North Carolina Agricultural and Technical State University College of Health and Human Sciences School of Nursing Application Packet Bachelor of Science in Nursing Completion Entry ption Application Checklist You must initial each item, sign and date the checklist below. Your signature indicates that you have read all the instructions, understand all the items required by the application and are certifying the truth and accuracy of the information submitted. Return the checklist with your application and supporting documents. Keep a copy of your application and any supporting documents for your records. Submit the original. No application materials will be returned to applicants. Please submit all materials in the order listed below to the Office of Student Services in the School of Nursing. ______ 1. Signed application with Official Transcripts from high school, all colleges, universities, and community colleges attended for all degree programs, undergraduate work and completed prerequisites are required for admission. A. ______ Spring (January) a. Applications must be submitted by May 1 & Official Transcripts by June 1. B. ______ Fall (Aug) b. Applications must be submitted by October 1 & Official Transcripts by November 1. ______ 2. Course prerequisite checklist. If prerequisites not completed at time of application, include a written plan for completion of prerequisites that includes: •

name of course/courses needed.



where you are currently enrolled or will be enrolled.



whether equivalency of course was confirmed with the Office of Student Services.



and anticipated date of completion.

I certify that the information submitted in this application packet is true, complete and accurate to the best of my knowledge. I understand that falsification of information on this application will lead to denial of admission or dismissal from the School of Nursing Program at North Carolina A&T State University. Applicant Name (printed): Signature of Applicant: Date: 02/20/18 - tbe

North Carolina Agricultural and Technical State University College of Health and Human Sciences School of Nursing Application Packet Bachelor of Science in Nursing Completion Entry ption Application Directions: Please type or neatly print in black ink the following information. Fill out application completely. Note: Incomplete applications, late applications or applications that do not meet admission criteria will not be reviewed by the Admission Committee. Date: Last Name: First Name: Middle Name: Date of Birth: Race/Ethnicity: Gender:

Male

Female

Military Status:

Active

U.S. Citizenship:

Yes

Marital Status:

Single

Married

Divorced

Widowed

Veteran Status No

If you are not a U.S. Citizen, list nationality: Type of Visa: Is English your primary language?

Yes

No If no, what is your primary language?

*****For Reporting Purposes Only – Not part of application***** Current Mailing Address: City: State:

Zip Code

Home Number: (

)

Mobile Number : (

_)

E-mail: Permanent Address (if different from above): City: State: What is the preferred method of contact?

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Zip Code

North Carolina Agricultural and Technical State University College of Health and Human Sciences School of Nursing Application Packet Bachelor of Science in Nursing Completion Entry ption Last Name: Date:

_________________

___ First Name:

Name of school where you received your Bachelor’s Degree: Field of study for Bachelor’s Degree: Date of Graduation: Cumulative Graduating GPA on transcript: N o r th C aro li na Bo ar d o n Nu rs i n g L ice ns u re # O ri g i na l D a te o f L ice ns u re __ ____ ____ _____

____ _

Previous Education: List all institutions attended (colleges, universities, and community colleges). Official Transcripts are required for all colleges, universities, and community colleges attended for undergraduate work and completed prerequisites. Name of School Location: City &State

Major/Minor

Degree Completed? Yes/No

Dates of Attendance

Have you ever been expelled or suspended from any university or college for academic reasons? Yes No Have you ever been expelled or suspended from any university or college for disciplinary reasons? Yes No If you answered “yes”, please explain.

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North Carolina Agricultural and Technical State University College of Health and Human Sciences School of Nursing Application Packet Bachelor of Science in Nursing Completion Entry ption

To ensure safety in the clinical setting and meet the standards for clinical agencies, the School of Nursing must determine if students have criminal convictions. Have you been convicted of any criminal offense other than traffic? Yes No If you answered “yes”, please explain.

Have you been convicted of a felony?

Yes

No If you answered “yes”, please explain.

A criminal background check AND drug screen are required for all admitted students for clinical placement. A criminal record does not necessarily eliminate you from admission. Each conviction will be reviewed with respect to the offense, circumstances, and seriousness. Refer to related policy in the School of Nursing Student Handbook 2012-2013 on website for more information. Emergency Contact: Name: Relationship: Address: City: State: Zip: Home Number: (

_)

Mobile Number : (

)

Work Number: (

_)

What is the best means of contact? I certify that the information submitted on this application is true, complete and accurate to the best of my knowledge. I understand that falsification of information on this application will lead to denial of admission or dismissal from the School of Nursing Program at North Carolina A&T State University.

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North Carolina Agricultural and Technical State University College of Health and Human Sciences School of Nursing Application Packet Bachelor of Science in Nursing Completion Entry ption

Applicant’s Signature

Date

Statement of Success: Please submit a statement of success that addresses your ability to balance the multiple demands and responsibilities that often defines the adult student. Include comments to address the following: 1. Your individual power to handle tasks of everyday living, such as job and family responsibilities. 2. The expectations you place on yourself in fulfilling those tasks of everyday living. 3. Strategies you’ve found to be particularly helpful in managing your multiple demands and responsibilities. 4. Discuss the margin between the tasks of everyday living and your ability to manage load. 5. Describe funding sources (tuition reimbursement, wavier) and employment support (scheduling flexibility). The Statement of Success should be double spaced using 12-point font (Calibri/New Times Roman) with proper grammar, sentence structure and punctuation. The length of the essay should not exceed 450 words (1 page). Place the following in the footer: last name, first name and 2015 Cohort BSNC Applicant.

03/2015 fm

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North Carolina Agricultural and Technical State University College of Health and Human Sciences School of Nursing Application Packet Bachelor of Science in Nursing Completion Entry ption Course Pre-requisites for BSNC Entry Option These courses may be taken through any accredited community college, college, or university. It is advised that before taking a course, clearance for equivalency is obtained through the Admissions office at NC A & T State University. All prospective students are required to complete an unofficial evaluation of transcript to confirm completion and/or equivalency of pre-requisite courses. All pre-requisite courses must be completed with a “C” or higher. Please place a check mark next to the pre-requisites that you have completed. The deadline for completion of prerequisite courses is December 7, 2018 with submission of official transcripts with final grades by December 14, 2018.

□ CHEM 104 General Chemistry IV*: This course is an introduction to fundamental techniques and concepts in chemistry, including writing and interpretation of symbols, formulas, equations, atomic structure, composition and reactions of inorganic compounds. This course is not open to majors in chemistry, physics, biology, mathematics and engineering. (Co-requisite: CHEM 114)

□ CHEM 114 General Chemistry Lab*: This course is a study of inorganic reactions and substances and their relation to the processes. (Corequisite: CHEM 104)

□ BIOL 350 Human Anatomy and Physiology I*: This course, which provides a comprehensive study of the anatomy and physiology of the human body with an emphasis on health and medical issues, is designed for biology majors and/or students preparing for careers in the health professions. It will include an overview of organ systems, basic chemical organization, cell structure and function, and tissues; followed by the study of the skeletal, muscular, and nervous systems. The laboratory includes studies of histology, physiology experiments, model studies, computer simulations, and multimedia presentations.

□ BIOL 351 Human Anatomy and Physiology II*: This course is a continuation of BIOL 350 and expands a comprehensive study of the anatomy and physiology of the human body with an emphasis on health and medical issues. Lecture topics include special senses, the endocrine system, cardiovascular and respiratory physiology, immunity, digestion, nutrition and metabolism, the urinary system, and the male and female reproductive systems. Laboratory work includes physiology experiments, model studies, computer simulations, and multimedia presentations.

□ BIOL 221 Basic Microbiology: This is an introduction to the fundamentals of microbiology and the role of microorganisms in daily life. Special emphasis is placed on infectious diseases and immunology. The laboratory introduces students to the principles of microscopy, specimen preparation for light microscopy, aseptic techniques, cultivation techniques, and the biochemical activities of microorganisms. This course is not open to majors in Biology and Chemistry. 02/20/18 - tbe

North Carolina Agricultural and Technical State University College of Health and Human Sciences School of Nursing Application Packet Bachelor of Science in Nursing Completion Entry ption

□ FCS 260 Introduction to Human Development: This course is an introduction to the human development process covering the life span from prenatal, childhood, adolescence, adulthood, and aging through death. The social, psychological, cognitive, physical and moral characteristics of each stage are studied.

□ PSYC 101 General Psychology: This course provides an introduction to psychology for non-psychology majors. Topics given major consideration include maturation and development, motivation, emotion, and personality; mental health, intelligence, and aptitude; perception and attention; learning, forgetting, language, and thinking; social influence, attitudes, beliefs, and vocational adjustments. Pre-requisite; Non – Psychology major

□ SOCI 203 Social Statistics I: This course is an introduction to elementary statistical reasoning, descriptive statistics, frequency distribution, graphics, measures of central tendency and dispersion. Correlation and regression techniques are also taught.

General Education Requirements NOTE: Students may be subject to additional General Education requirements as established by university guidelines for General Education.

□ ENGL 100 Ideas & Their Expressions I: This course is an introduction to college-level expository writing; it provides students with experience in writing and revising compositions. Students will also learn to write resumes, letters of application, short reports, and responses to literature.

□ ENGL 101 Ideas & Their Expressions II: This course covers the fundamental elements of college-level writing---grammar, organization, structure, and development of ideas. It also covers argumentative writing and concludes with instruction in writing the research paper.

□ MATH 101 Fundamentals of Algebra & Trigonometry I: Numbers and their properties, rational expressions, rational exponents, radicals, equations and inequalities in one variable, relations and functions are studied.

□ Humanities Elective (African American): Of the 12 total credit hours required in the Social/Behavioral Sciences and Humanities/Fine Arts categories, at least 3 credit hours must be earned in courses with a Knowledge of African American Culture and History designation and at least 3 credit hours must be earned in courses with a Global Awareness designation.

□ Humanities Elective (Global Awareness): Of the 12 total credit hours required in the Social/Behavioral Sciences and Humanities/Fine Arts categories, at least 3 credit hours must be earned in courses with a Knowledge of African American Culture and History designation and at least 3 credit hours must be earned in courses with a Global Awareness designation.

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North Carolina Agricultural and Technical State University College of Health and Human Sciences School of Nursing Application Packet Bachelor of Science in Nursing Completion Entry ption Transfer equivalencies between the NC Community Colleges and NC Universities/Colleges: NC A&T Pre-requisite Courses ENGL 100 ENGL 101 College Transfer MATH MATH 101 PSYC 101 CHEM 104 CHEM 114 BIOL 350 & 351 BIOL 221 FCS 260 SOCI 203 African American Elective Global Awareness Elective

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North Carolina Community College Equivalency ENG 111 ENG 112 MATH 143 MAT 171 PSY 150 CHM 131 CHM 131 A BIO 165 or 168 (Anatomy &Physiology I) AND BIO 166 or 169 (Anatomy &Physiology II); Both parts are required BIO 275 PSY 241 MTH 152 or Any equivalent statistics course ENG 273 or any African American Course REL 110, HIS 111, or HIS 112