DEADLINE FOR APPLICATION: For Spring Admission: December 1 st

Goodwell (OPSU) Campus Paramedic to RN program by Advanced Standing Applicant Checklist Admission to OSU-OKC, including submission of OFFICIAL transcripts Note: A retention grade point average of at least 2.5 or C on academic work completed is required. Submit completed OSU-OKC Application to. Include: o Proof of unencumbered Paramedic licensure o Verification of 1,000 hours of practice as a Paramedic within the last 3 years o OFFICIAL transcript copies of all college work completed o OFFICIAL transcript copy of Paramedic program work completed o Nursing Admission test score of 66 or greater on TEAS V o ATI LPN Step Challenge Exam Score of 66 or greater for credit in NURS 1118 and NURS 1148 o ORIGINAL OSBI (Oklahoma State Bureau of Investigation) background check that includes the top three checks; Name Based, Sex Offender, and Mary Rippy Violent Offender or Group One extended background check (www.gp1.com/students) Report cannot be older than 90 days from the application date. NOTE: Admission to the Nurse Science program may be denied to any student with a criminal history. TOEFL ibt (with speaking test) for whom English is a second language completed by November 1 st for Spring admission. Meet pre-requisite course requirements (BIOL 2214, CHEM 1214 OR 1314, ENGL 1113, NSCI 1113, & PSYC 1113, PSYC 2213) and minimum retention GPA requirement of 2.5. Completed or Enrolled in Co-requisites for NURS1313. (PSIO 2314, ENGL 1213, NURS 1121). Submit all required documentation by Deadline. (Reminder: incomplete files will not be considered for admission to the program) Please refer to the Application and Procedures and Information page for more details. DEADLINE FOR APPLICATION: For Spring Admission: December 1 st

The Nursing Program at Oklahoma State University-Oklahoma City offers Advanced Standing to licensed practical nurses that hold current unencumbered licensure, and have graduated from a non-acen accredited program. The student must also complete all required prerequisite courses. Successful completion of the course of study qualifies the graduate to take the examination for registered nurse licensure. The course of study includes classroom and laboratory instruction on campus and supervised clinical experience in affiliating health agencies. The nursing program is approved by the Oklahoma Board of Nursing, 2915 N. Classen Blvd., Ste 524, Oklahoma City, OK 73106 www.ok.gov/nursing and accredited by the Accreditation Commission for Education in Nursing (ACEN), 3343 Peachtree Road NE, Suite 850, Atlanta, GA 30326 www.acenursing.org. It is possible to complete the nursing courses in three semesters. However, if the student has other responsibilities such as family or job, he/she may elect to enroll in general education and related courses before seeking admission to the nursing courses. All students considering entrance into the nursing program are urged to seek advisement from the Nurse Science Department or student services counselors. Admission into the clinical nursing courses through Advanced Standing is on a space available basis. Because there may be more students applying for nursing courses than it is possible to enroll, an admissions committee makes selection decisions for the program. The nursing curriculum at Oklahoma State University-Oklahoma City is computer intensive. Graduation from the program allows the student to meet the Computer Literacy requirement. Those students who have no computer skills are advised that an introductory computer course is recommended. As an Advanced Standing student, the student may test out of and receive credit for NURS 1118 and NURS 1148. NURS 1313, Nursing Concepts for the Career Ladder Student, must be completed to enter NURS 2218. First Semester (Pre-requisites must be completed prior to NURS 1118) Credits NSCI 1113 Introduction to Nutrition 3 ENGL 1113 Freshman Composition I 3 *CHEM 1214 Chemistry I (OR) 4 1314 General Chemistry PSYC 1113 Introduction to Psychology 3 Total 13 Second Semester Credits Third Semester Credits NURS 1118 Foundations of Nursing 8 NURS 1148 Nursing Concepts Across the 8 Lifespan NURS 1121 Intro to Pharmacology 1 PSIO 2314 Human Physiology 4 BIOL 2214 Human Anatomy & Lab 4 ENGL 1213 Freshman Composition II 3 PSYC 2213 Lifespan Human 3 Development Total 16 Total 15 Fourth Semester Credits Fifth Semester Credits NURS 2218 Nursing Concepts and Care 8 NURS 2258 Complex Nursing Concepts 8 for Vulnerable Populations MCRO 2124 Intro to Microbiology 4 NURS 2242 Transition to Professional 2 Practice POLS 1113 Political Science 3 HIST 1483 (or) U.S. History 3 1493 Total 15 Total 13 Total Credit Hours Required for Associate Degree = 72 A minimum grade of C or better is required in all courses required for the degree. *Chemistry Advisement: In order to make application to nursing, a student must be enrolled in or have completed Chemistry (CHEM 1214 or 1314). Chemistry is a pre-requisite for NURS 1118.

Course Descriptions NURS 1313 NURSING CONCEPTS FOR THE CAREER LADDER STUDENT In this online course, students will incorporate the knowledge, practice, and ethical behavior necessary for safe, effective, holistic nursing practice within a technologically rich, dynamic health care environment; based on the core values of caring, diversity, ethics, excellence, holism, integrity and patient-centeredness. The focus will be on the philosophy of registered nursing, nursing process, assessment, communication, roles and functions of associate degree nurses. Active learning strategies of the course include individual and group learning experiences, simulation, and application of basic pharmacology knowledge. Prerequisites: NURS 1118 or equivalent, CHEM 1214 OR CHEM 1314; NSCI 1113; ENGL 1113; PSYC 1113; BIOL 2214; PSYC 2213 and previous formal acceptance into the Nursing Career Ladder Pathway to enter NURS 2218. NURS 1118 FOUNDATION OF NURSING CONCEPTS* (May receive advanced standing credit) Students will be introduced to the core values of caring, diversity, ethics, excellence, holism, integrity and patientcenteredness; grounded in the nursing process. Focus is on the formation of knowledge, practice and ethical behavior necessary for safe, effective, holistic nursing practice within a technologically rich, dynamic health care environment. Active learning strategies of the course include individual and group learning experiences, simulation and clinical rotations. Prerequisites: CHEM 1214 or CHEM 1314, NSCI 1113, ENGL 1113, PSYC 1113. Co-requisites: BIOL 2214, PSYC 2213, NURS 1121. NURS 1121 INTRODUCTION TO PHARMACOLOGY Students will be introduced to the major drug classification and dosage calculation. The focus is on knowledge, practice and ethical behaviors necessary for safe and effective administration of medications. Prerequisites: CHEM 1214 or CHEM 1314; NSCI 1113, ENGL 1113, PSYC 1113. Co-Requisites: BIOL 2214, PSYC 2213 NURS 1118. NURS 1148 NURSING CARE AND CONCEPTS ACROSS THE LIFESPAN* (May receive advanced standing credit) Students will incorporate the knowledge, practice and ethical behavior necessary for safe, effective, holistic nursing practice within a technologically rich, dynamic health care environment. The focus will be on acute care, communitybased care, health promotion, and wellness, including care of populations ranging from maternal-child through geriatrics. Active learning strategies of the course will include individual and group learning experiences, simulation and clinical rotations. Prerequisites: BIOL 2214, PSYC 2213, NURS 1121, NURS 1118. Co-Requisites: PSIO 2314, ENGL 2113. NURS 2218 NURSING CONCEPTS AND CARE FOR VULNERABLE POPULATIONS* Students will utilize the knowledge, practice and ethical behavior necessary for safe, effective, holistic nursing practice within a technologically rich, dynamic health care environment. The focus will be on medical-surgical nursing and community-based care of vulnerable populations, including geriatric, pediatric, disabled populations, and for those with mental health disorders. Active learning strategies of the course include individual and group learning experiences, simulation and clinical rotations. Prerequisites: PSIO 2314, ENGL 2113; NURS 1148. Co-requisites: MCRO 2124, POLS 1113.

NURS 2258 COMPLEX NURSING CONCEPTS* Students will apply the knowledge, practice, and ethical behavior necessary for safe, effective, holistic nursing practice to the complexities of care within a technologically rich, dynamic health care environment. The focus is on hi acuity care and management of multiple clients. Active learning strategies of the course include individual and group learning experiences, management of multiple clients. Active learning strategies of the course include individual and group learning experiences, simulation, and clinical rotations, including immersion. Prerequisites: MCRO 2124, POLS 1113, NURS 2218. Co-requisites: HIST 1483 or HIST 1493,NURS 2342. NURS 2342 TRANSITION TO PROFESSIONAL PRACTICE Students will individualize a personal preparation plan for licensure and successful integration of the program outcomes of human flourishing, nursing judgment, professional identity, and sprit of inquiry. The course will also focus on the students development of a practice framework including the political/policy process and legislation affecting delivery of care, including relevant healthcare mandates. Prerequisites: MCRO 2124; POLS 1113; NURS 2218. Co-requisites: HIST 1483 or HIST 1493; NURS 2258. ADVANCED STANDING INFORMATION Credit by Advanced Standing is available for Licensed Practical Nurses and registered Paramedics. Please call the Nurse Science office (405-945-3210) or 580-349-1520 at OPSU if you are an LPN or Paramedic and interested in advanced standing. *Course requires at least one day per week in a healthcare facility for clinical experiences.

OSU-OKC Admission Profile Point Calculation Information I. Grade Point Average: College courses OR High School using the following guidelines: 12 hours college credit or more = use retention GPA 11 hours college credit or less = use high school GPA GPA: Points: 4.0-3.5 = 30 3.49-3.0 = 20 2.99-2.5 = 10 II. Required College Hours Completed for Nursing Student earns one (1) point for each credit hour completed with a C or better in courses required for the A.A.S. degree with Major in Nursing III. Required Sciences: Students earn points for science courses completed. Science Courses: CHEM 1214 or 1314 (Anatomy) BIOL 2214 PSIO 2314 MCRO 2124 IV. Required Science Courses taken at OSU-OKC and OSU-Stillwater: Students earn one (1) point for each science course completed with a C or better at OSU-OKC. V. Pre-Admission Nursing Exam: Students earn points based on grade percentile *Applicants must score at least 66% on the preadmission nursing exam for consideration as a candidate for the nursing program. The exam may be taken once by the application deadline of December 1 for Spring nursing class. There is no limit to the number of times an applicant may apply for admission to the nursing program. 37 possible hours/points CHEM = 2 BIOL = 5 PSIO = 5 MCRO = 2 Possible: 4 points Chemistry Anatomy Physiology Microbiology Grade %: Points: 100-85 = 30 84.99-78 = 25 77.99 74 = 20 73.99 70 = 15 69.99 66 = 10 65.99 or less = See * TOTAL POINTS: Possible: 115

TEAS V Exam Information Test of Essential Academic Skills (TEAS) is used for OSU-OKC Nursing School Admission Exam. It has proven to be a statistically significant predictor of early nursing school success. It tests the following areas: 1. English/Language Usage: Contains grammar, word meanings, spelling punctuation and structure. Time allotment: 34 minutes. 2. Reading Comprehension: Contains paragraph and passage comprehension, and informational source comprehension. Time allotment: 58 minutes. 3. Math: Contains numbers and operations, algebraic applications, data interpretation, and measurements. Time allotment: 51 minutes. 4. Science: Contains human body science, life science, earth and physical science and scientific reasoning. Time allotment: 66 minutes. Plan on approximately 4 hours to complete the exam. (Actual time allotted is 3 hr. and 48 minutes). Rules about the TEAS V Exam: - TEAS V exams may be taken only once per application period to the nursing program. - You must take the entire TEAS V exam in one sitting. - A study guide is available at the OSU-OKC bookstore (http://www.efollett.com). - No calculators allowed during TEAS V testing effective June 30, 2014. TEAS V Testing Policy: TEAS V exams require a testing fee. Students must pay the fee in the Business office. The student must then bring the receipt to the Assessment Center and schedule an appointment. After the appointment has been made, if the student will not be able to make the appointment, the student must call the Assessment Center and reschedule the exam (405-945-8648). An exam may be rescheduled only once. Student must call before the scheduled test time to cancel in order to receive a refund. ATI LPN STEP Challenge Examination: ATI offers an online assessment which can be taken two (2) times for practice on the LPN STEP Challenge examination. http://www.atitesting.com/ati_store/product.aspx?zpid=1221.

OSU-Oklahoma City Approximate cost of nursing program (Costs/fees subject to change without notice) OSU-OKC Tuition & Fees (33 credit hours x $107.80 credit hour) OPSU Tuition (39 credit hours x $104.50 credit hour) $3,557.40 $4,075.50 Textbooks & Resources $1,695.56 Online Learning Program $184.00 State Board Application for Licensure Exam $285.00 Cap & Gown for Graduation $24.50 *NSNA Membership 1 year (optional) $36.00 *OSU-OKC SNA Membership 1 year (optional) $20.00 Liability Insurance 1 year $17.00 Nursing School Pin (optional) Starting at $30.00 Graduation Pictures $30.00 Uniforms & Equipment $150.00 & up Advanced Standing Exam $72.00 Pre-nursing Admission Exam $50.00 Urine Drug Screen $60.00 Criminal Background Checks $79.00 Total $10,365.96 *National Student Nurses Association *OSU-Oklahoma City Student Nurses Association Cost of items such as parking fees, computer, laptop and supplies will vary and are not included in the list.

OSU-Oklahoma City Computer Requirements All students are encouraged to either have a computer or have unlimited access to a computer with the following specifications: Component Windows Mac Internet Browser Microsoft Internet Explorer 8 or 9 Mozilla Firefox 14 or higher Mozilla Firefox 9 or higher Safari 5 or higher Operating System Microsoft Windows XP or Vista, Max OS X 10.5 (Leopard) or higher Windows 7 or 8 Computer 500 MHz processor or higher 500 MHz processor or higher Processor speed System Memory (minimum) Hard Disk Space Internet Connection Audio Video Software 1 GB (Vista) 512 MB or higher (XP, Me, NT, 2000) 2 GB free <some will be freed after installation of Office 2007> Broadband DSL or Cable Modem Sound Card and Speakers Recommend headphones with microphone SVGA or XVGA monitor Capable of displaying 1024x768 resolution preferred in thousands of colors. 800x600 resolution minimum Microsoft Office 2007 Professional Silverlight 4 or higher (download free from www.atitesting.com) Adobe Acrobat Reader X or higher Adobe Flash Player 11 or higher 512 MB or higher (OS X) 2 GB free <some will be freed after installation of Office 2007> Broadband DSL or Cable Modem Sound Card and Speakers Recommend headphones with microphone SVGA or XVGA monitor Capable of displaying 1024x768 resolution preferred in thousands of colors. 800x600 resolution minimum Microsoft Office 2007 Professional Silverlight 4 or higher (download free from www.atitesting.com) Adobe Acrobat Reader X or higher Adobe Flash Player 11 or higher Javascript Enabled Enabled Cookies Enabled Enabled Popup Blocker Set the following allowed sites *.okstate.edu Set the following allowed sites *.okstate.edu CD rom/dvd Drive Required Required Depending on the system configuration and optional accessories of the student s computer, the cost of the nursing program will vary from individual to individual. Please visit https://oc.okstate.edu and click on Please click here for a system check before you login to make sure your system software is compatible with Desire 2 Learn.

OSU-OKC Application Procedures and Information 1. Be admitted to OSU-OKC. Complete the following steps: 2. Complete OSU-OKC application form. 3. Bring or mail official copies of your transcripts of all college coursework to OSU-OKC Nursing Department. Note: A retention grade point average of at least 2.5 or C on academic work completed is necessary in order to be considered for admission to nursing program. 4. Provide evidence of current unencumbered Nursing License and transcript or diploma from practical nursing program. 5. Take the ATI LPN STEP Challenge examination. A fee will be charged for this exam. If unsuccessful on the first attempt, you may retake the exam again in 4 weeks. Only two attempts are allowed per application period. Call the Assessment Center for registration (580) 349-1558. If you do not pass the exam by the second attempt, please see a nursing advisor. 6. All applicants are required to take the Pre-Nursing Admission Exam. A fee will be charged for the test. Pre-registration is required as testing space is limited. Call the Assessment Center for registration (580) 349-1558. A study guide is available in the OSU-OKC Bookstore (http://www.efollett.com) and in the OPSU Bookstore. 7. Bring in or mail a current (less than 3 months old) original OSBI background check that includes the top three boxes; Name based, Sex Offender, and Mary Rippy Violent Offender. If you have been an Oklahoma resident for less than three (3) months, you need to submit a criminal background, violent offender and sex offender registry check from the GroupOne extended background check at www.gp1.com/students. NOTE: Admission to the Nurse Science program may be denied to any student with a criminal history. 8. Other requirements: a. All applicants to the nursing program for whom English is not their Native Language must pass the IBT TOEFL. This is an online TOEFL which includes a speaking test. The student should first go to http://www.ets.org/toefl or call (877) 863-3546 There will be a fee for this exam. b. The test must be taken by November 1 to meet the December 1 deadline. Admission to the program is based on a point system compiled from documents submitted. Due to the high volume of applications expected, it is the student s responsibility to insure that all transcripts and other required materials have been sent to and received by the OSU-OKC office prior to the deadline. Bring or Send application materials to: OSU-OKC HT 205 900 N Portland, Oklahoma City, OK 73107 FAX: 405-945-8613 Scan & DEADLINE FOR APPLICATION: For Spring Admission: December 1 st

Oklahoma Board of Nursing Statement: EVIDENCE OF CITIZENSHIP STATUS AND AGE REQUIREMENTS FOR LICENSURE IN OKLAHOMA www.ok.gov/nursing Age: The applicant for licensure must be a minimum of eighteen (18) years of age. Verification of citizenship status: State law requires the Board of Nursing to issue a license only to U.S. citizens, nationals and legal permanent resident aliens; and to applicants who present, in person, valid documentary evidence of: 1. A valid, unexpired immigrant or nonimmigrant visa status for admission into the U.S.; 2. A pending or approved application for asylum in the U.S.; 3. Admission into the U.S. in refugee status; 4. A pending or approved application for temporary protected status in the U.S.; 5. Approved deferred action status; or 6. A pending application for adjustment of status to legal permanent residence status or conditional resident status. Applicants in the above six categories will only be eligible to receive a license card that is valid for the time period of their authorized stay in the U.S., or if there is no date of end to the time period of their authorized stay, for one year. The license card is required to indicate that it is temporary. The information will be verified through the Systematic Alien Verification for Entitlements (SAVE) Program, operated by the U.S. Department of Homeland Security. In order to verify citizenship or qualified alien status, applicants for nursing licensure by endorsement or examination, for certification as an advanced unlicensed assistant, or for reinstatement/return to active status of their license or certificate, must submit an Evidence of Status Form and the required supporting documentation with their application. If you are a U.S. citizen, U.S. national, or legal permanent resident alien, you must submit the Evidence of Status Form: Part A, with a photocopy of one of the documents listed under Acceptable Documents to Establish Evidence of Citizenship on the Evidence of Status (Part A) form. This information must be submitted with your application and fee. A license will not be issued until the appropriate documentation is submitted. If you are a qualified alien, you must bring your completed application, Criminal History Records Search from the Oklahoma State Bureau of Investigation, and Evidence of Status Form: Part B to the Oklahoma Board of Nursing office, along with the original documents that support your qualified alien status, as shown on the Evidence of Status (Part B) form. At the Board office, a staff member will review your qualified alien status documentation and will make a notarized copy before your application will be accepted. If the application is mailed to the Board office, the application will not be processed until the applicant presents in person the original documentation of alien resident status. Guidelines for Admission to and Retention in the Associate Degree Nursing Program: Oklahoma State University-Oklahoma City fully subscribes to all principles and requirements of the Rehabilitation Act of 1973, and the Americans with Disabilities Act of 1990 for qualified handicapped individuals. Therefore, applicants are encouraged to selfidentify their accommodation needs. It is important to note that in order to successfully progress through the nursing curriculum and function as a practicing nurse upon graduation, an individual must be able to perform certain physical activities that include vocal, visual, auditory dexterity and intellectual requirements. Therefore, in order to be retained in the program after admission, all applicants will possess: 1. Sufficient visual acuity, such as is needed in the accurate preparation and administration of medications, and for the observation necessary for client assessment and nursing care. 2. Sufficient auditory perception to receive verbal communication from clients and members of the health team and to assess health needs of people through the use of monitoring devices such as stethoscopes, intravenous infusion pumps, cardiac monitors, fire alarms, etc.

3. Sufficient gross and fine motor coordination to respond promptly and to implement the skills required in meeting client health care needs safely. These include, but are not limited to, manipulation of equipment and performance of CPR. 4. Sufficient intellectual function; cognitive, psychological and emotional stability to plan, implement and provide safe care for clients. 5. Sufficient gross and fine motor coordination to respond promptly and to implement the skills required in meeting client health care needs safely. These include, but are not limited to, manipulation of equipment and performance of CPR. 6. Sufficient intellectual function; cognitive, psychological and emotional stability to plan, implement and provide safe care for An individual denied admission or continuance in the program due to the inability to perform certain activities has the right to appeal any decision made. A complete copy of the Grievance Procedure may be obtained from the office of the Vice Provost for Academic Affairs.

OKLAHOMA BOARD OF NURSING 2915 N. Classen Boulevard, Suite 524 Oklahoma City, OK 73106 (405) 962-1800 NCLEX or AUA Certification Candidates With History of Arrest/Deferred Sentence/Conviction Policy I. Regulatory Services staff may approve the application of an NCLEX or AUA certification candidate with a misdemeanor offense in the following cases: A. First instance of a misdemeanor including but not limited to bogus checks, larceny of merchandise, or violation of a state or federal narcotics or controlled dangerous substance law; and B. The misdemeanor offense was not plea bargained from an initial felony charge; and C. The candidate has no other criminal charge(s), judgment, or sentencing pending. Regulatory Services staff may, at their discretion, request further review by the Investigative Division of any Application. II. All other Applications of NCLEX Applicants or AUA certification candidates with arrest(s), history of disciplinary action, and/or judicial declaration of mental incompetence, will be reviewed by the Investigative Division and prosecuting attorney for a decision regarding approval. The Investigative Division Staff may approve the Application of an NCLEX or AUA certification candidate in the following cases: A. The criminal charge resulting in deferred sentence or conviction was not for a felony or misdemeanor involving physical harm to another; and B. The conviction did not result in a sentence of incarceration that was served; and C. The deferred sentence or conviction is older than ten (10) years and the Applicant has successfully completed the terms of the sentence and has had no other subsequent criminal offenses or unbecoming conduct. If the deferred sentence or conviction is more than five (5) years the sentence and involved alcohol related incidents, the Applicant may be asked to submit to an Evaluation from an approved provider that meets the criteria established by the Board. Upon receipt of the Evaluation, if there are no recommendations for treatment or monitoring, the applicant will be approved without disciplinary action. If the Evaluation has recommendations for treatment or monitoring, the Applicant will be offered a Stipulated Order based upon the Evaluator and/or IDP or Board recommendations. III. All other Applications of candidates with arrests, misdemeanors, felonies, history of disciplinary action, or judicial declaration or mental incompetence, not falling within the parameters of Sections I and II above, must come before the IDP or Board for decision. IV. Regulatory Authority: 59 O.S. '567.8

OSU-Oklahoma City Application Form SSN or Student ID Number: Date: Print name in full: Last Name First Name Middle Name Previous Name(s) Cell Phone: Home Phone: Email Address: Present Address: Number & Street City State Zip Code Are you a U.S. Citizen Yes No Is English your Native language? Yes No Have you taken the Test of English as a Foreign Language (TOEFL)? Yes No The following optional information is for demographic purposes and will not be used in the selection of the nursing class. Date of Birth: Place of Birth: High School of Graduation: School Name: City: State: Graduation Date: American Indian Caucasian Marital Status: Gender: Asian Hispanic Single Divorced Male African American Other: Married Widowed Female List all colleges, universities, or other schools attended. Attach separate pages as needed. Name of Institution City & State Dates Attended Degree Received If you have ever attended a school of nursing, RN or LPN/LVN, give the following information: Name of Institution City & State Dates Attended Degree Received Please indicate which program you are applying for: OSU-OKC OPSU Traditional LPN to RN Direct Articulation LPN to RN Challenge Paramedic to RN Have you previously made an application to this nursing program? No Yes, Date: Oklahoma State University Oklahoma City in compliance with Title VI and VII of the Civil Rights Act of 1964, Executive Order 11246 amended, Title IX of the Education Amendments of 1972, American Disabilities Act of 1990, and other federal laws and regulations does not discriminate on the basis of race, color, national origin, sex, age, religion, disability or status as a veteran in any of its policies, practices or procedures. This includes but is not limited to admissions, employment, financial aid and educational services. This publication issued by Oklahoma State University Oklahoma City as authorized by the Nurse Science Department, was printed by OSU-OKC Printing Services.

Oklahoma State University-OKC Application Signature Page Please read this information, review web sites and sign below. I understand that another current (less than 3 months) extended criminal background check and a urinary drug screen will be required upon acceptance into the Nurse Science Program at OSU-OKC as a clinical facility requirement. Any presence of criminal history on the initial criminal background check for application to the OSU-OKC Nurse Science program and/or on the extended background check upon admission may result in denial of enrollment into the nursing program due to inability to secure clinical placement. A positive drug screen will result in denial of enrollment into the nursing program. I understand that my application must be complete and valid in order to be considered for acceptance and that my acceptance is not a guarantee of enrollment into a Nurse Science course towards the A.A.S. degree with a major in Nursing. If you are accepted into the Nurse Science program, conditions for enrollment include: 1) Eligibility for enrollment at OSU-OKC 2) National background check approved for clinical attendance 3) Negative urine drug screen (NOTE: AUAs and LPN/LVNs with positive drug screen results must be reported to the Oklahoma Board of Nursing) 4) Immunization records to include: a. Two Measles, Mumps, Rubella immunizations or titer b. Two Varicella immunizations or titer c. Three Hepatitis B immunizations or titer d. Two TB screenings: after June 1 for Fall admission or after Dec 25 for Spring admission 5) American Heart Association CPR Health Care Provider level certification that does not expire during your two years enrollment. 6) Meet admission requirements (NSP 01.01) and the guidelines for abilities required to provide client care (NSP 01.02). Nurse Science Policies available for review at www.osuokc.edu/academics/healthservices.. I have read and understand the above conditions for application and enrollment. Signed: Date: **Falsifying any records pertinent to this application can lead to ineligibility or immediate dismissal from the Nurse Science Program at OSU-OKC. OSU-OKC HT 205 900 N Portland, Oklahoma City, OK 73107 FAX: 405-945-8613