Fillable Edited April 2020 ASSOCIATE DEGREE NURSING PROGRAM APPLICATION (Coastal Alabama Community College)

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Edited April 2020 ASSOCIATE DEGREE NURSING PROGRAM APPLICATION (Coastal Alabama Community College)

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Edited April 2020
1
ASSOCIATE DEGREE NURSING PROGRAM APPLICATION
Instructions: Please check the campus desired. Students who are willing to drive the distance and would like
their application considered for more than one campus, must rank the campus selections in order of admitting
preference (1
st
, 2
nd
, 3
rd
). Do not select more than one campus, if the distance to another campus is too far to
drive. Applicants are only considered for the campus(s) selected. If no campus is chosen, or all campuses are
chosen but not ranked, the applicant will be considered for the campus closest to the mailing address provided
on this application. No changes are made to campus location after entry into the program.
Applicants who are currently enrolled in the Practical Nursing program will not be considered for the
Associate Degree Nursing program. Practical Nursing students may apply for the Mobility program upon
successful completion of the Practical Nursing program, if desired.
FALL semester applications are accepted from APRIL 1 to JUNE 1. Choose campus(s) below.
___ Fairhope Campus ___ Monroeville Campus ___ Brewton Campus
SPRING semester applications are accepted from AUG 1 to OCT 1. Choose campus(s) below.
___ Bay Minette Campus ___ Thomasville Campus ___ Brewton Campus
I. PERSONAL DATA Date:
Last Name: _______________________ First: ____________________ MI: ___ Maiden:
Social Security Number: __________________________ Student Number:
Mailing Address:
City: _____________________ State: ___ Zip Code: ___________ Telephone: (___)
Coastal E-mail: ________________________________________________________________________
Personal E-mail: _______________________________________________________________________
Emergency Contact: ___________________________________ Telephone: ( )
II. EDUCATION
List all colleges attended including current college. (Add separate page as necessary)
Name of College (DO NOT ABBREVIATE)
Year(s) attended
Degree (if completed)
HAVE YOU PREVIOUSLY BEEN ADMITTED TO A NURSING PROGRAM, other than at Coastal
Alabama Community College, Faulkner State, Jefferson Davis, or Alabama Southern? YES ___ NO ____
Edited April 2020
2
If YES, a letter from that program Dean/Director must be sent to the Bay Minette Campus Nursing
Department indicating you have not been dismissed for disciplinary or unsafe practice. List the college(s)
attended for nursing school, dates attended, and reason for withdrawal.
_____________________________________________________________________________________
Are you currently enrolled in Coastal Alabama Community College? YES ___ NO ___
(If NO, go to Coastal Website; Admissions; Apply Online; Update Application)
A COPY OF ONE OF THE FOLLOWING ACT RESULTS MUST BE ATTACHED TO THIS
APPLICATION:
___ official high school transcript documenting ACT score
___ official ACT score from ACT.org
___ official ACT Residual score from Alabama’s Community College System
Your name as listed when tested: ____________________________________________
College transcripts are not accepted for ACT score, student copies of transcripts, and unofficial transcripts
are not acceptable forms of ACT scores. There is no date limitation for the ACT results.
I understand that completion of this application is a component of the student profile and does not in itself
grant admission to the Nursing Program. I understand a new application must be submitted if I am not
selected and wish to reapply. I certify that the information given in this application is true and correct. I
understand that providing false information may be deemed sufficient reason to dismiss the student and/or
to refuse admission. All application materials become the property of Coastal Alabama Community
College. It is the sole responsibility of the applicant to ensure that the Nursing Department has received all
the requested documentation.
All information must be submitted by the appropriate deadline or the application will be considered
incomplete. It is recommended that applicants check with the Admissions Office, at (251) 580-2111, to
confirm active status and confirm all transcripts are on file and up to date. Check the minimum nursing
admission standards listed before submitting your application.
___________________________________ ________________________________
Applicant’s Signature Date
All applications are submitted by US postal service or emailed/scanned to the Bay Minette
nursing office regardless of campus for which student is applying.
Address: Coastal Alabama Community College Nursing Department
1900 Hwy 31 South
Bay Minette, AL 36507
Email: Allison.spillman@coastalalabama.edu
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Edited April 2020
3
APPLICATION DEADLINES:
Application dates are listed below. All applications must be received by the end of the business
day on the last date of application in order to be considered.
o April 1 – June 1
for fall semester ADN and Mobility programs
o August 1 – October 1 for spring semester ADN programs
MINIMUM ADMISSION STANDARDS
___1. Resubmit an application to the college, if not currently enrolled in a course
___2. Original transcripts from all colleges attended must be received in the Bay Minette
Registrar’s Office by the nursing application deadline. Unlike routine college admission,
the nursing department does not allow one semester to receive transcripts. Transcripts must
be sent directly from the institution’s registrar to Coastal Alabama’s registrar. Hand
delivered or student copies of transcripts are not accepted.
___3. A completed nursing application must be turned into the Bay Minette Nursing Department
by appropriate deadline
___4. A minimum of 18 ACT composite score (writing component not required), National or
Residual, is required. The ACT results must be attached to this application. There is no
expiration date on ACT for this nursing program application. ONLY the following are
accepted for ACT score:
• Copy of score from ACT.org national website
• Copy of official high school transcript with documented ACT results
• Copy of the ACT residual score from test given at Coastal Alabama Community
College, or another Alabama Community College
___5. A minimum 2.5 GPA is required on a 4.0 scale based on the eight academic core courses
required for the nursing program. The core college courses are English Composition I,
Intermediate College Algebra (or higher level math such as Pre-Cal, Finite Math, or
Statistics), Anatomy & Physiology I, Anatomy & Physiology II, Microbiology, Human
Growth & Development, Speech, and a Humanities elective (Art or Music Appreciation,
Philosophy, Theater, Religion, or a foreign language).
___6. A minimum of 2.5 cumulative GPA is required for high school students without prior
college work (GED acceptable)
___7. Eligibility is required for English Composition I, Intermediate College Algebra, and
Anatomy & Physiology I if not previously taken
___8. Good standing with the College including a minimum overall, cumulative GPA of 2.0
Edited April 2020
4
___9. Meet the Essential Eligibility Requirements for nursing
You will receive notification of your admission status within approximately 4 weeks of the
application cycle deadline. A letter will be sent to the mailing address listed on your application.
Again, thank you for your interest in Coastal Alabama Nursing!
Sincerely,
Coastal Alabama Community College; Division of Nursing
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Edited April 2020 ASSOCIATE DEGREE NURSING PROGRAM APPLICATION (Coastal Alabama Community College)

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