Fillable Form 2020: Practical Nursing (PN) Robeson Community College (Robeson Community College)

Fill Online, Printable, Fillable, Blank Form 2020: Practical Nursing (PN) Robeson Community College (Robeson Community College) Form

Use Fill to complete blank online ROBESON COMMUNITY COLLEGE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Form 2020: Practical Nursing (PN) Robeson Community College (Robeson Community College)

On average this form takes 18 minutes to complete

The Form 2020: Practical Nursing (PN) Robeson Community College (Robeson Community College) form is 5 pages long and contains:

  • 2 signatures
  • 0 check-boxes
  • 64 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Robeson Community College

BROWSE ROBESON COMMUNITY COLLEGE FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Robeson Community College Practical Nursing
Page | 1
Practical Nursing (PN)
2020
Instructions: Submit a completed RCC College Admission Application before submitting this Nursing application.
Currently enrolled RCC students must declare their intent to apply for Nursing in the Admissions Department.
Name: _________________________________________ RCC SID#: __________________________
Address: _______________________________________ City: ________________________________
State: ___________________ Zip Code: ______________ County ______________________________
RCC Email Address ___________________________________________________________________
Personal Email Address ________________________________________________________________
Telephone Numbers: Home ________________________ Cell _______________________________
Overview:
Applicants must have a 2.8 or higher grade point average (GPA) in the general education courses related to the
major at the time of application submission to be considered provisional acceptance.
o The GPA will be based upon grades earned in BIO 168, BIO 169, ENG 111, and PSY 150.
o Although not required for the major, points will be awarded for an earned grade of C or higher in college
transfer mathematics (MAT 143, MAT 152 or MAT 171), HSC 110, MED 120 and/or other general education
courses related to the Associate Degree Nursing major. These courses are not considered in the calculation of
Practical Nursing GPA for admission.
o Applicants with a GPA less than 2.8 will not be considered for provisional acceptance.
Application Requirements
Directions: Date items as completed. All items must be completed prior to submitting the
Nursing application to the Admissions Office. Documents must be received by the deadline.
Date Completed/
Submitted
1. RCC Admissions Application process completed
2. Unofficial Transcripts from ALL programs attached.
3. Three (3) academic, employment or professional references. Submit references to the
Office of Admissions on the forms provided.
4. Nursing Information Session certificate attached
5. Letter from the director, if previously enrolled in any other Nursing programs (As indicated).
I certify that the application and attached documents are complete and accurate to the best of my knowledge. I
understand the falsification of any information or documentation will result in the revocation of this application
for consideration.
It is the applicant’s responsibility to make sure that the official transcript(s) verifying ALL courses listed above are on
file with the Admissions Office and unofficial transcript copies of high school and college are attached to this
application.
Applicant Signature __________________________________________ Date ________________________
For Admission Office Use:
Signature _______________________________________________ Date Received _________________
click to sign
signature
click to edit
click to sign
signature
click to edit
Robeson Community College Practical Nursing
Page | 2
Part I Academic/ College Performance
Admission to all RCC Health Science programs is a competitive process. It is the applicant’s responsibility to make
sure that official transcripts verifying ALL courses listed are on file with the Admissions Office and unofficial
transcript copies of high school and/or college are attached to this application. Students completing 50% or
more of their academic coursework at Robeson Community College will receive five (5) additional application
points.
Directions: Identify college course(s) completed:
A. Required General/Related Education Courses: Only courses identified below will be considered.
Identify course (s) completed. Points will be awarded in the following manner: A – 6 points; B – 4 points;
C- 2 points. Identify course(s) completed. Equivalent courses (based on transfer eligibility) will be
considered. Courses listed must meet applicable credit by transfer requirements.
Directions: Identify college course(s) completed:
Course Prefix College Name Grade Semester/Year
Completed
ENG 111
PSY 150
B. College Science Courses (Biology and Chemistry)
The most recent, required science courses completed will be considered. Courses listed must meet applicable
credit by transfer requirements. Points will be awarded in the following manner: A – 12 points; B – 8 points; C
– 4 points. Identify college science course(s) completed:
Directions: Identify college course(s) completed **
Course Prefix College Name Grade Semester/Year
Completed
BIO 168 Human A & P I
BIO 169 Human A & P II
C. Recommended Pre-Health Courses*: Only courses identified below will be considered. Points will be
awarded in the following manner: A – 6 points; B – 4 points; C- 2 points. Equivalent courses (based on
transfer eligibility) will be considered. Courses listed must meet applicable credit by transfer requirements.
Directions: Identify college course(s) completed **:
Course Prefix* College Name Grade Semester/Year
Completed
HSC 110
MED 120
MAT 143
MAT 152
MAT 171
Robeson Community College Practical Nursing
Page | 3
D. Completion of Academic Degrees and/or Programs
Applicants will be awarded points for completion of previous academic programs. Applicants will receive points
for ALL degrees/programs completed. Documentation/transcripts must be provided to validate successful
completion of each.
Academic
Program*
Date
Earned
College Name Major Points
Masters 5
Bachelor 4
Associate 3
Diploma 2
Certificate 1
*Applicants completing their academic program at Robeson Community College, will receive five (5) additional application
points.
Part II Test of Essential Academic Skills (TEAS V or ATI TEAS)*
Applicants will be awarded points based on their Adjusted Individual Total Score earned on the TEAS assessment.
Documentation/transcripts must be provided to validate successful completion of each. Points will be awarded in the
following manner:
TEAS Score* Points Awarded
100 – 90 40
89 – 80 30
79 – 70 20
69 – 60* 10
59 or Below 0
Part III Participation in Program Information Session
Applicants must submit a signed certificate of participation in a Nursing Information Session with the
application. The program director, program faculty or designee will provide a signature that denotes the applicant’s
attendance in a program information session.
Signed Information Session Certificate – A maximum 2 points (only one certificate will be considered).
Part IV References
Each applicant must submit three professional references. Preference is given to references from academic,
employment and/or professional affiliates. Only professional references will be awarded points. A maximum of
two (2) points will be awarded for each reference for a total of six (6) points. Completed reference forms should
be submitted (in sealed envelopes) w00ith other admissions materials.
Robeson Community College Practical Nursing
Page | 4
Part V Provisional Acceptance
1) A Point System will be used to rank applicants for provisional acceptance. Only applicants who have
completed all the admissions requirements/criteria will be ranked for review. Particular consideration will be
given to those applicants who have successfully completed the general /related education on the RCC campus.
2) Applicants must have a 2.8 or greater grade point average (GPA) in program general
education/related courses at the time of the application submission to Admissions in order to be
considered for health science program admission.
3) Applicants provisionally accepted will be required to submit a letter of intent and attend a mandatory Meet-
n-Greet to secure their provisional acceptance.
Applicants not accepted for program will be advised regarding alternate majors and/or general education coursework.
Provisional Requirements
Prior to receiving full acceptance and/or enrolling in the Nursing program, applicants provisionally accepted MUST
complete and/or provide documentation of the following:
Requirement Description
Medical Screen A complete medical/ health screen provide by a licensed provider is required. The screen
includes but not limited to:
a. Two (2) separate PPDs: Proof of Negative Tuberculin (Tb) skin testing or follow-up chest
X-ray within 3 months of enrollment.
b. Immunizations
T-dap, tetanus vaccines, Hepatitis B series, MMR, Rubella, Varicella series or positive
titer (required)
Influenza, although not required but strongly recommended and/or required by clinical
affiliate
Criminal
Background
Check and Drug
Screen:
Clinical agencies require a criminal background check and 12 panel urine drug screen prior to
clinical experiences.
a. If results of a criminal background check and panel urine drug screen prevents a student
from participating in a clinical experience at any agency, then the student will not be able to
fulfill the clinical requirements for the program, and subsequently will not be allowed to
enroll/ complete the Nursing program.
b. This testing is scheduled by the College once Applicants have been provisionally accepted.
However, fees associated with the criminal background check and drug screen will be the
responsibility of the student.
Healthcare-
Provider CPR
Documentation of current/active American Heart Association - BLS Healthcare Providers CPR
certification (including infant, child and adult certification).
Nursing
Orientation
To be scheduled. Attendance required for full acceptance.
Program
Prerequisites
Submit documentation of successfully completing the following courses with a “C” or higher:
BIO 168 Human Anatomy & Physiology I
Certification of completion of Nurse Aide I and Current listing on NC Registry without
substantive findings
Submit the “Completed” Nursing Application and supporting documents to the RCC
Admissions Office in Building 13 by the deadline (See attached).
Thank you
Robeson Community College Practical Nursing
Page | 5
Important Deadlines/ Dates
Requirements
Early-
Application
Deadline
Traditional-
Application
Deadline
Submit Nursing Application to the RCC Admissions Office
Include all references, unofficial transcripts and supporting
documents with the application.
NOTE: New students must apply to the College and submit all
official transcripts/ documents to Admissions.
March 5 May 21
Notification of Provisional Acceptance
Via RCC Email or United States Mail
April 2 June 11
Mandatory Meet-N-Greet
– Applicants required to attend and submit a letter of intent or decline.
– Failure to attend will result in a forfeit of the provisional acceptance
May 14 June 25
Additional Provisional Acceptance -DUE
American Heart Association –Healthcare provider CPR Certification
Medical Screen, TB Skin Test, Immunizations etc.
Criminal Background Test and Drug Screen
June 04 July 16
Orientation/ Registration - REQUIRED
Location TBA via RCC Email
Aug 5-7 Aug 5-7
Post-Selection Advisement
– Applicants not accepted for program will be invited/advised
regarding alternate major codes and/or general education coursework.
June 04
July 16
All competitive applicants are expected to attend a Nursing Information Session.
Information Session Dates
Thursday, November 14, 2019 Location: Health Science Bldg. (17) Rm. 1726A
Generic RN and LPN – 3 –4:15 pm
LPN and Paramedic to RN – 4:15 – 4:45 pm
Thursday, February 20, 2020
Thursday, April 2, 2020
Thursday, June 4, 2020
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Form 2020: Practical Nursing (PN) Robeson Community College (Robeson Community College)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 26 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document