BACHELOR OF SCIENCE IN NURSING PROGRAM INFORMATION PACKET & APPLICATION Fast Track Option Flagstaff MTN. School of Nursing

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1 BACHEL OF SCIENCE IN NURSING PROGRAM INFMATION PACKET & APPLICATION Fast Track Option Flagstaff MTN School of Nursing Nursing is putting us in the best possible conditions for Nature to restore or to preserve health to prevent or to cure disease or injury. -Florence Nightingale GENERAL INFMATION Read all instructions carefully Complete all applicable information and sign in the appropriate places APPLICATION DEADLINES The application deadline for students wishing to begin the Summer Bachelor of Science in Nursing Program, Fast Track Option is: January 13 th, 2012 NOTICE OF ADMISSION All pre-requisites must be completed by the end of NAU Spring semester. Students will be notified by mail of their admission approximately 6-8 week s status after the deadline date. The Fast Track Option is a three-semester sequence of courses building on your current degree and prerequisite course requirements leading to a Baccalaureate of Science in Nursing. Revised 8/2011 Fast Track Option in Nursing 1

2 LETTER OF GREETINGS FROM SCHOOL OF NURSING CHAIR Dear Nursing Program Applicant, Thank you for your interest in the Fast Track 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 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, PhD, RN 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 Disability Resources Flagstaff, AZ P.O. Box Flagstaff, AZ Undergraduate Admissions: NTHERN ARIZONA UNIVERSITY SCHOOL OF NURSING DISABILITY SUPPT SERVICES (DSS) 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 Revised 8/2011 Fast Track Option in Nursing 2

3 APPLICATION INSTRUCTIONS Fast Track Option Leading to a B.S. in Nursing *ALL APPLICATIONS MUST BE POSTMARKED BY THE APPLICATION DEADLINE* *LATE INCOMPLETE APPLICATIONS WILL BE CONSIDERED F THE NEXT APPLICATION CYCLE* BY THE APPLICATION DEADLINE, APPLICANTS MUST HAVE: 1. Applied to Northern Arizona University at: Northern Arizona University Undergraduate Admissions P.O. Box 4084 Flagstaff, AZ Student s will send OFFICIAL transcripts to NAU Admissions with application. 2. Applied to the School of Nursing at: Northern Arizona University School of Nursing P.O. Box Flagstaff, AZ a. Application for the Bachelor of Science in Nursing/Fast Track Option. Be sure to include: Description of Community Volunteer Description of Health Care Experience b. Unofficial Transcripts with Nursing application from each college or university attended (NAU transcripts do not need to be submitted with your application) c. Two Reference Forms mailed directly to the School of Nursing d. Kaplan Admission Exam (Refer to page 7 & 8 for instructions) An application is considered complete when all of the items on the list above have been received by Student Services (Room 206, Bldg. 72) in the School of Nursing. *Incomplete applications will not be considered for admission* You can send an to nursing@nau.edu to verify if application material has been received, however as the deadline approaches the School of nursing may not be able to respond to all inquiries. The best way to ensure all application material has been received is to send the application by Certified Mail and/or hand deliver. Please Note: Students are required to bear the expenses for travel and housing related to clinical experiences which may be held in outlying communities in Arizona. In addition, there is a $1600 program fee that all BSN students must pay. Students should consider these expenses when applying Revised 8/2011 Fast Track Option in Nursing 3

4 ADMISSION REQUIREMENTS & CRITERIA F SELECTION FAST TRACK OPTION 1. Proof of BA or BS degree from an accredited college by program start date 2. A minimum grade point average of 2.75 (on a 4.0 scale) in prerequisite courses. Please note, the minimum GPA of 2.75 does not guarantee admission to the program. Average pre req GPA of admitted students is typically 3.5 and above 3. Grades in biology courses are particularly emphasized. Research indicates that success in science courses is strongly related to passing the licensure exam. 4. Two reference forms from professional individuals (forms are included in this packet). 5. Proctored KAPLAN Admission Exam results (refer to page 8 for instructions) 6. Evidence of Community Volunteer Experience and Evidence of Health Care Volunteer and/or Work Experience. Minimum 8 hours each (Community Volunteer work and Health Care work). 7. Completion of all prerequisite courses with a grade of C or better. Prerequisite courses are: Course Prefix Course Title Hours Minimum Grade BIO 201 & 201L Human Anatomy and Physiology I & Lab 4 C BIO 202 & 202L Human Anatomy and Physiology II & Lab 4 C BIO 205 & 205L Microbiology and Lab 4 C BIO 320 General Pathology 3 C PSY 101 Introduction to Psychology 3 C PSY 240 Developmental Psychology 3 C NTS 135 NTS 256 *STA 270 PSY 230 Applied Nutrition and Food Selection Medical Nutrition Applied Statistics Intro to Statistics in Psychology All prerequisite courses must be completed by the end of the NAU Spring semester for those applying C C C C Revised 8/2011 Fast Track Option in Nursing 4

5 NOTIFICATION OF ADMISSION STATUS Applicants will be notified by mail of their admission to the Nursing Program approximately 6-8 weeks following the admission deadline. Applicants who are admitted to the Nursing Program must submit to the Student Services office of the School of Nursing copies of the following prior to enrollment into any NUR prefix course: REQUIRED CLINICAL DOCUMENTS 1. Documentation of Physical Exam within 6 months prior to admission to program. 2. Proof of a current negative TB Skin Test. Follow-up treatment is required if the TB Skin Test is positive and must be initiated prior to enrollment in any clinical courses. A TB Skin Test (or evidence of follow-up treatment) is required every 12 months while students are participating in clinical courses. 3. Proof of initial/completion of required two doses of MMR, Measles (Rubella), Mumps and Rubella vaccine. 4. Proof of initial/completion of Hepatitis B vaccine a series of three inoculations over 6 months. 5. Proof of current Tdap (Tetanus, Diphtheria, Pertussis). 6. Proof of CPR Certification (Health Care Provider) that is current for length of program. 7. Proof of Student Health Insurance. 8. Proof of Student Nurse Liability Insurance (a possible provider for liability insurance is: Students may choose other companies to enroll with as well). 9. Proof of Fingerprint Background Clearance Card. NOTE: All of the above items have fees associated with their completion. Students will be required to purchase: 1. NAU Nursing uniform 2. A stethoscope 3. A watch with a second hand 4. NAU name badge displaying first & last name 5. Membership to the National Student Nurses Association And participate in the NAU SNA The Student Services Office will accept only photocopies of all documentation of health related materials. Students are to retain all originals in a safe and accessible place. Students are required to maintain current records of the above listed documents until graduation. Furthermore, the student is responsible for providing copies to Student Services (Bldg 72, Room 206) as they are renewed. Students are responsible for maintaining their own health records. Students will be administratively withdrawn from clinical assignments if all required clinical documents are not up to date and on file at the School of Nursing and current through the academic semester. Students may have to meet additional requirements while working in some clinical site. Some examples are additional system training or drug testing. Some faculty require students to maintain a personal folder of all the above listed documents. When attending clinicals, students must keep copies of their own documents. Student Services WILL NOT provide copies NOTE: Clinical Experiences will sometimes be conducted in outlying areas Students are required to bear the expenses for travel and housing related to clinical experiences. Revised 8/2011 Fast Track Option in Nursing 5

6 Accelerated-Option BSN Curriculum Plan Semester I Summer NUR 330 Nursing as a Discipline and Profession (3 week) 3 NUR 331 Applied Pharmacology and Pathophysiology (10 week) 4 NUR 332* Nursing Assessment and Process (10 week) 3 NUR 333* Communication and Mental Health Nursing (10 week) 5 15 credits Semester II Fall NUR 319* Fundamentals of Nursing Practice (3 weeks) 2 NUR 334* Adult Health Nursing 14 NUR 390 Evidenced Based Practice and Nursing Research 3 19 credits Semester III Spring NUR 335* Nursing Care of Child-Bearing Child-Rearing Families 7 NUR 441* Health Policy and Public Health Nursing 6 NUR 450C Advanced Applied Nursing 3 NUR 408* Fieldwork 2 18 credits Total hours to graduation: 52 *Includes a clinical practicum Revised 8/2011 Fast Track Option in Nursing 6

7 NTHERN ARIZONA UNIVERSITY SCHOOL OF NURSING Suggested Application Checklist Completed Complete By Task to Complete Semester prior to application SCHEDULE AN APPOINTMENT WITH NURSING ADVIS - This is recommended to ensure that you have met all requirements for application and understand application process thoroughly. Phone appointments are encouraged for out of state students. Additional meetings can be set up throughout the application process to answer any questions. Gregg Schneider Gregg.Schnedier@nau.edu (928) Chris Jensen Christopher.Jensen@nau.edu (928) Tina Johnson Tina.Johnson@nau.edu (928) APPLY TO NTHERN ARIZONA UNIVERSITY - Order Official transcript to be sent to undergraduate admissions. Applications can be completed online at: At least 30 days prior to application deadline Make request to Student Service at least 14 days prior to application deadline Send out at least 1 week prior to application deadline CALL WITH QUESTIONS As the deadline gets closer we get extremely busy and are not able to respond to every last minute inquiry. So contact us early if you have questions. SCHEDULE THE KAPLAN ADMISSION EXAM Students may take the exam only once per application cycle. The test consists of 91 questions for a total of 165 minutes. The breakdown is as follows: Reading 22 questions; 45 minutes Math 28 questions; 45 minutes Writing 21 questions; 45 minutes Science 20 questions, 30 minutes For information on how to schedule the exam see page 8. It is important to schedule the exam in advance to ensure a seat is available. For study guide information go to: Amazon.com also carries study guide COMPLETE SCHOOL OF NURSING APPLICATION - Download from - Fill out the application legibly and completely. - Print application and sign the pages that require a signature. - Mail completed applications (pages 9 thru 13) to Student Service Office: *All application material must be postmarked BY THE APPLICATION DEADLINE in order to be considered for that application cycle. *Late or incomplete applications will not be reviewed. *This is only a suggested timeline for application. It is the responsibility of the student to ensure that all required material for application are postmarked or received at Student Services by 5:00 pm on the application deadline date* Revised 8/2011 Fast Track Option in Nursing 7

8 INSTRUCTIONS F KAPLAN NURSING ADMISSION EXAM Fast Track BSN Program NOTE: The KAPLAN Admission Exam score is used for screening and ranking of applicants. You may only take the Kaplan exam once per application cycle. For Students in the Flagstaff Area 1. Contact the NAU Counseling and Testing Center( (928) ) to schedule the Kaplan Admissions exam. There is a proctor fee that is due at the time of scheduling. 2. Click on the LINK below and fill out the form completely 3. You will receive a confirmation from Nursing@nau.edu; print and keep a copy of this confirmation to take with you to the testing center. Testing sessions are by appointment only. Proctor fee/testing fee is required at the time the appointment is made. You must bring two forms of ID, including at least one photo ID, in order to take the exam. For Students not in the Flagstaff Area 1. Find a testing center in your local area that is willing to proctor the exam. Most community colleges and universities have a testing center. Be sure to get a valid address and contact information. 2. Click the LINK below and fill out the form completely 3 You will receive a confirmation from Nursing@nau.edu; print and keep a copy of this confirmation to take with you to the testing center. NOTE: The test proctor WILL NOT administer the exam unless they have received an from the School of Nursing confirming your test date and time. Testing sessions will be by appointment only. Check with your test proctor so see if there is a testing fee. Photo ID required. Revised 8/2011 Fast Track Option in Nursing 8

9 NTHERN ARIZONA UNIVERSITY SCHOOL OF NURSING APPLICATION FAST TRACK OPTION PERSONAL INFMATION Name NAU ID Number Planned Date of Enrollment: Summer 20 Flagstaff Campus Permanent Address (Street, Apt #) City, State, Zip Code Permanent Telephone Number: Current Address (Street, Apt #) City, State, Zip Code Local Telephone Number: Work Telephone Number: Address: Person to contact in case of emergency: Telephone Number: Relationship: State of legal residence: All languages in which you are fluent: Please indicate your primary language: Licensing (check all that apply): CNA LPN EMT OTHER Birth Date: Birth place (city and state): Country: The following questions are voluntary and will be used for statistical purpose only: Marital Status: Single Married Divorced Separated Number of Dependents: Predominant Ethnic Background (Check appropriate box) American Indian or Native Alaskan Tribe: African American Asian or Pacific Islander Hispanic White or Caucasian Sex: U.S. Citizen U.S. Veteran Female Male Yes No Yes No Revised 8/2011 Fast Track Option in Nursing 9

10 EXPECTATIONS COMMUNITY VOLUNTEER AND HEALTH RELATED EXPERIENCES 1. Applicants are expected to provide evidence and verification of their participation in experiences that benefit their community and their experience in some aspect of the health care profession. 2. Please list below how you have fulfilled these two expectations. 3. If contact person is not provided, application will be considered incomplete. Community Volunteer Experience Community Volunteer Agency Duties/Events Contact Person Phone Number Health Care Professions Service Related Experience Agency Duties/Events Contact Person Phone Number Please be accurate in listing names and telephone numbers of contact personnel. The School of Nursing will verify your participation in the above activities. Revised 8/2011 Fast Track Option in Nursing 10

11 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 and State Dates of Attendance From: mm/yy To: m/yy Degree or Certificate (Indicate Major Field) PREREQUISITE COURSES Course Credit Hours Prefix and Course # Institution Semester/Year Taken Grade (write IP if currently in progress) Human Anatomy. & Physiology. I (BIO 201 & Lab) Human Anatomy and Physiology II (BIO 202 & Lab) Microbiology (BIO 205 & Lab) General Pathology (BIO 320) Intro. To Psychology (PSY 101) Developmental Psychology (PSY 240) Human Nutrition (NTS 135) (NTS 256) Applied Statistics (STA 270) Intro to Stats in Psychology (PSY 230) * Courses taken outside of the state of Arizona must be reviewed by the curriculum committee* Send course descriptions and unofficial transcripts to the Student Services office for review. Revised 8/2011 Fast Track Option in Nursing 11

12 BACKGROUND INFMATION The Arizona State Board of Nursing uses a fingerprint background checks to investigate previous felonies, misdemeanors, and arrests. If a felony is less than five years since absolute discharge, the applicant is ineligible to apply for licensure. Although having a misdemeanor or arrest is not cause to deny licensure, the behavior that caused the event may indicate unprofessional conduct and may be grounds to deny or restrict nursing licensure. The following two questions provide necessary information related to future licensure. 1. Are you currently under investigation or is disciplinary action pending against a nursing license, CNA certificate, or any other license or certification you hold in any state, or territory of the United States? YES NO 2. Have you ever been convicted, entered a plea of guilty, nolo contendre or no contest, or have you ever been sentenced, served time in jail or prison, or had probation or sentence deferred in any felony or undesignated offense? YES NO The undersigned declares that he/she is the person referred to in the foregoing application; that the statements are true in every respect; that he/she has not suppressed any information that would affect this application; that he/she will conform to ethical standards of conduct in the profession of nursing; that he/she understands that failure to disclose the requested information or disclosure of false or misleading information may constitute fraud and may result in denial of admission or disciplinary action. Previous RN Program Information: Have you ever been enrolled in a Registered Nursing program in this state or any other state? YES NO If YES, please provide the following information: School Name Type of program: ADN BSN Dates of Enrollment Reason for non-completion ADMISSION DISCLAIMER Fast Track Accelerated 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: Revised 8/2011 Fast Track Option in Nursing 12

13 Northern Arizona University School of Nursing BS in Nursing Fast Track Option Memorandum of Agreement The Bachelor of Science in Nursing Fast Track Option for second-degree students requires full-time commitment to studies because of its intense nature and Fast Track format. While you are enrolled in this program, it is expected that you will not work more than 12 hours per week and that you will refrain from work commitments at least 8 hours prior to class or clinical assignments. Because this is a statewide program, students will be required to travel to sites throughout the state for clinical experiences and will be responsible for travel/lodging expenses related to these experiences. Clinical experiences will involve several weeks of 3-5 days per week at statewide sites. Also note that starting in Summer 2011 students are required to pay a $1600 program fee. Students will need to plan their family and work commitments accordingly. The program of study is 3 consecutive semesters (including summer). By signing the Memorandum of Agreement you are acknowledging that you understand and agree to your responsibilities as described above. Printed Name Date Signature Date Revised 8/2011 Fast Track Option in Nursing 13

14 REFERENCES 1. Two references are required with the application. 2. The references should be from individuals who are well acquainted with your work experience, academic preparation, and performance, and who are able to judge your qualifications for professional nursing. A. Professors, employers, and other professional are appropriate persons to complete the form. B. Relatives, neighbors, personal friends, or those known in a social capacity will not be accepted as references. 3. The reference forms must be mailed directly to Student Services, NAU School of Nursing (PO Box Flagstaff, AZ 86011) by the individual writing the reference. 4. Two reference forms are included in the application. 5. List the individuals who will be completing the reference forms in the space below 1. Name Title Agency Address (Street, Apt #) City, State, Zip Code Telephone Number: 2. Name Title Agency Address (Street, Apt #) City, State, Zip Code Telephone Number Without two references the application will be incomplete and cannot be evaluated for admission. It is the Students responsibility to ensure the forms are received by the application deadline. Revised 8/2011 Fast Track Option in Nursing 14

15 NTHERN ARIZONA UNIVERSITY SCHOOL OF NURSING P.O. Box FLAGSTAFF, AZ PROSPECTIVE BACCALAUREATE STUDENT REFERENCE FM FAST TRACK OPTION APPLICANT: APPLICANT INSTRUCTIONS This form is to be given to the person recommending you. Under the Federal Family Educational Rights and Privacy Act of 1974, students are entitled to review their record, including letters of recommendation. However, those writing recommendations and those assessing recommendations may attach more significance to them if it is known that the recommendations will remain confidential. It is your option to waive your right to review these records or to decline to do so. Please mark the appropriate statement below, indicating your choice of option, and sign your name. Please check only one option. I elect to keep this recommendation confidential. I waive all rights of access to this recommendation, whether visual, oral, or written, as provided in the Family Educational Rights and Privacy Act of 1974 and its amendments. I understand that this recommendation will not be available for my inspection now or in the future. I elect to keep this recommendation non-confidential, and the recommendation may be shown at my request. Signature of Applicant: Date: RECOMMENDER INSTRUCTIONS The above student is applying to the Nursing Program at Northern Arizona University and has selected you as a reference. Please complete the attached reference form to evaluate the applicant. Please DO NOT complete this form if the above name candidate has failed to designate a confidentiality option about or has failed to sign the confidentiality option above. Your prompt response is appreciated. The completed reference forms must be mailed directly to the School of Nursing, at the address above. Revised 8/2011 Fast Track Option in Nursing 15

16 Applicant Name: NTHERN ARIZONA UNIVERSITY REFERENCE FM Fast Track Option Your Name: Your Address Your Telephone Number Your title and organization In what capacity do you know the applicant? How long have you know the applicant? PART I Read each sentence and rate the applicant. Check the word(s) that best describes your response to each statement. 1. The applicant is productive, resourceful, persevering and creative. 2. The applicant is perceptive, logical, observant, and inquiring. 3. The applicant is responsible, accountable, consistent, and has life experience. 4. The applicant is collaborative, cooperative, and communicates well. 5. The applicant manages time effectively and is able to set priorities. 6. The applicant is innovative, open minded, and open to new ideas. 7. The applicant is honest, reliable, and dependable. 8. My overall impression of this candidate is: Excellent Very Good Average Below Average Poor Unknown PART II Please briefly comment of the following: 1. The applicant s potential for success in the nursing program. 2. The applicant s capacity to analyze a problem and arrive at a workable solution. 3. Any strengths that will contribute to successfully completing the nursing program. 4. Factors which could affect the applicant s successful completion of the nursing program. Signature: Date: Revised 8/2011 Fast Track Option in Nursing 16

17 NTHERN ARIZONA UNIVERSITY SCHOOL OF NURSING P.O. Box FLAGSTAFF, AZ PROSPECTIVE BACCALAUREATE STUDENT REFERENCE FM FAST TRACK OPTION APPLICANT: APPLICANT INSTRUCTIONS This form is to be given to the person recommending you. Under the Federal Family Educational Rights and Privacy Act of 1974, students are entitled to review their record, including letters of recommendation. However, those writing recommendations and those assessing recommendations may attach more significance to them if it is known that the recommendations will remain confidential. It is your option to waive your right to review these records or to decline to do so. Please mark the appropriate statement below, indicating your choice of option, and sign your name. Please check only one option. I elect to keep this recommendation confidential. I waive all rights of access to this recommendation, whether visual, oral, or written, as provided in the Family Educational Rights and Privacy Act of 1974 and its amendments. I understand that this recommendation will not be available for my inspection now or in the future. I elect to keep this recommendation non-confidential, and the recommendation may be shown at my request. Signature of Applicant: Date: RECOMMENDER INSTRUCTIONS The above student is applying to the Nursing Program at Northern Arizona University and has selected you as a reference. Please complete the attached reference form to evaluate the applicant. Please DO NOT complete this form if the above name candidate has failed to designate a confidentiality option about or has failed to sign the confidentiality option above. Your prompt response is appreciated. The completed reference forms must be mailed directly to the School of Nursing, at the address above. Revised 8/2011 Fast Track Option in Nursing 17

18 Applicant Name: NTHERN ARIZONA UNIVERSITY REFERENCE FM Fast Track Option Your Name: Your Address Your Telephone Number Your title and organization In what capacity do you know the applicant? How long have you know the applicant? PART I Read each sentence and rate the applicant. Check the word(s) that best describes your response to each statement. 1. The applicant is productive, resourceful, persevering and creative. 2. The applicant is perceptive, logical, observant, and inquiring. 3. The applicant is responsible, accountable, consistent, and has life experience. 4. The applicant is collaborative, cooperative, and communicates well. 5. The applicant manages time effectively and is able to set priorities. 6. The applicant is innovative, open minded, and open to new ideas. 7. The applicant is honest, reliable, and dependable. 8. My overall impression of this candidate is: Excellent Very Good Average Below Average Poor Unknown PART II Please briefly comment of the following: 1. The applicant s potential for success in the nursing program. 2. The applicant s capacity to analyze a problem and arrive at a workable solution. 3. Any strengths that will contribute to successfully completing the nursing program. 4. Factors which could affect the applicant s successful completion of the nursing program. Signature: Date: Revised 8/2011 Fast Track Option in Nursing 18