Riverside City College – School o
f Nursing Registered Nursing Application
DUE August 3, 2020
Download this application to your computer, then open and fill it out with Adobe Acrobat Reader. You must have the latest version of Adobe Acrobat Reader (free) in
order to save and submit this application; https://get.adobe.com/reader/. Email the completed application to nursing@rcc.edu. Save this application to your
computer
using the following naming format: "YourLastName_YourFirstName_YourRCCDStudentID.pdf". Tablets, Ipads and Apple computers do not always work
with this application. Do not use Google chrome or MS Edge to fill out the application. Some devices or browsers do not format the application properly. The
application may only be submitted via email.
By submitting this application, I certify that all the information contained in this application is true and correct to the best of my knowledge and I understand that I
am responsible for turning in all Official Transcripts to the Admissions & Records office before the end of the application deadline or by the end of Summer semester
if enrolled in Summer courses.
Notifications of enrollment will be sent via school RCC email be the end of December 2020. You will receive more details regarding the application process via RCC
email within 2 weeks of submitting your application.
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Check the box for each program you are applying for:
As
sociate Degree (RN) 2 year Concurrent Enrollment ADN/BSN Advanced Placement VN-RN 30 unit VN-RN Petition Transfer
Last name First name Middle name RCC Student ID
Previous Name(s)
Phone/Cell Number RCC email address (Required)
Note: F
ailure to list all colleges attended or failure to submit all official transcripts will invalidate your application. If you have previously submitted finalized
transcripts to Riverside, Norco or Moreno Valley you do NOT need to re-submit them. Transcripts from Riverside, Norco and Moreno Valley are NOT needed. You
may log into your portal or Webadvisor to see if your transcripts are on file.
List all colleges attended:
Have you
ever been enrolled in another Registered Nursing Program? Yes No
If yes, indicate what college: Applicants who have failed a prior RN program are not eligible
Do you hav
e a Bachelor’s degree or higher from a regionally accredited US college? Yes No
Where did you earn this degree? (Associate’s degrees do not count)
Do any of t
he following life experiences or special circumstances apply to you? Yes No
*Disabilities
*Low family income
*First generation of family to attend college
*Need to work
*Disadvantages social or educational environment
*Difficult personal and family situations or circumstances
*Refugee
Do you spea
k, read and write a language other than English? (Including ASL) Yes No
Are you a US military veteran or currently serving in the armed forces? Yes No
(DD214 showing character of service or letter from commanding officer required)
