ORANGE COUNTY COMMUNITY COLLEGE OFFICE OF ADMISSION
MIDDLETOWN, NEW YORK 10940
Fall 2011 Nursing Program Admissions Eligibility Form
This form must be filled out by students wishing to be considered for entry into the Nursing Program in Fall 2011 and must be
returned to the Admissions Office by February 1, 2011. Courses in this program will be held at the Middletown Campus.
Name (Please print legibly):_________________________________________________ Student ID#: A
Mailing Address:________________________________________________________________
City:_________________________State:_____Zip Code:________Legal County of Residence:__________________
Phone Number:________________________ E-Mail:______________________________
Date of Birth:_________________
Have you ever been enrolled in a Health Professions program at an Associate’s degree level or higher either at SUNY Orange or
another college? Yes No Program:_______________________________
If yes, did you successfully complete the program? Yes No If you did not complete the program, please explain the
circumstances on an attached sheet.
Transcripts from all institutions will be reviewed as part of the admissions process. Please list all colleges previously attended:
____________________________________________________________________________________________________________
Admissions Requirements
Academic Requirements:
• High school diploma or GED.
• Eligible to take Freshman English I (ENG 101).
• Eligible to take Intermediate Algebra (MAT 102), or have completed Elementary Algebra (MAT 101) or equivalent with a
2.0 or higher.
• Eligible to take Anatomy and Physiology I (BIO 111) – may be met by successful completion of one of the following: Intro
to Biology (BIO 110), Anatomy & Physiology I (BIO 111), or Anatomy & Physiology II (BIO 112), with a 2.0 or higher; or
High School AP Biology (score of 3, 4, or 5); or a passing grade on the Biology CLEP examination.
• Students must attain a minimum cumulative GPA of 2.75.
Department Specific Requirements:
• Applicants for the Nursing program will be required to take the Test of Essential Academic Skills (TEAS) prior to the
deadline. You must achieve a minimum composite score of 67% for admission consideration. Visit
www.sunyorange.edu/testing/services.shtml
for test scheduling and payment information.
• Attendance at a Nursing pre-admission orientation. At this orientation, students will receive and sign off on information
pertaining to health forms, program standards, and criminal record & drug screening policies. Orientation dates are available
online at www.sunyorange.edu/admissions/healthforms.shtml
.
• The Nursing Department will review transcripts of those students who have been enrolled in a health professions program at
SUNY Orange or another college.
Selection Process
Students will be considered for admission into this program based on the completion of all mandatory eligibility requirements,
highest combination of cumulative GPA, TEAS score, and credits completed towards the program (see reverse), and seats
available. Students must meet all of the above requirements to be considered for admission into the program.
All Nursing Admissions Eligibility Requirements must be completed before February 1
st
in order for a student to be
considered for acceptance into the program for the fall semester.
Student Certification and Signature (please check one of the following):
I have attended a pre-Admissions Orientation within 3 years of my planned program start date (Fall 2008 semester or later).
I plan to attend/have attended a pre-Admissions Orientation this year. Include date attended/plan to attend (mo/yr)____________
My signature acknowledges that I have read and accept the admissions requirements listed above, and that all of the information
provided is accurate and complete. (When emailing this form, you acknowledge the requirements by typing your full name and date.)
Student Signature
Date:
For Office Use Only: Accept _________Alt_______ Checklist_______ Low Cum_______ No Deposit _____ Declined ____
Admissions Staff Signature
Date:
