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ASSOCIATE DEGREE NURSING PROGRAM MULTICRITERIA SCREENING PROCESS ADVISING (Modesto Junior College)

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Updated 11/1/20 MSPAR kwb 1
_________________________ _________________________ _____________________
________________________________________ ________________________@my.yosemite.edu
ASSOCIATE DEGREE NURSING PROGRAM
MULTICRITERIA SCREENING PROCESS ADVISING RECORD (MSPAR) - Assembly Bill 239
Applicants must apply for admission to MJC prior to applying to the ADN program
Successful Completion of Math 89 or 989 or equivalent or higher Bachelor’s degree or higher
Course: Location: Semester/Year completed:
Yes No
Previous student in this program. Semester/Year: Previous last name:
Advanced Placement: LVN/ LPT/ Military
IV certification: Yes
No
License #: Exp: Active License verified:
Probation and/or Restricted license not accepted
Name of LVN or LPT Program:
Regionally-WASC Accredited:
LVNs who challenged the LVN board must complete MJC challenge criteria or apply as an applicant to first semester
Transition course: Nurse 259 – Transition to the RN Role HS 043 – Nursing Synthesis at SJDC
Total Possible Points: 100
CRITERIA
POINT
DISTRIBUTION
REQUIRED SUPPORTING
DOCUMENTATION
1
Academic degrees or diplomas, or relevant certificates
held by an applicant. Any relevant work or volunteer
experience.
Maximum points for
Criterion 1
Areas A – E = 16
To determine college accreditation,
search “Accredited Institutions of
Postsecondary Education” and select
“Accreditation of Postsecondary
Education in the United States.”
Applicants who completed nursing
coursework at a non-regionally
accredited institution will have program
eligibility determined on a case-by-case
basis.
1A
Academic degree from a regionally accredited college or
university - Select one
Maximum points for
1A = 5
BA/BS Degree or higher
5
Official transcript.
AA/AS Degree
3
Official transcript.
1B
Licensed/certified healthcare worker - Select one from
each category if applicable
Maximum points for
1B = 5
Licensed Vocational Nurse (LVN), Licensed Psychiatric
Technician (LPT), Registered Respiratory Therapist (RRT),
Certified Respiratory Therapist (CRT), Paramedic
5
Copy of current license.
Probation and/or Restricted license
not accepted
Certified Nurse Assistant (CNA), Certified Medical
Assistant (CMA) - AAMA certification, Emergency
Medical Technician (EMT) - CA certification or national
registry
3
Copy of current certificate.
Probation and/or
Restricted license not accepted
1C
Relevant Work Experience
Maximum points for
1C = 3
Healthcare work experience (see 1B above) – 1000 hours in
the five years prior to February 14 of application year
3
Criterion 1C Supporting
Documentation Form
1D
Volunteer Experience
Maximum points for
1D = 1
Volunteer work – 200 hours in the five years prior to
February 14 of the application year
1
Criterion 1D Supporting
Documentation Form
1E
Military healthcare work experience
Maximum points for
1E = 2
Corpsman or Medic
2
Copy of Defense Department Form DD-
214. Honorable Discharge Required
TOTAL POINTS FOR CRITERION 1 AREAS A–E
Last Name First Name W#
DatePhone # MJC Student Email
Updated 11/1/20 MSPAR kwb 2
CRITERIA
POINT
DISTRIBUTION
REQUIRED SUPPORTING
DOCUMENTATION
2
Grade Point Average (GPA) in relevant coursework
(prerequisite courses). All prerequisites must be
completed for letter grades.
Maximum points for
Criterion 2
Areas A – F = 65
Official transcript with final grades posted by
the application deadline. For all out-of-state
course work, must provide course descriptions
from catalog and copies of catalog covers
for the years the courses were taken.
Applicants who completed nursing coursework
at a non-regionally accredited institution will
have program eligibility determined on a case-
by-case basis.
Biology course: _____ Yes No Semester/year completed:
Chemistry course: _____ Yes No Semester/year completed:
2A
Natural Sciences GPA (Anatomy 125 or equivalent,
Microbiology 101 or equivalent, Physiology 101 or
equivalent). All courses must be completed with a grade
of C or better AND a minimum combined GPA of 2.5 is
required.
MJC uses semester units. If you have transferred quarter
units from another school, they must be converted to
semester units before calculating the GPA. *
A = 4 grade pts, B = 3 grade pts, C = 2 grade pts
Anat _____ Grade pts _____ x Units ______ = ______
Micro _____ Grade pts _____ x Units ______ = ______
Physio _____ Grade pts _____ x Units ______ = ______
Total points ______ ÷ Total Units _______ = _________
Combined GPA
Maximum points for
2A = 27
Semester/year
completed:
Did you check to ensure that each course was a semester unit or converted to a semester unit?
Yes See conversion chart below if necessary.
* Quarter unit to semester unit conversion information:
Quarter Units Semester Units
1 = 0.5
2 = 1.5
3 = 2
4 = 2.5
5 = 3.5
6 = 4
7 = 4.5
8 = 5.5
9 = 6
10 = 6.5
11 = 7.5
12 = 8
13 = 8.5
14 = 9.5
15 = 10
GPA
4.0
3.5-3.99
3.0-3.49
2.5-2.99
< 2.5 not
qualified
27
22
17
12
2B
Deduction for substandard grades (D, F, NC/NP or W) in
Natural Sciences (Anatomy 125 or equivalent, Microbiology 101
or equivalent, Physiology 101 or equivalent) in the three years
prior to the application year.
Maximum Deduction
for 2B = -10
1 substandard grade
2 substandard grades
3 substandard grades
4 or more substandard grades
-2
-5
-10
Not qualified
Course:
Semester/year completed:
Updated 11/1/20 MSPAR kwb 3
CRITERIA
POINT
DISTRIBUTION
REQUIRED SUPPORTING
DOCUMENTATION
2C
English 100 or English 101 or ELIC 100 is required for
all students entering the ADN program. Points will be
awarded for the highest grade for English or ELIC
course, not the average of two combined courses.
If an Advanced Placement (AP) score is used to meet the English
prerequisite, you will only receive credit for a C grade. English 103 may
be taken for letter grade to raise the English score. NOTE: English 102
taken prior to Fall 2017 will be accepted to raise the English score.
Maximum points for
2C = 15
Course:
Semester/year completed:
GPA
A
B
C
< C not qualified
15
10
5
2D
GPA for remaining three prerequisites.
Psychology 101 or 141 and
Sociology 101 or 102 or 125 or 150 or 154 or 156 or
Anthropology 102 and
Communication 100 or 102
All courses must be completed with a grade of C or
better AND a minimum combined GPA of 2.5 is
required. The highest grade for each of the three will be used to
calculate the GPA. NOTE: Communication 110 taken prior to Fall 2019
will be accepted to meet the communication requirement.
* MJC uses semester units. If you have transferred quarter units from
another school, they must be converted to semester units before calculating
the grade point average (GPA).
A = 4 grade pts, B = 3 grade pts, C = 2 grade pts
Psych ____ Grade pts ______ x Units _____ = ________
Socio _____ Grade pts ______ x Units _____ = ________
Comm _____ Grade pts ______ x Units _____ = _______
Total points ______ ÷ Total Units ________ = ________
Combined GPA
Maximum points for
2D = 15
Semester/year
completed:
Did you check to ensure that each course was a semester unit or converted to a semester unit?
Yes See conversion chart below if necessary.
*Quarter unit to semester unit conversion information:
Quarter Units Semester Units
1 = 0.5
2 = 1.5
3 = 2
4 = 2.5
5 = 3.5
6 = 4
GPA
4.0
3.5-3.99
3.0-3.49
2.5-2.99
<2.5 not
qualified
15
13
11
9
2E
Highly recommended coursework
Maximum points for
2E & F = 8
MFDNTR 219 – Nutrition or equivalent
MNURSE 115: Introduction for Nursing Majors (MJC) or
CGUIDE 50: Guidance for Nursing Majors (CGUIDE 150)
(Columbia– prior to fall 2020). ONLY.
MDAST 321: Medical Terminology or equivalent
1
1
1
Semester/year completed:
2F
MJC ADN to BSN GE Certification
Signed by a Counselor
Completed all lower division coursework for transfer to a
BSN program (refer to page 4 on MSPAR)
5
All courses MUST be
completed to receive points
Criterion 2F Supporting
Documentation Form
TOTAL POINTS FOR CRITERION 2 AREAS A–F
Updated 11/1/20 MSPAR kwb
Additional Requirements for the MJC ADN to BSN GE Certification: A grade of C- or higher is required in Areas A1, A2,
A3, and B4 for admission to the CSU System. Warning: C minus grades may not be accepted when attempting to transfer
to all institutions.
AREA A – ENGLISH LANGUAGE, COMMUNICATION & CRITICAL THINKING: One course from each group: 9 semester or 12-15 quarter units
AP=Advanced Placement IP=International Baccalaureate
A.1: Oral Comm
Minimum 3 units
Yes
No
Comm 100 Comm 102
Semester/year completed: Course: Units:
A.2: Written Comm
Minimum 3 units
Yes No Eng 100 Eng 101
ELIC 100
AP
Semester/year completed: Course: Units:
A.3: Critical Thinking
Minimum 3 units
Semester/year completed: Course: Units:
AREA B – SCIENTIFIC INQUIRY & QUANTITATIVE REASONING One course from B1, B2 and B4 required.
One course from B1 or B2 must be a laboratory course marked with an asterisk (*) for B3. 9 semester or 12-15 quarter units
B.1: Physical Science
Minimum 3 units
Chemistry 143
AP
IB
Semester/year completed: Course: Units
B.2: Life Science
Minimum 4 units
Anatomy 125
Semester/year completed: Course: Units:
B.3: Laboratory Activity
Course from B1 or B2 with a laboratory, as indicated by the asterisk (*)
B.4: Math & Qualitative
Reasoning Minimum 3 units
Yes No Math 134 Soc 105 Psych 121
Semester/year completed: Course: Units:
AREA C – ARTS & HUMANITIES 3 units from C1 and 3 units from C2. Additional 3 units from C1 or C2.
9 semester or 12-15 quarter units.
C1: Arts
Minimum 3 units
Yes No
Semester/year completed: Units:
C2: Humanities
Minimum 3 units
Yes
No
Semester/year completed: Course: Units:
C1 or C2: Arts or
Humanities
Minimum 3 units
Yes
No
Semester/year completed: Course: Units:
AREA D – SOCIAL SCIENCES 9 units from at least two disciplines (D.0 – D.9). 9 semester or 12-15 quarter units.
Minimum 3 units
D: Social Sciences
Socio ____
Anthro 102
Psych
101
Baccalaureate
Semester/year completed: Course: Units:
AREA E – LIFELONG UNDERSTANDING AND SELF-DEVELOPMENT
E: Lifelong Understanding &
Self-Development
Minimum 3 units
Yes FDNTR 219
Psych 141
Semester/year completed: Course: Units:
CSU US HISTORY, CONSTITUTION & AMERICAN IDEALS
6 units: 3 units from group a, and 3 units from group b, or 6 units from group c
Group a
Minimum 3 units
Yes No
Semester/year completed: Course: Units:
Group b
Minimum 3 units
Yes
No
Semester/year completed: Course: Units:
Group c
Minimum 6 units
Hist 101
Hist 102
Course:
Units:
Semester/year completed:
Course:
Units:
Link to CSU, Stanislaus:
www.csustan.edu/nursing To confirm required BSN coursework at other schools of nursing, please visit www.assist.org
Yes
No
Yes No
Yes No
Yes No
AP
IB
AP
IB
AP
IB
AP
IB
No
No
APAP
IB
Semester/year completed:
APAP
APAP
APAP
APAP
IB
IB
IB
IB
Yes
Yes
No
IB
APAP
(group a and b / or c only)
(group a and b / or c only)
(group a and b / or c only)
4
Updated 11/1/20 MSPAR kwb 5
CRITERIA
POINT
DISTRIBUTION
REQUIRED SUPPORTING
DOCUMENTATION
3
Life experiences or special circumstances of an
applicant, including but not necessarily limited to the
following. Select only one if applicable.
Maximum points for
Criterion 3
Areas A-H = 2
3A
Disabilities.
2
Criterion 3 Supporting Documentation
Form
Documented learning disability or proof of
participation in or eligibility for Disability
Support Program and Services (DSPS).
3B
Low family income.
2
Criterion 3 Supporting Documentation
Form
Proof of eligibility for or proof of receipt of
financial aid, e.g. California College Promise
Grant (CCPG), Cal Grant, Pell Grant or other
federal grant, or Cal WORKS.
3C
First generation of family to attend college.
2
Criterion 3 Supporting Documentation
Form
Paragraph explaining the educational
background of your parents.
3D
Need to work.
2
Criterion 3D Supporting Documentation
Form
Paycheck stub from the period of time you
were enrolled in prerequisite coursework or
Criterion 3D Supporting Documentation Form
from employer verifying employment while
completing prerequisite coursework. If
Criterion 1C Supporting Documentation Form
was submitted for the period of time in which
you were enrolled in prerequisite coursework,
the Criterion 1C Supporting Documentation
Form can be used to document Criterion 3D.
3E
Disadvantaged social or educational environment.
2
Criterion 3 Supporting Documentation
Form
Proof of participation in or eligibility for
Extended Opportunity Programs & Services
(EOPS).
3F
Difficult personal and family situations or
circumstances.
2
Criterion 3 Supporting Documentation
Form
Paragraph explaining the situation or
circumstances.
3G
Refugee status.
2
Criterion 3 Supporting Documentation
Form
Documentation or letter from U.S. Citizens &
Immigration Services (USCIS) verifying your
refugee status.
3H
Veteran status.
2
Criterion 3 Supporting Documentation
Form
Copy of Defense Department Form DD-214.
Honorable discharge required.
TOTAL POINTS FOR CRITERION 3 Areas A-H
Updated 11/1/20 MSPAR kwb 6
CRITERIA
POINT
DISTRIBUTION
REQUIRED SUPPORTING
DOCUMENTATION
4
Proficiency or advanced level coursework in languages
other than English. Credit for languages other than
English shall be received for languages that are
identified by the state Chancellor’s office as high-
frequency languages.
Maximum points for
Criterion 4 = 2
Language:
2
Criterion 4 Supporting Documentation
Form or official transcript from a US
regionally accredited college verifying
three semesters of one foreign language
with a grade of C or better for each
semester.
TOTAL POINTS FOR CRITERION 4
Test of Essential Academic Skills (TEAS) taken Yes No Date: Location:
Score:
5
Assessment/readiness test results:
Test of Essential Academic Skills (TEAS)
• Effective 6/1/17, applicants are allowed two attempts
each year to achieve a minimum of 62% on the current
TEAS
• TEAS is available in the MJC Testing Center, but you
must preregister online through ATI Testing.
• Applicants are advised to receive TEAS tutoring before
taking TEAS.
• Applicants may obtain a TEAS study guide by logging
on to www.atitesting.com and selecting “shop online”
under products.
• Study guides are available in the MJC and Columbia
College Library and Learning Centers.
• Points are awarded for TEAS attempts of 62% or
higher. Whole numbers are used - decimals will not be
rounded up.
• Applicants with two TEAS scores below 62% in a year
will be disqualified and prohibited from applying to the
ADN program for that year.
• Applicants may apply to the ADN program in the next
and subsequent application periods.
TEAS Referral form given: Yes No
Maximum points for
Criterion 5 = 15
Official TEAS score from ATI
Testing.
TOTAL POINTS FOR CRITERION 5
UNOFFICIAL TOTAL FOR CRITERIA 1–5
______ /100
Applicants with less than 60 points will
be disqualified.
❑ AS Degree: Additional MJC Graduation Requirements must be completed to obtain an Associate of Science Degree
Activities 2.0 units
Yes
No
Humanities 3.0 units
Yes
No
Guidance 0.5 unit
Yes
No
< 62 = DQ
DQ = Disqualified
7
Advisories:
Nursing students participate in clinical with live patients with a variety of medical diagnoses and may also have communicable
diseases.
Supportive Documentation must be uploaded/submitted electronically with the online application.
Clinical clearance Students must be eligible to participate in clinical at local facilities.
• Health clearance
• Criminal Background check Probation and/or Restricted license not accepted.
• Drug screen
• BLS
Support system
Supportive Services, i.e. disability services, health services, mental health services
Program cost
Recommendations:
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_______________________________________
_____________________________________
Advisor / Faculty Name (print)
Advisor / Faculty Signature
(209) 575-_________
Advisor / Faculty Phone Number
_______________________________________@yosemite.edu
My signature below acknowledges that I have been advised that the score on this document is unofficial. Final scores will be tabulated
after the supporting documentation has been reviewed.
________________________________________________
Student Signature
Updated 11/1/20 MSPAR kwb
Advisor / Faculty Email
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ASSOCIATE DEGREE NURSING PROGRAM MULTICRITERIA SCREENING PROCESS ADVISING (Modesto Junior College)

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Completed 25 January 2021

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