Fillable Monroe Campus Traditional Application For Spring 2021 (8/14/2020 - 9/15/2020) (Louisiana Delta Community College)

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Monroe Campus Traditional Application For Spring 2021 (8/14/2020 - 9/15/2020) (Louisiana Delta Community College)

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Associate of Science in Nursing
APPLICATION FOR
SPRING 2021 TRADITIONAL
ADMISSION
Application Acceptance Period
August 14
th
TO
September 15
th
, 2020, 2:00 p.m.
INCOMPLETE PACKETS ARE NOT CONSIDERED
Updated July 2020
LDCC NURSING
Graduates receiving an Associate of Science in Nursing degree (ASN) from Louisiana Delta Community College
(LDCC) are eligible to apply to the Louisiana State Board of Nursing (LSBN) for initial licensure, which requires
examination by the National Council Licensure Examination for Registered Nurses (NCLEX-RN). After
successfully passing the NCLEX-RN, graduates become Registered Nurses (RNs). The ADRN (Associate Degree
RN) has been educated in the art and science of nursing as a generalist, able to provide safe and quality
healthcare to patients in a variety of settings. LDCC ASN graduates learn to function within the legal scope of
registered nursing practice, and to uphold professional standards of care to patients across the lifespan. The
ASN degree provides the graduate with an educational foundation for articulation into a four-year university
setting to obtain a Bachelor of Science in Nursing (BSN), required to continue to a graduate degree.
LOUISIANA STATE BOARD OF NURSING (LSBN)
The LSBN requires all applicants to create an Application Portal and complete an authorization 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 LSBN, the student is not admitted to the
program.
APPLICATION PROCESS
In order to be eligible for admission to the ASN Program, the applicant must first be admitted to LDCC. The
College application is online at http://www.ladelta.edu/Admissions/Apply/apply
. The ASN application and all
supporting documents must be received by designated deadlines. Applicants are not considered unless all
required documents have been received in the ASN Administrative Office (room 204), and the applicant’s
file is complete. A copy of the application, and any supporting documents should be retained by the
applicant. All correspondence will be sent to the applicant’s email and/or physical address listed in the
application.
Application and admission are competitive, based on a 100 point rubric.
ADMISSION RUBRIC
1) Minimum cumulative GPA of 2.5 required, 2) GPA of minimum 2.7 required in the 15 credit hours of
prerequisite non-nursing courses, 3) score on the pre-entrance TEAS test (see TEAS policy within), 4) extra
points given for having a minimum of 12 credit hours of general education courses from LDCC, with a grade
of "C" or higher, 5) other healthcare certificate or another degree (Associate, Bachelors, Master’s, or
Doctorate), with points given for the highest.
NOTE: Meeting requirements does not guarantee admission.
STEP 1 LOUISIANA DELTA COMMUNITY COLLEGE (LDCC) APPLICATION REQUIREMENTS:
In order to be considered for admission to the nursing program you must be admitted to LDCC. If not already
a LDCC student; or if were a previous LDCC student, and missed a major semester (Fall or Spring), meet all
LDCC admission requirements. If assistance is needed, contact the Knight Center at 318-345-9003 or
enrollmentdept@ladelta.edu.
STEP 2 MEET THE TRADITIONAL PROGRAM OPTION REQUIREMENTS FOR APPLICATION
1. The applicant MUST:
a. Be admitted to LDCC.
b. Have maintained a cumulative GPA of 2.5 or higher.
c. Have maintained a prerequisite GPA of 2.7 or higher.
d. Have taken and passed TEAS with the minimum requirement.
e. Complete at a minimum the below courses, achieving a “C” or higher. * Required for application.
**Taken within last five (5) years (See science course details below).
f. If enrolled in any of the required prerequisite course(s) in the summer semester of application,
students may still apply to the program as long as the courses are passed with at least a “C” by
the end of the application period.
g. Only in the event that all seats are not filled with qualified applicants, students completing
prerequisites after the application period will be considered for acceptance.
Updated July 2020
Required Prerequisite Courses:
Course No. Course Title Credit Hours
ENGL 101* Composition I 3
MATH 110* College Algebra 3
BIOL 221/223*/** Human Anatomy & Physiology I 4 (Lec 3; Lab 1)
PSYC 201* Introduction to Psychology 3
NURS 100* Introduction to Nursing 2
TOTAL 15
2. Courses can not be taken more than three (3) times from any institution.
3. Consider the timeframe that courses were taken.
a. Sciences (BIOL 210, 211, 221, 222, 223, 224) must have been taken within the last five
years. If sciences are greater than five years, one may apply for a waiver through the
ASN Program Director. No more than three (3) attempts of science course(s), within
three (3) years, from any institution are allowed. However, with provision of
documentation for extenuating circumstances, the applicant may apply for a waiver
through the ASN Program Director.
Examples of documented extenuating circumstances are:
- Personal serious illness requiring hospitalization.
- The student’s child with serious illness requiring hospitalization.
- Death of an immediate family member.
- Military deployment.
b. All other non-nursing courses (English, Math, Psychology, Arts and Humanities
Electives) with grades of at least a “C” will be accepted at LDCC provided they have the
same course content.
4. Take and pass TEAS with minimum requirements.
a. A score of 60 must be obtained on TEAS (Test of Essential Academic Skills). The highest
TEAS score is used in the admission rubric. Scores are good for 3 years. There may be 3
attempts in a 3 year period. The applicant is eligible to retake TEAS after a period of 3
years from the last attempt.
b. No transcripts are accepted hand-delivered directly from applicants. If TEAS is taken
elsewhere, students will need to again visit www.atitesting.com
. Go to the Online Store,
click Discover Transcript, pay $27.00 and have the transcript sent to the ASN Program,
cynthiacox@ladelta.edu.
5. With a prior healthcare certificate, Associate, Bachelors, Master’s, or Doctorate degree, submit a
copy of the official degree certificate. LPNs are required to submit a LPN License Verification
verifying an unencumbered license.
6. Submit a copy of ALL unofficial transcript(s) with all prerequisite non-nursing courses highlighted.
7. Submit the RN Audit (Curriculum Plan) completely filled in with non-nursing course data. The
process is to write:
a. Under Semester/Year write the semester and year (exp. FA16 for the fall of 2016) that
the non-nursing courses were taken.
b. Under Institution (if not Delta) write where the courses were taken, if not at LDCC.
c. Under Transfer/Substitution Course and Approval, write the course number that was
approved, and have the approver sign and date next to the course number.
d. Under Grade, write the LAST grade received in the non-nursing courses.
e. Under Quality Points, place points from the transcript.
8. Submit in person, the completed and signed ASN Program application packet with all supporting
documents to the ASN Administrative Coordinator in Room 204 by the deadline.
Updated July 2020
SELECTION AND ADMISSION PROCESSES
STEP 3 SELECTION:
1. The Selection Committee, composed of LDCC faculty and administrators, meet in the latter part of
September, receive numerical data, confirm rubric scores, and discuss statistical findings.
2. The numerical conclusions are accepted or denied based on the top thirty-five (35) scores, with the
next five to seven (5-7) scores continuing as alternates and officially voted on by the committee.
STEP 4 ADMISSION:
1. All applicants will be notified of application status by the middle of October.
2. The top thirty-five (35) scoring applicants will receive a letter which must be printed, and signed,
indicating either acceptance or denial of candidacy for the Traditional Nursing Program option.
The form must be scanned, and returned by the deadline to cynthiacox@ladelta.edu.
3. Upon receipt of acceptance letters, the candidate will receive an email with information
regarding fingerprint cards, the LSBN Fingerprint Authorization form and instructions, to
complete and return to the ASN Administrative Office (room 204) by the next given deadline. All
applicants will create an Application Portal with LSBN, an application will be submitted and fees
will be paid. The following requirements are examples of documents to submit to LSBN, but not
limitations:
a. LSBN Application for Permission to Enroll in Clinical Nursing Courses in Louisiana (Portal)
b. LSBN Application Instructions (Portal)
c. LSBN Fingerprint Authorization form and Instructions (signed & delivered to room 204)
d. Fingerprint Cards (from local authorities, signed & delivered to room 204)
e. LSBN Clinical Nursing Student Medical-Mental Condition Diagnostician / Treating
Provider Form, if necessary.
4. Additionally, the following are also examples, but not limitations, that will be provided by
students as requirements, which will be uploaded to the student-paid account at
www.castlebranch.com:
a. LDCC ASN Program Physical Examination form
b. LDCC ASN Program TB Skin Test form
c. Immunization list (examples: MMR, Tdap, Hep B series, Varicella, Influenza)
d. Front and back copy of signed current American Heart Association Healthcare Provider
BLS/CPR card
e. Front and back of health insurance card
f. LDCC ASN Program OSHA quiz, after watching the accompanying videos
5. Candidates who accept the offer for admission must attend a MANDATORY Pre-Admission
Nursing Orientation Session with the date, time and location to be announced.
6. Candidates become Traditional ASN Program students when permission to enroll is received by
LSBN. At this time, a Change of Major form is complete on each admitted student, which is sent
to the Registrar’s Office. Registration for classes may begin when the CRNs are given.
7. Each semester during the week before classes start, nursing students have a several-day, free
course called “Math Boot Camp” to assist student’s success. This course is not mandatory, but
strongly encouraged and advised.
8. As professional program students, there is progression from one level to the next. Students
must refer to the RN Audit (Curriculum Plan). In order to progress through the levels, students
must have completed all non-nursing courses listed within that level, in order to progress to the
next level. For example, during the semester of Level 2, BIOL 210 & 211 and MATH 210 must be
complete prior to Level 3. The faculty strongly encourage completion of non-nursing courses
prior to admission to the nursing program.
Updated July 2020
PERSONAL/CONTACT INFORMATION (PRINT LEGIBLY)
Last Name
First Name
Middle Name
LDCC ID
Birthdate
Mailing Address
Preferred E-Mail Address
Alternative E-Mail Address
Home and Work Phone Numbers, with area codes
(H) - - (W) - -
Primary and Alternate Cell Phone Number(s)
(P) - - (A) - -
Alternate Contact Person Name and Phone Number(s)
Best Time
SSN - -
REQUIRED BY LOUISIANA STATE BOARD OF NURSING & ACCREDITATION COMMISSION FOR EDUCATION IN NURSING
Another degree? Yes ⃝ No ⃝ Describe
Indicate age
Classification by Credit
LPN? Yes ⃝ No ⃝ Other healthcare discipline? Yes ⃝ No ⃝
range: Hours:
What? __________________________________
Age 17-20 ⃝ Freshman ⃝ <_30 hrs
Previously applied to this or another nursing program?
Age 21-25 ⃝ Sophomore ⃝ at least 30 hrs
Yes ⃝ No ⃝ More than one other? Yes ⃝ No ⃝
Age 26-30 ⃝ Junior ⃝ at least 60 hrs
School (1) Louisiana? Yes ⃝ No ⃝
Age 31-40 ⃝ Senior ⃝ at least 90 hrs
Accepted and enrolled in clinical courses? Yes ⃝ No ⃝
From to LSBN Student # (if LA)
School (2) Louisiana? Yes ⃝ No ⃝
Age 41-50 ⃝
Gender:
Age 51-60 ⃝
⃝ Female ⃝ Male
Accepted and enrolled in clinical courses? Yes ⃝ No ⃝
Special Populations
From to LSBN Student # (if LA)
o Disability
More than two others? Yes ⃝ No ⃝ Describe
o Economically Disadvantaged
If answered “yes,” please explain reason(s) for non-completion:
*Please see the Administrative Coordinator for verification if previously
o Single Parent
If admitted to the
o Displaced Homemaker
program, my academic
o Limited English
status will be:
o Migrant Status
Full-
time (12 hrs)
o Nontraditional (Male)
Yes ⃝ No ⃝
submitted fingerprint cards and Authorization for Background Check, as fees
Part-time (<12 hrs)
to LSBN may be reduced from $89.25 to $50.00.
Yes ⃝ No ⃝
Ethnicity
TEAS DATE(S) & SCORE(S)
o Am. Indian or Alaskan Native
1
o Native Haw. or Other Pacific Islander
2
3
(NOT LSBN or ACEN requirement. Please describe, to assist in data
collection)
o Black/African American
If admitted to the
o White/Caucasian
program, I will also be
o Hispanic
taking non-nursing
o Asian
courses at the same
Employed other than in healthcare? Yes ⃝ No ⃝
time.
Describe
Yes ⃝ No ⃝
Describe hours per week
Program option. 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 Associate of Science in Nursing Program. I hereby certify that all information presented is true to the best of my
knowledge.
Student Signature: ________________________________________________ Date:_________________
Received by: _____________________________________________________ Date/Time:______________
Updated July 2020
LOUISIANA DELTA COMMUNITY COLLEGE
Associate of Science in Nursing
ASN TRADITIONAL OPTION – RN AUDIT (CURRICULUM PLAN)
Name:
LDCC ID:
Email:
Phone No:
Students who place in any 095 developmental course OR two or more developmental courses are required
to take FRST 100 (1 credit hour).
Developmental Course(s) if necessary
Semester & Year
Institution (If not Delta)
Transfer/Substitution Course and Approval
Hours
Grade
Dev Ed Course:
Dev Ed Course:
FRST 100:
*Required for application to the ASN Program. **Sciences (BIOL 210, 211, 221, 222, 223, 224) must have been taken within the last five years. If sciences are greater than five years, one may apply
for a waiver through the ASN Program Director.
No more than three (3) attempts of science course(s), within three (3) years, from any institution are allowed. However, with provision of
documentation for extenuating circumstances, the applicant may apply for a waiver through the ASN Program Director.
Examples of documented extenuating circumstances are:
-
Personal serious illness requiring hospitalization.
-
The student’s child with serious illness requiring hospitalization.
-
Death of an immediate family member.
-
Military deployment.
The applicant must have com
pleted the required prerequisite courses achieving a “C” or higher. In the event that all seats are not filled with qualified applicants, students completing prerequisites
after the application period will be considered for acceptance.
A score of 60 must
be obtained on TEAS (Test of Essential Academic Skills). The highest TEAS score is used in the admission rubric. Scores are good for 3 years. There may be 3 attempts
. The applicant
is eligible to retake TEAS after a period of 3 years from the last attempt.
Pre-Nursing Semester (AGS with Heath Science
Concentration)
Semester & Year
Institution (If not Delta)
Transfer/Substitution Course and Approval
Hours
Grade
Quality Points
BIOL 221-Anat & Phys I (Lecture)*/**
3
BIOL 223-Anat & Phys I (Lab) */**
1
ENGL 101-Composition I *
3
MATH 110-College Algebra *
3
PSYC 201-Intro *
3
NURS 100- Introduction to Nursing*
2
15
Subtotal Hours: 15
Nursing Level I
Semester & Year
Institution (If not Delta)
Transfer/Substitution Course and Approval
Hours
Grade
Quality Points
BIOL 222-Anat & Phys II Lecture**
3
BIOL 224-Anat & Phys II Lab**
1
ENGL 102-Composition II
3
NURS 112-Basics in Nursing
6
HSCI 115-Pharmacology
3
16
Subtotal Hours: 31
Nursing Level II
Semester & Year
Institution (If not Delta)
Transfer/Substitution Course and Approval
Hours
Grade
Quality Points
BIOL 210-Microbiology Lecture **
3
BIOL 211-Microbiology Lab **
1
MATH 210-Intro to Statistics
3
NURS 122-Nursing of the Adult I
8
15
Subtotal Hours: 46
Nursing Level III
Semester & Year
Institution (If not Delta)
Transfer/Substitution Course and Approval
Hours
Grade
Quality Points
Humanities Requirement
3
NURS 219-Parent/Child Nursing
6
NURS 221-Mental Health Nursing
3
12
Subtotal Hours: 58
Nursing Level IV
Semester & Year
Institution (If not Delta)
Transfer/Substitution Course and Approval
Hours
Grade
Quality Points
Fine Arts Requirement
3
NURS 232-Nursing of the Adult II
8
NURS 233-Trends, Issues, & Management
1
Total credits for Associate of Science in Nursing (ASN) degree: 70 Hours
12
Total Hours: 70
Signature of Advisor or Program Director: Date:
Comments:
Updated July 2020
STEP 5 Recheck the list to assure ALL documents are submitted
1. Keep a copy of everything!
2. INCOMPLETE OR LATE APPLICATIONS WILL NOT BE ACCEPTED.
a. IF APPLICATION FOUND INCOMPLETE AFTER SUBMITTING, IT WILL BE DISQUALIFIED IN
THE SELECTION PROCESS.
3. ANY FALSE OR EXCLUDED INFORMATION IS CAUSE FOR DISQUALIFICATION IN THE SELECTION
PROCESS.
Best Regards,
LDCC ASN Program
Updated July 2020
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Monroe Campus Traditional Application For Spring 2021 (8142020 - 9152020) (Louisiana Delta Community College)

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Completed 16 September 2020

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