Thank you for your interest in applying to the Traditional BSN Entry Option at NC Agricultural & Technical State University School of Nursing.

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Dear Applicant: Thank you for your interest in applying to the Traditional BSN Entry Option at NC Agricultural & Technical State University School of Nursing. Applications should be submitted to the Office of Student Services (Suite 109) in the School of Nursing by 5:00 p.m. Admission to the Traditional Entry Option Upper Division is very competitive and dependent on the pool of applicants. Letters of admittance or declinations will be sent by April 1st to your mailing address provided on this application. Additional information regarding enrollment criteria will be provided after admittance into the Upper Division of the Traditional BSN Entry Option. The application packet includes: Application checklist and instructions for completion Please submit completed applications in 8 ½ x 11 envelope addressed as follows: Attn: Traditional BSN Entry Option Coordinator North Carolina A&T State University School of Nursing Room 109 Noble Hall 1601 E. Market Street Greensboro, NC 27411 Sincerely, Tiffany Morris Tiffany Morris, PhD(C), MSN, RN Interim Assistant Director Page 1 of 6

Requirements for Submitting Application Thank you for your interest in applying to the School of Nursing Upper Division at North Carolina A & T State University. The application and required documents must be submitted to the Office of Student Services no later than the application deadline. Late or incomplete applications will affect your admission decision. The application deadline is Friday, February 15, 2019 by 5:00 p.m. The following admission requirement must be met before acceptance to the School of Nursing, Upper Division. Please review the following prior to submitting your application: 1. Completion of the Pre-Nursing Program requirements (lower division courses) with a minimum of 2.8, overall cumulative grade-point average (GPA); course grades must be C or higher for consideration into upper division. 2. The following science courses must be completed with a C or higher on the first attempt: BIOL 100, CHEM 104/114, CHEM 105/115, BIOL 350 and BIOL 351 or approved equivalent. 3. Students must submit OFFICIAL transcripts from All other colleges, universities, and community colleges attended. All transcripts must be submitted with the application packet. 4. A letter of good standing is required for any student previously enrolled in another nursing program (upper division). 5. The pre-requisites listed on the Curriculum Guide must be completed and/or in process at the time of application. 6. Students must submit proof of CNA I Certification with application. 7. Students must submit TEAS Test Scores with application (TEAS Test Version VI). 8. Entrance into the Upper Division begins in the summer semester. If you have additional questions about the application process, please contact the Office of Student Services at (336) 334-7750. Page 2 of 6

Application Checklist Initial each item on the checklist; sign and date the checklist below. Your signature indicates that you have read all the instructions, you understand all the items required by the application and you 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. Submit materials in order listed below. 1. Signed and returned application by Friday, February 15, 2019. 2. Unofficial Transcript for course work completed at North Carolina A & T State University 3. Official Transcripts from all other colleges, universities and community colleges attended 4. Proof of CNA I Certification 5. TEAS Test Scores 6. Letter of Good Standing (if applicable) 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: Banner ID Number: Date: Page 3 of 6

Directions: Please fill out application completely. Please print legibly in black or blue ink. Last Name: First Name: Middle Name: Date of Birth: Race/Ethnicity: Gender: Male Female Marital Status: E-mail (NC A&T): U.S. Citizenship: Yes 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? Mailing Address: City: State: Zip Code: Home Number: ( ) Mobile Number: ( _) Permanent Address: City: State: Zip Code: E-mail: What is the best way to contact you? Page 4 of 6

Application Date: Applying for entry into Upper Division: Summer 2019 Have you previously applied for admission to the Upper Division in the School of Nursing? If yes, indicate the dates attended, previously applied or enrolled BANNER ID NUMBER Name: Previous Education: Last First Middle List all institutions attended (colleges, universities, and community colleges). Official Transcripts are required for all colleges, universities, and community colleges attended for course 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 or disciplinary reasons? Yes No If you answered yes, please explain. Page 5 of 6

Application 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 a traffic violation? 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 current School of Nursing Student Handbook 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. Applicant s Signature Date Page 6 of 6