notified of admission status (Admitted or Denied) no later than May 30. 2015. 2. Students admitted to the nursing program will receive an acceptance letter and additional information regarding the following requirements: a. Health History, Physical Examination, TB Skin Test and Immunizations b. CPR c. Criminal Background Check and Fingerprint Cards 3. Students who accept the offer for admission must attend a MANDATORY Pre- Admission Nursing Orientation Session date, time and location to be announced. STEP 4 APPLICATION PROCESS CHECKLIST (for your records - check off once completed!) 1. Current SLCC student and all admission requirements met per admissions office including immunization record. http://www.solacc.edu/sites/default/files/admissions/steps%20to%20enroll%20at%20slcc.pdf 2. Application filled out legibly, with all sections completed correctly including current contact address. 3. Semester and year completed on each pre requisite course. Example: sp 13 or su 13 or fa 13 4. Date of taking TEAS V exam completed- - must have been taken within the last calendar year. 5. If no home phone or cell phone write N/A in the appropriate section. 6. LPN question answered. 7. Application signed and dated. 8. Attach (staple) the following to the upper left hand corner: a. Unofficial transcript(s) from all schools attended. b. Receipt from cashier for $20 application fee. c. Copy of current allied healthcare provider license / certification (if applicable). d. Proof of employment such as: Pay stub, letter, etc. (if applicable). 9. Application with all above information hand delivered to Ms. Morris in room 103. Do not mail or not slide under door. Keep a copy of everything turned in. 10. INCOMPLETE OR LATE APPLICATIONS WILL NOT BE ACCEPTED. IF APPLICATION FOUND INCOMPLETE AFTER TURNING IN, THE APPLICATION WILL BE DISQUALIFIED IN THE SELECTION PROCESS. 11. ANY FALSE OR EXCLUDED INFORMATION IS CAUSE FOR DISQUALIFICATION IN THE SELECTION PROCESS. Arts and Humanities Courses offered at South Louisiana Community College Humanities Fine Arts

Communication (CMCN) 2030 Group Problem Solving 2050 Mass Communication and Media Communication/Public Speaking (SPCH) 1010 Fundamentals of Human Communication * 1020 Interpersonal Communication 1030 Voice and Diction 1200 Public Speaking History (HIST) 1040 World Civilizations I 1041 World Civilizations II 2010 United States History I 2020 United States History II 2070 African- American History 2100 Louisiana History Language (FREN) 1010 Introduction to French 2010 Intermediate French 2011 Intermediate French Lab Language (SPAN) 1010 Elementary Spanish 2010 Intermediate Spanish 2011 Intermediate Spanish Lab Arts (ARTS) 1010 Design I 1100 Survey of the Arts I 1200 Survey of the Arts II 1210 Basic Drawing 2250 Introduction to Painting Communication (CMCN) 1170 Introduction to Film Production Music (MUSC) 1010 Music Appreciation 2300 History of Jazz Theater and Dramatic Arts (THEA) 1010 Introduction to Theatre & Performing Arts 2010 Introduction to Acting 2070 Introduction to Film Performance *Recommended Literature (ENGL) 2010 British Literature I 2020 British Literature II 2030 American Literature I 2035 Major American Writers 2040 American Literature II 2055 Introduction to Fiction 2090 Film as Literature 2070 World Literature 2025 Major British Writers 2180 World Lit II 2175 Major World Writers 2065 Intro to Poetry 2060 Intro to Literature 2230 Intro to African American 2210 Intro to Women s Lit 2240 Mythology & Folklore 2220 Southern Literature Literature (FREN) 2020 Readings in French

RETURN COMPLETED APPLICATIONS IN PERSON TO: SLCC Ardoin Building Room 103 (Ms. Gail Morris) 1101 Bertrand Drive, Lafayette, LA 70506 (337) 521-9628 Do Not Mail REGISTERED NURSING PROGRAM APPLICATION INDICATE STATUS Deadline 04/15/2015 @ 4:00 pm INCOMPLETE OR LATE APPLICATIONS WILL NOT BE ACCEPTED APPLICATION REQUIREMENTS Applicant must have a GPA of 2.8 or higher in the following 16 credit hours of pre- requisite courses Applicant must have a grade of C or higher in the following 16 credit hours of pre- requisite courses Sem Completed Sem Completed Sem Completed Sem Completed Sem Completed 1. 2. 3. 4. 5. Math 1105 College Algebra (3 credit hours) ENGL 1010 English Composition I (3 credit hours) BIOL 2022/2023 Human Anatomy & Physiology I (3 credits lec; 1 credit lab) PSYC 2010 Introduction to Psychology (3 credit hours) ART/HUM Art or Humanities Elective (3 credit hours) (Indicate Course name/number and semester completed) If transfer student, submit official transcript(s) to Registrar s office and complete & send transfer forms. (Transfer and Course Substitution Form available on SLCC website or in Registrar s Office) 7. All students must attach an unofficial copy of your transcript(s) with your application. Yes/ No 6. 8. List name(s) of all school(s) attended and attach copies of unofficial transcripts for each: Date / /20 9. Date(s) you took the TEAS V nursing exam? Include copy of results if not taken at SLCC Date / /20 TEAS V composite score you would like used for application. Score= Yes/ No 10. Have you been employed as a certified or licensed healthcare provider in the last 2 years? If yes to #10, attach a copy of current certification or license, proof of employment (example: pay stub, letter from supervisor on official letterhead), and list name of employer, dates employed, supervisor s name, and contact phone number: PERSONAL INFORMATION (print legibly) Last Name First Name Mailing Address City/State Middle Name Zip Code Home Phone Number Cell Phone Number E- Mail Address Student ID Number INFORMATION REQUIRED BY THE LOUISIANA STATE BOARD OF NURSING Are you an LPN? LPN License Number Yes No Exp. Date I would like to apply for admission to the registered nursing program. I understand that any attempt on my part to falsify or exclude information is cause for disqualification of my application and/or dismissal from the registered nursing program. I hereby certify that all information presented is true to the best of my knowledge. Student Signature Date Received by: Date: