Practical Nurse Application
Thank you for your interest in the Practical Nurse Program at Clover Park Technical College. The application
process consists of several requirements prior to admission to the program. Please read the entire packet.
Admission policies are subject to change. Applicants are accepted under the terms in place at the time the
application is received. The student is advised to keep up to date on any changes that might affect their
qualifications for acceptance into the Practical Nursing program.
The Practical Nursing Pathway prepares the student for employment as an entry-level practical nurse. Following
successful completion of the pathway, the graduate is eligible to take the NCLEX, state board exam and apply
for licensure as a licensed practical nurse. The LPN provides basic patient care under the supervision of a
registered nurse, ARNP, physician, or other health care professional. LPN’s are employed by long-term care
facilities, in outpatient settings, clinics, schools, and hospitals. The LPN performs basic patient care, administers
medications, performs skilled nursing procedures, and documents in the patient record. During lab classes the
student practices nursing skills, some of which are learned by practicing on classmates. The student also
participates in a variety of clinical experiences that allow them to apply theoretical knowledge to patient care.
During this clinical experience, the student is expected to demonstrate competence in providing safe patient
The Practical Nursing Program begins each fall, winter, and spring quarter. The program takes approximately 4
quarters to complete, depending on the time students need to satisfactorily complete all graduation
requirements. Clinical experiences in the third and fourth quarter may be scheduled during day, evening, or
weekend hours and may begin as early as 5:45 A.M. or end as late as 11:00 P.M. Students may be required to
drive up to 50 miles to some clinical sites.
It is essential that nursing students be able to perform a number of physical activities during the clinical
portion of the program. This will include lifting/transferring patients, observation/assessment of patient using
the physical senses, standing for long periods, performing bending activities, and executing movements
required to provide care for patients in a variety of all health care settings. Students must be able to handle
stressful conditions. Individuals should carefully consider the mental and physical demands of the program
prior to submitting the application.
This occupation requires medium activity and lifting/handling objects weighing up to 50 lbs. and handling body
fluids. Nurses are often standing for long periods of time. For safety and protection of patients, student nurses
must be able to perform basic cardiac life support, including CPR, and function in stressful and/or emergency
Admission Requirements:
Admission to College: Completed CPTC admission application with Practical Nurse listed as your program
of study
Set up your CPTC email: All communication, including transfer credit report, will be sent to student email
Apply for Financial Aid (if desired): Complete the Free Application for Federal Student Aid at Check student Financial Aid Portal frequently at
Proof of Completion of Prerequisites: Have all pre-requisite courses completed with grades posted to
CPTC transcript
o If pre-requisite courses taken at CPTC
No further documentation will need to be provided
o I
f pre-reqs not taken at CPTC:
Complete Request for Transfer Credit Form and submit to Enrollment Services
Form can be found at Transfer Website:
Contact previous school(s) and request official transcripts be sent to CPTC via:
Mail: Enrollment Services
Clover Park Technical College
4500 Steilacoom Blvd SW
Lakewood, WA 98499-4098
Student may also hand deliver official (unopened) transcripts to Enrollment
Services, Building 17.
Receive via CPTC student email: transfer credit report (must submit with application)
Required Prerequisites: Must be completed with a B or better:
BIOL& 241 Human A & P 1 w/lab (5CR)
BIOL& 242 Human A & P II w/lab (5CR
IOL& 260 Microbiology with lab (5CR)
ENGL& 101 English Composition OR ENGL& 235 Technical Writing (5CR)
MAT 099 Intermediate Algebra (5CR) OR MATH& 141 Precalculus I OR MATH& 146 Intro to Stats (5CR) OR
MATH& 151 Calculus I(5CR)
NUTR& 101 Nutrition (5CR)
PSYC& 100DIV General Psychology (5CR)
PSYC& 200 Lifespan Psychology (developmental psychology) (5CR)
COLL 102 College Success (3CR) (not required if you are transferring in 30 credits, have a similar
course from another college, or you hold a degree from another college)
For CHEM& 110 and BIO&160 or BIO&175 (prerequisites for BIO&241 and BIO& 260) a grade “C” (2.0)
or higher is required
NAR requirement: Those students who do not have a NAC license will need to apply for Nursing Assistant
Registered within the first 30 days of the quarter one. NAR application fee $85.00. This is a clinical site
Admission Exam: The admission exam is the National League for Nursing (NLN) PAX admission exam and you will
need to have a score of 102 or higher for acceptance. The exam is available in the Testing Center in Building 17,
Room 250. You will have 2 hours and 15 minutes to complete this exam and you make take it as many times as
needed to obtain the score of 102.
How to sign up for an exam:
o Go to the NLN site at: and
create an account.
o Register for the day and time you wish to take the exam and pay the $40.00 fee. Print the date
& time for your exam from the NLN website. You must sign up for an exam at least 2 days
before taking the exam.
o On the day of your exam take the date & time document from NLN and your student ID# to the
Cashier in Building 17, Room 107 and pay the testing fee of $10.00 before going to the Testing
Center located in Building 17, Room 250 to take the exam.
o You will be provided with a calculator and your scores will be available 4hrs after completion of
the exam. You can obtain your results on the NLN website.
o An official study guide can be found at:
services/nln-pax- prep-faqs-050317.pdf?sfvrsn=4
Nursing Application Fee: Non-refundable application fee of $80.00 payable at the CPTC Cashier’s Office or over
the phone by calling 253.589.5505.
Nursing Program Application Checklist:
Complete the college Admission Application for new students or Change of Program Form, if applicable, for
current students. Available in Bldg.17, Enrollment Services.
Provide a copy of the Practical Nursing program application on following page
Provide a copy of your NLN test results showing a score 102 or higher
If pre-requisites not taken at CPTC; provide a copy of your transfer credit report showing accepted credits. This
report is sent to your CPTC student email account by the Credentials & Student Completion Specialist.
Attach a copy of the receipt showing payment of the $80.00 application fee
Submit your completed packet in person at the Enrollment Services Office, by email, or by mail to the address
listed below. Your application packet will be date/time stamped when the entire packet is received. Partial
packets will not be processed for admission to the Practical Nursing program.
Enrollment Services Office, Building
17 Clover Park Technical College
4500 Steilacoom Blvd SW
Lakewood WA 98499
Acceptance Dates:
- Fall 2020: April 1, 2020 - Sept 21, 2020
- Winter 2021: Sept 28, 2020 - Dec 28, 2020
- Spring 2021: Jan 4, 2021 - March 30, 2021
Application Status: An email will be sent to your Clover Park student email account approximately
5-7 business days after receipt of your application.
Contact Information: McKenzee Murphy, Manager of Student Enrollment at
STUDENT ID# Date of Birth__________________________
I understand if I do not pass the background check done in the first quarter I may not be a
llowed to attend
clinical which could prevent me from completing the program. I understand a clinical facility can at any time
require a drug screening and if I fail this it could prevent me from completing the program.
I have provided true, correct and complete information with this application. I have read and understand
the information included in this application packet.
Applicant Signature Date
Non-Discrimination Policy: Clover Park Technical College provides equal opportunity and access in education and employment and does not exclude, deny benefits
to, or otherwise discriminate against any person on the basis of race, ethnicity, creed, color, sex, gender, gender identity, citizenship status, national origin, age,
marital status, religious preference, the presence of any sensory, mental or physical disability, reliance on public assistance, sexual orientation, veteran status,
political opinions or affiliations, or genetic information under any of its programs, activities or services.
Limit of Liability: The College’s total liability for claims arising from a contractual relationship with the student in any way related to classes of programs shall be
limited to the tuition and expenses paid by the student to the College for those classes of programs. In no event shall the College be liable for any special, indirect,
incidental, or consequential damages, including but not limited to loss of earnings or profits.
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Other Requirements
Please note: These requirements will need to be provided AFTER acceptance into the program. More
information will be emailed to you after acceptance into the program.
Proof of Immunizations, CPR Card, and Healthcare coverage:
All immunization must be complete by the first day of Quarter 1 of the program. Documentation for the
required immunizations must be available for review during orientation day of the program. Email your
questions about your immunizations to
Measles, Mumps & Rubella (MMR)
o 2 MMR doses of vaccinations, or
o Proof of immunity by titer of each of the three components -Rubella, Mumps & Measles. (Lab report
Varicella (Chicken Pox)
o 2 doses of the Varicella vaccinations, or
o Positive antibody titer (lab report required)
Hepatitis B
o 3 vaccinations and
o Positive HepB sAB antibody titer (lab report is required)
TB Skin Test (2 Step) Provide one of the following:
o Negative 2 step test (2 separate tests done 1-3 weeks apart) within the past 12 months ( you must
show placement date and read date for both of the 2 steps) or
o Past negative 2 step test PLUS all subsequent annuals (latest test must have been done within the
past 12 months) or
o If positive results, clear Chest X-Ray report within the past 3 years and a current year symptom-free
report from your healthcare provider or
o Negative QuantiFERON Gold Blood test. You must submit a copy of the laboratory report to meet this
Tetanus, Diphtheria & Pertussis (TDaP)
o There must be documentation of a TDaP vaccination. If the TDaP vaccine was administered more than
10 years ago, you must also submit a recent TD booster.
o Submit documentation of a seasonal flu shot administered after October 1 of the current year.
Other requirements:
CPR card: The only card that will be accepted is from the American Heart Association BLS for Health Care
Provider card.
NAR requirement: Those students who do not have a NAC license will need to apply for Nursing Assistant
Registered within the first 30 days of the quarter one. NAR application fee $85.00. This is a clinical site
Personal Health Insurance