INFORMATION AND APPLICATION PACKET

Size: px

Start display at page:

Download "INFORMATION AND APPLICATION PACKET"

Meghan Nicholson
5 years ago
Views:

1 VBSN Military/Veterans Bachelor of Science in Nursing Pathway INFORMATION AND APPLICATION PACKET MAIL APPLICATION TO Southern Miss College of Nursing and Health Professions ATTN: VBSN Pathway Application for Admission 118 College Dr. #5095 Hattiesburg, MS Page 1 of 6

2 VBSN APPLICATION PACKET APPLICATION DEADLINE: FEBRUARY 1 FOR FALL APPLICATION REQUIREMENTS Be admitted to Southern Miss Gulf Park as a health sciences major and to the VBSN Pathway (students must have Gulf Park campus as their home campus). Be sure to include your medical training on the application as noted on your military transcript(s). YOU MUST REQUEST THAT YOUR MILITARY TRANSCRIPT(S) BE POSTED TO YOUR STUDENT RECORD. Have a healthcare specialist rating while serving in the military and (if a veteran) be discharged within the last three (3) years (within five (5) years for those who have been employed in a civilian healthcare role). If a veteran, provide a DD-214 Certificate of Release or Discharge from Active Duty form showing proof of healthcare specialist rating and honorable discharge. Have a minimum national composite ACT of 21 or above. Have a GPA of at least 2.5 or above on a 4.0 scale in non-nursing prerequisite courses and at least a 2.0 in each course. If needed or desired, may repeat a required science course one time. Be in good academic standing at Southern Miss (cannot be on probation, probation continued or suspension). Call your VBSN academic adviser ( ) for transcript evaluation before applying for admission to the VBSN Pathway. PRE- ADMISSION ADVISEMENT You will receive guidance about o Which courses are needed to complete prerequisite requirements, o Online options for taking prerequisite courses, o Financial aid and scholarships, and o Information about ACT preparation and exam (if needed). What will you need to do to apply to Southern Miss and the VBSN program? o Submit applications to 1. The University of Southern Mississippi, Gulf Park Campus (Undergraduate Program) 2. The VBSN Pathway in the College of Nursing and Health Professions, Gulf Park Campus COMPLETED APPLICATION REQUIREMENTS Copies of all transcripts must be attached, even Southern Miss transcripts. Written verification of minimum composite national ACT score must be attached. If a veteran, attach a copy of form DD-214 "Certificate of Release or Discharge from Active Duty" showing proof of healthcare specialist rating and honorable discharge. This is the applicant s responsibility. The College of Nursing and Health Professions will not be responsible for obtaining transcripts/act scores for applicants. Even if transcripts/act scores have been sent to the Admissions office, students must also attach copies with the completed application to Southern Miss College of Nursing and Health Professions. Unofficial copies are acceptable. ACT information can be requested at actstudent.org. This information should be attached and not sent separately. Students must complete the prerequisite checklist portion of the application. All required prerequisite courses must be listed by the applicant by either earned grade, semester enrolled, or semester planning to enroll. Page 2 of 6

3 APPLICATION FOR ADMISSION TO VBSN PATHWAY Semester/Year Applying For Semester: Year: ID # Student ID: w Name Personal Information First Name: Middle Name: Last Name: Maiden Name (if applicable): Date of Birth: Social Security #: Gender: Male Female Ethnicity: Hispanic Race: Non-Hispanic American Indian/Alaskan Native Asian Black Hawaiian/Pacific Islander White Did you have a rural residential background? o Yes o No Disadvantaged Background Status o Low income o An environment that inhibited you from obtaining o the knowledge/skills/abilities to enroll in or graduate from a health professions program/school I do not have a disadvantaged background Military Information Veteran Status: Active Reservist Veteran Prior Service Veteran Retired Address (Mail will be sent to current address unless otherwise requested.) Contact Information Current Address: Permanent Address: Mississippi Resident? How did you hear about the VBSN Pathway? Home Phone: Cell Phone: Address: Yes: County: No LIST ALL COLLEGES AND UNIVERSITIES (INCLUDING SOUTHERN MISS) THAT YOU HAVE ATTENDED SINCE HIGH SCHOOL (more may be listed on page 6) Name of College/University and Location Years Number of Cumulative GPA (Copies of transcripts must be attached for each institution.) Attended Hours Taken Example: Southern Miss, Hattiesburg, MS LIST ALL HEALTHCARE ORGANIZATIONS WHERE YOU HAVE WORKED WITHIN THE LAST FIVE (5) YEARS (more may be listed on page 6) Employer From To Position Held Page 3 of 6

4 Licensure Information for Applicants: Any individual having been convicted of a misdemeanor or felony may not be allowed to write the NCLEX for RN licensure. The Mississippi Board of Nursing has the discretion and authority to refuse licensure to anyone convicted of a misdemeanor or felony. (See State of Mississippi Laws, Rules and Regulations, Mississippi Board of Nursing Section (1) (b).) Criminal Background Check: Pursuant to an amendment to Mississippi House Bill HB 1077, Section , Mississippi Code of 1972, all applicants to the College of Nursing and Health Professions must undergo a criminal background check before beginning clinical experiences. Students without a clear criminal background check will be disqualified for clinical training, which is essential to complete the nursing program. Routine Alcohol and Drug Screening: Every student enrolled in a clinical nursing course is required to undergo a drug screen at least every 12 months to determine the presence of alcohol, drugs and/or controlled substances. If the results of a drug screen are positive for alcohol, drugs and/or other controlled substances, the student may not continue in clinical nursing courses. The student is responsible for costs associated with drug screening and confirmation. COMPLETED APPLICATION REQUIREMENTS Initial that the following are attached: COPIES OF ALL TRANSCRIPTS (can be unofficial) COPIES OF WRITTEN VERIFICATION OF ACT SCORES COMPLETED PREREQUISITE CHECKLIST All courses must be accounted for: completed, enrolled, planning to enroll (see next page). Form DD-214 Certification: By initialing above and signing below, I affirm that the information in this application is accurate and complete. I understand that falsification of information is grounds for dismissal from the College of Nursing and Health Professions. I hereby make application for admission to the College of Nursing and Health Professions at The University of Southern Mississippi and agree to abide by the regulations and policies of the College of Nursing and Health Professions while I am a student. I also understand attaching all required documents is my responsibility, and an incomplete application may not be considered for admission. Applicant s Signature Date MAIL APPLICATION (pages 3-6) TO Southern Miss College of Nursing and Health Professions ATTN: VBSN Pathway Application for Admission 118 College Dr. #5095 Hattiesburg, MS Page 4 of 6

5 Last Name First Name SSN PREREQUISITE COURSES OUTSTANDING PREREQUISITES PLAN OF STUDY (59 Hours) USM # COMMUNITY COLLEGE # CR HRS List exact course taken, where completed or where planning to complete. List grade earned, or if course not taken yet, enter semester you plan to take the course. Example: English Composition I ENG 101 ENG 1113 or ENG 1113-JCJC A or Fall 2011 English Composition I ENG 101 ENG 1113 or English Composition II ENG 102 ENG 1123 or World Literature ENG 203 ENG 2413, 2423, College Algebra MAT 101 MAT World Civilization to 1648 AD HIS 101 HIS 1113, 1143, World Civilization since 1648 AD HIS 102 HIS 1123, 1153, General Chemistry I (Pre-med) CHE 106,110 CHE 1213/1211, 1214, 3* 1214H General Chemistry I Lab CHE 106 L, 110L 1* Principles of Biology or Human BSC 110, 107 BIO 1133/1131; 1134: 3* Biology 1134H Principles of Biology or Human BSC 110L, 107L 1* Biology Lab Human Anat. & Phys. I BSC 250 BIO 2513/2511/2514 3* Human Anat. & Phys. I Lab BSC 250 L 1* Human Anat. & Phys. II BSC 251 BIO 2523/2521/ * Human Anat. & Phys. II Lab BSC 251 L 1* Microbiology BSC 380 or 381 BIO 2923/2921, * Microbiology Lab BSC 380L, 381 L 1* General Psychology PSY 110 PSY Developmental Psychology (Human Growth & Development) PSY 275 EPY Introduction to Statistics (Course title must include the word statistics.) PSY 360, CHS 440, CSS 211 BAD 2323, MAT Introduction to Sociology SOC 101 SOC Marriage and Family (Family) SOC 214 SOC Fine Arts Course (Appreciation) ART 130, DAN ART 1113, ART 1233, 3 130, MUS 165, THE 100 MUS 1113, SPT 2233 Nutrition in Health Care NFS 362 BIO 1613, FCS 1253 or HEC * May only repeat/retake one required science prerequisite course one time Applicant s Signature Date: Comments (continue onto page 6 if necessary): Page 5 of 6

6 PAGE FOR ADDITIONAL COMMENTS, EDUCATION, EMPLOYMENT Page 6 of 6

DELTA STATE UNIVERSITY ROBERT E. SMITH SCHOOL OF NURSING RN TO BSN COMPLETION PROGRAM APPLICATION

DELTA STATE UNIVERSITY ROBERT E. SMITH SCHOOL OF NURSING RN TO BSN COMPLETION PROGRAM APPLICATION RN TO BSN COMPLETION PROGRAM APPLICATION I am applying for the Fall of 20 Full-time Part-time 1. Name in Full (Last) (First) (Middle) 2. Home Address (Number & Street or RFD) (City) (State) (Zip) (County)