BACHELOR OF SCIENCE IN NURSING RN to BSN PROGRAM APPLICATION PACKET

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1 BACHEL OF SCIENCE IN NURSING RN to BSN PROGRAM APPLICATION PACKET INSTRUCTIONS F THE APPLICATION PROCESS Please type or print legibly. Complete all applicable information and sign in the appropriate places. Apply online to NAU Undergraduate Admissions. (If you are already a 2NAU student, do NOT submit another online application for admission. Contact your 2NAU Admissions Counselor.) Submit your School of Nursing application to Extended Campuses (see page 3). APPLICATION DEADLINES NAU s School of Nursing currently offers continuous admission to the RN to BSN program. Complete application packets are reviewed on a continual basis. It is the responsibility of the applicant to verify that application documents have been received. Incomplete applications will not be considered for admission. NOTICE OF ADMISSION Students will be notified by of their admission status within 4 weeks of application review. The RN to BSN program builds on the knowledge and skills registered nurses have acquired through a diploma or associate degree program. It is designed to enable students to move into a wider array of practice and leadership roles, in addition to being prepared to enter graduate school. 1 P age Revised 6/30/15

2 Dear Nursing Program Applicant, LETTER OF GREETINGS FROM SCHOOL OF NURSING CHAIR Thank you for your interest in the Baccalaureate Program at the School of Nursing at Northern Arizona University. We are pleased that you have chosen to apply for our program and wish you the best of luck during the application process. Our three semester program of study in nursing is comprehensive and will prepare you for a rewarding career as a professional member of a contemporary health care team. You will enjoy the lifelong friendships that you will cultivate as a member of the School of Nursing. Our skilled and knowledgeable faculty members are prepared to help you be successful in all facets of your nursing education. Once again thank you for your choice of the nursing program here at Northern Arizona University. Sincerely, Debera Thomas Debera Thomas DNS, RN, ANP/FNP Dean, School of Nursing College of Health and Human Services Northern Arizona University NTHERN ARIZONA UNIVERSITY SCHOOL OF NURSING AFFIRMATIVE ACTION Northern Arizona University and the School of Nursing do not discriminate on the basis of age, race, color, religion, sex, gender, national origin, disability, or veteran status in admissions, employment, or educational programs and activities, as required by Title IX of the Education Amendments of 1972, Title VI and Title VII of the Civil Rights Rehabilitation Act of 1973 as amended; the Civil Rights Act of 1990, and the Age Discrimination in Employment Act of Northern Arizona University s policy on nondiscrimination is augmented by the voluntary affirmative action policies of Executive Order 11246, Section 503, of the Rehabilitation Act and the Vietnam Era Veteran s Readjustment Assistance Act of 1973 as amended. Inquiries regarding the application of these regulations may be made to: Office of Affirmative Action Coordinator of Section 504 P.O. Box 4083 Americans with Disabilities Flagstaff, AZ P.O. Box Flagstaff, AZ NTHERN ARIZONA UNIVERSITY SCHOOL OF NURSING DISABILITY SUPPT SERVICES (DSS) Undergraduate Admissions: All programs at Northern Arizona University are open to qualified students. Special services for students with disabilities are available by contacting a Disability Support Service Coordinator in the office of Disability Support Services. Students are advised to provide documentation to DSS at least eight (8) weeks prior to attending NAU so that arrangements can be made to meet individual needs. Questions may be directed to Disability Support Services, P.O. Box 5633, Flagstaff, AZ 86011, or call ; TTY ; FAX P age

3 APPLICATION PROCESS RN to BSN PROGRAM Admission Requirements Completion of an Associate degree in Nursing at a regionally accredited institution Current RN licensure in state of residence Up to three (3) missing courses, including non-nursing coursework (including Liberal Studies, Diversity, and Pre- Professional courses). A minimum GPA of 2.75 in pre-professional coursework. Any pre-professional courses taken outside the state of Arizona must be approved by the Curriculum Committee and may require course descriptions. Admission to the RN to BSN Program requires two applications: 1. Apply online to NAU Undergraduate Admissions (If you are already a 2NAU student, do NOT submit another online application for admission. Contact your 2NAU Admissions Counselor.): The online application can be accessed at Please indicate the following: Campus: Online Degree: Nursing Option for Registered Nurse (BSN) Official transcripts of all previous college credits must be submitted in order to be admitted as a degree seeking student. Please have your official transcripts sent to: Northern Arizona University Undergraduate Admissions P.O. Box 4084 Flagstaff, AZ Apply to the School of Nursing: The application is below. After completing it, please scan and to ec.rnbsn.applications@nau.edu. This is the fastest way to submit your application and to expedite the review time. If electronic submission is not an option, you are welcome to mail it (flat and unfolded) to: Northern Arizona University Extended Campuses ATTN: Nursing App Specialist P.O. Box 4117 Flagstaff, AZ Please attach the following to your School of Nursing application: a. Unofficial Transcripts (copies) from each college or university attended. Out-of-state courses will require accompanying course descriptions. b. A copy of your RN license 3 P age

4 PERSONAL INFMATION Name: NAU ID Number: Planned Date of Enrollment: Spring 20 Summer 20 Fall 20 Permanent Address: City, State, Zip: Permanent Phone Number: Current Address: City, State, Zip: Local Phone Number: Work Phone Number: Address: State of legal residence: Your primary language: Emergency Contact Name: Emergency Contact Phone: Relationship: All languages in which you are fluent: The following information is voluntary and will be used for statistical purposes only Birth Date: Birth place (city and state): Country: Marital Status: Single Married Divorced Separated Number of Dependents: Predominant Ethnic Background: (circle one) American Indian or Native Alaskan Tribe African American Asian or Pacific Islander Hispanic Caucasian or White Sex: Male U.S. Citizen: Yes U.S. Veteran: Yes Female No No 4 P age

5 EDUCATIONAL RECD Beginning with the most recent, list all colleges and universities attended, regardless of length of attendance. Include any educational institution you are currently attending. INSTITUTIONS ATTENDED College or University Location: City & State Dates of Attendance From: M/Year To: M/Year Degree or Certification (Indicate Major) PRE-PROFESSIONAL COURSES Course Prefix and Title Critical Reading/Writing (ENG 105) English Composition (ENG 101&102) Credit Hours Prefix and Course # Institution Semester/ Year Taken Grade (write EN if currently in progress) Math Foundation: (College Algebra or above) Quantitative Reasoning (MAT 114) Applied Statistics (STA 270) Unity of Life (BIO 181 & Lab) Fund. Chemistry (CHM 130 & Lab) Human Anatomy. & Physiology I (BIO 201 & Lab) Human Anatomy and Physiology II (BIO 202 & Lab) Microbiology (BIO 205 & Lab) General Pathology (BIO 320) Human Nutrition (NTS 135) Medical Nutrition (NTS 256) Intro. To Psychology (PSY 101) Developmental Psychology (Lifespan) (PSY 240) Applied Statistics (STA 270) Intro to Stats in Psychology (PSY 230) 5 P age

6 I certify that all information provided is true, correct and complete, and that I am the sole author of my application to the NAU School of Nursing. I understand that if I have provided false information in this application, I may be dismissed from the Nursing program at any time. I also understand that only completed applications will be considered for admission and that completion of all required prerequisite courses does not guarantee admission to the Nursing program. Signature Date Please Print Name ADMISSION DISCLAIMER RN -BSN Option Your admission to the Northern Arizona University School of Nursing is no guarantee that you will graduate with a Bachelor of Science in Nursing. Further, graduation with a Bachelor of Science in Nursing is not the sole criteria for obtaining a license to practice Nursing in Arizona. Licensing requirements are the exclusive responsibility of the State Board of Nursing (Nursing Practice Act A.R.S. Section , et seq.), and you must satisfy those requirements independently of your completion of any requirements for graduation from the Bachelor of Science in Nursing program. I have read and understand the Admissions Application Disclaimer. Signature Date 6 P age

January 15 th (All prerequisites must be completed by the end of the Spring Semester)

January 15 th (All prerequisites must be completed by the end of the Spring Semester) BACHEL OF SCIENCE IN NURSING PROGRAM INFMATION PACKET & APPLICATION Accelerated BSN Program School of Nursing Nursing is putting us in the best Possible conditions for Nature to Restore or to preserve