RTC is an equal opportunity institution. For details, visit rtc.edu/Equal-Opportunity
Please note: Renton Technical College does not discriminate on the basis of race, color,
national origin, sex, sexual orientation, disability, or age in its programs and activities.
APPLICANT INFORMATION
Name: Date of Birth:
Month
/ /
Last
First
MI
Day Year
RTC Student ID: ress:
ress:
- - Email Add
Add
Number & Street
City State
Zip
/
Alternate
Phone:
The Nursing Program at Renton Technical College prepares students for employment as registered nurses in a variety of health
care environments in the surrounding community. Students who successfully complete the program will receive an Associate
in Applied Sciences-Transfer (AAS-T) degree and be eligible to take the National Council Licensure Examination for Registered
Nurse (NCLEX-RN) exam. The program also prepares students to transfer to an RN-BSN program after obtaining the RN license.
Submitted in the packet:
□
□
Copy of application to Nursing Program.
Copy o
f credit evaluation letter from RTC if you transferred in credits from another college; and/or RTC
unofficial transcripts.
□ To Do Summary List printed from CastleBranch.com website showing submission and completion of required
documentation and immunizations.
□ Full report of criminal background check from CastleBranch.com website.
□ Unofficial copy of your TEAS test (must meet minimum scoring requirements; see
http://www.rtc.edu/registered-nurse-associate-degree), order official copy from ATI to be sent to
NursingProgram@rtc.edu.
While not required to apply, additional points towards admission will be given for the following:
Verification forms for employment and volunteer experience can be found at http://www.rtc.edu/registered-nurse-
associate-degree
□ Work experience, Minimum of 100 hours of work experience in the last 3 years. Submit verification of employment
form; you may only submit one form; additional points given towards admission for health care related work.
• Health care related work (for example: CNA, MA, LPN, EMT)
• Non health care related work
□ Volunteer experience (any community-based volunteer experience). Submit verification of volunteer experience form;
only one form will be accepted.
• 50-100 hours
• Greater than 100 hours
□ Military service. Submit evidence of current military service or copy of honorable discharge.
• Honorable discharge
• Current military service (e.g., Reserve, Active Duty)
□ Previous Degree (e.g., AA, BA, MS). Credit received for one degree only; please submit transcript to verify degree.
Application packet MUST be complete (incomplete packets will not be considered)
REGISTERED NURSE APPLICATION
