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APPLICATION INFORMATION BEFORE YOU START YOUR APPLICATION This application is only for the Full-Time pre-licensure nursing program that begins in and continues through the Summer 2020 semester. The School of Nursing also admits students for the Full-Time and Part- Time tracks in the Spring and Fall terms. APPLICATION PROCESS Application Steps There are two separate application processes for the School of Nursing: 1. You must first be admitted to NSC in the Interdisciplinary Studies Major Health and Wellness Concentration with a Nursing Sciences minor. In order to be admitted to NSC, you must apply online and submit all of your official transcripts. Applications for admission take approximately 4-6 weeks to process. 2. Once you have been admitted to NSC, you may then submit your application to the School of Nursing. Nursing Application Deadline Applications for the semester must be submitted and received at the School of Nursing by 5:00 PM on Friday, February 8, 2019. The School of Nursing is not responsible for late nor missing applications. Decision Notification Letters will be mailed to the mailing address provided on this application approximately 3 weeks after the application deadline. Letters cannot be emailed nor picked-up in person. The address provided on this application must match the current mailing address listed in MyNSC. Please review your MyNSC Student Center to verify that all of your contact information is up-to-date. APPLICATION ASSISTANCE In order to complete this application, you will need a pre-nursing degree audit which is available in your MyNSC Student Center. Instructions on how to access this degree audit are included with this application. Nursing Application Workshops The School of Nursing and the Academic Advising Center (AAC) are holding four information/open lab sessions on the application to help you complete your application properly. This is also an opportunity to ask any questions you may have and attendance is highly recommended. The sessions are scheduled for: Workshop 1 Date: Thursday, January 24, 2019 Time: 11:30 AM 12:30 PM Workshop 2 Date: Thursday, January 24, 2019 Time: 2:30 3:30 PM Workshop 3 Date: Friday, January 25, 2019 Time: 2:00 3:00 PM Workshop 4 Date: Tuesday, January 29, 2019 Time: 11:30 AM 12:30 PM Space is limited to first-come, first-served. Please note: the AAC is unable to schedule individual appointments with students for the purpose of reviewing applications or answering questions about the application. If you have questions about your application, please come to one of the application workshops. If you have any discrepancies on your Degree Audit, you may speak with an advisor during the application workshops or you can email alicia.lamotte@nsc.edu with any concerns. Emails should be tagged as High Importance and should have Urgent: Degree Audit Discrepancy SON Application in the subject line. Any requests for Degree Audit adjustments must be emailed by February 1, 2019. ADDITIONAL INFORMATION Please review your application for completeness and accuracy. An incomplete application may affect your admission ranking or eligibility. If you have any general questions or concerns regarding the completion of this application, please email nursing@nsc.edu or call the School of Nursing at 702-992- 2850 during the hours of 8:00 AM 5:00 PM., Monday- Friday. Staff are available for general inquiries but are unable to review individual applications for accuracy prior to submission. Students who are admitted into the semester must be available to attend two new student orientations. These all-day orientations are scheduled for: o Friday, March 15, 2019 o Friday, May 10, 2019 FINANCIAL AID Financial aid may be limited or unavailable in the Summer semesters. Please contact Financial Aid for any questions regarding eligibility: J. Russell & Carol Raker Student Success Center, Second Floor Phone: 702-992-2150 Email: finaid@nsc.edu Web: www.nsc.edu/financial-aid DISABILITY RESOURCE CENTER If you encounter difficulty with the accessibility of this document, please contact the Disability Resource Center at 702-992-2182.

APPLICATION SUBMISSION Completed applications are submitted to the School of Nursing. Be sure to sign the last page of the application and submit all required documents. Applications may be submitted in-person or mailed to: In-person: Nevada State College School of Nursing ATTN: Dañelle Sundell 1300 Nevada State Drive NSE Bldg., Office 238 Henderson, NV 89002 Applications are accepted in-person Monday-Friday from 8:00 AM 5:00 PM. Mail: Nevada State College School of Nursing ATTN: Applications 1300 Nevada State Drive NSE Bldg., Office 238 Henderson, NV 89002 Mailed applications must be received by the application deadline of February 8, 2019. The School of Nursing will be closed on Monday, January 21, 2019. Submitted applications need to include the following: Ø APPLICATION: All 4 pages of the nursing application. The application must be typed and all sections completed. Ø DEGREE AUDIT REPORT: A copy of your current NSC pre-nursing degree audit. The report submitted with your application must include the grades received in all courses taken at NSC through the Winter 2019 session. Ø TEAS RESULTS: The results of all TEAS exam taken within the past 2 years. You may locate your results by logging into your account at www.atitesting.com, click on My Results, click on ATI TEAS to open your results, and click on Download Report (if taken more than once, you will need to do this for each separate exam). The title of the report should read Individual Performance Profile. Do not click on the Download button under the My Results tab. *If you have taken the TEAS test at a location other than Nevada State College, you must also order a transcript of your most recent results from ATI Testing and have it sent to Nevada State College. We require an official transcript sent directly from ATI and your results must be received by the nursing application deadline. APPLICATION DEADLINE: FRIDAY, FEBRUARY 8, 2019 AT 5:00 PM

HOW TO DOWNLOAD A PRE-NURSING DEGREE AUDIT REPORT 1. From the MyNSC Student Center, select What-if Report from the drop down menu 2. Select Create New Report 3. Complete the fields as shown and select Submit 4. Select view report as pdf to download report

Applications must be typed handwritten applications will not be accepted. Section I: Nursing application status: First-Time Applicant Previously Applied Section II: Personal Information NSHE ID: Last Name: First Name: Please list any other names that may appear on your records (e.g., maiden name): Mailing Address: Unit/Apt. #: City: State: Zip/Postal Code: Email Address: Cell Phone: ( ) - Home Phone: ( ) - The following information is optional and for statistical purposes only, it is not used in the admission decision: Date of Birth (mm/dd/yyyy): / / Are you Hispanic or Latino? Yes No Select YES if you are Hispanic or Latino. (A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture origin, regardless of race) Section III: TEAS and GPA Verification Gender: Female Male Ethnicity (select all that apply) American Indian or Alaska Native Asian Black or African American Hispanic or Latino Native Hawaiian or Other Pacific Islander Other Race/Ethnicity Unknown White Have you taken the TEAS exam? Yes No If no, when and where are you scheduled to take the TEAS exam? If yes, list the dates and locations of all TEAS exams taken within the past 2 years: Date: / / Date: / / Location: Date: / / Location: Location: Date: / / Location: The TEAS may be taken a maximum of two times within the previous two years. If attempted more than twice, the score received on your 2 nd attempt will be used for admission purposes. The TEAS must be taken no later than the application deadline in order to be considered for Summer admission. Nursing Specific Program GPA: Cumulative GPA: GPA information can be found on your Degree Audit Report. Applicants with less than a 3.25 Pre-Nursing Specific Program GPA and/or less than a 2.50 cumulative GPA will not be considered for admission to the School of Nursing.

Section IV: Licensing Information These questions are asked prior to admission because they may also appear on the Application for Licensure with the State Board of Nevada. Applicants with affirmative responses should contact the Nevada State Board of Nursing directly. Although applicants will not necessarily be precluded from being admitted on the basis of prior felony convictions, they are advised that the professional licensing boards in the State of Nevada and elsewhere may refuse to issue a license if an individual has a felony or other conviction on his or her record. You are advised that, if you have been convicted of a criminal offense, other than a minor traffic offense, you will be required to disclose the nature of the offense, the court in which the conviction occurred, and what disposition occurred as a result of that offense. This disclosure must be made irrespective of whether you served a sentence and had your civil rights restored, or whether you have had the conviction(s) expunged from your record. A background check will be required for all students prior to clinicals. YES NO 1. Has your application, or your license, registration, certificate, or privilege to practice in any jurisdiction, of any level (does not include driver's license or car registration): a. Ever been denied or disciplined by a regulatory Board including but not limited to reprimanded, censured, fined, suspended, revoked, surrendered, limited or restricted, or placed on probation or monitoring? b. Ever been subject to a non-disciplinary probation or monitoring program? AND/OR c. Is your license the subject of a current investigation, inquiry, pending settlement or hearing in any state or jurisdiction? YES NO 2. Have you ever had a criminal conviction, including a misdemeanor or felony, or had a civil judgment rendered against you? YES NO 3. Do you currently use chemical substances in any way which impairs or limits your ability to practice the full scope of nursing? YES NO 4. Are you currently in recovery for chemical dependency, chemical abuse or addiction? YES NO 5. Do you currently have a medical or psychiatric/mental health condition which in any way impairs or limits your ability to practice the full scope of nursing? YES NO 6. Have you ever had a malpractice judgment or settlement entered against you, or do you have any pending malpractice suits or claims filed against you? If your answer is YES to any of the above questions, provide a detailed explanation below. Failure to provide an explanation will be considered an incomplete application. For further information on criminal convictions for people interested in a nursing career in Nevada, please visit the Nevada State Board of Nursing website at http://nevadanursingboard.org/licensureand-certification/criminal-convictions. Page 2 of 4

Section V: Nursing Prerequisite Courses The School of Nursing requires that the following prerequisite courses be completed before starting the nursing program. You may have up to 12 nursing prerequisites credits in progress during the Spring 2019 semester when applying for admission with the following conditions: 1) courses must only be taken at NSC; 2) BIOL 223, BIOL 224, and BIOL 251 must be completed at the time of application*. In the below table, indicate the status of your prerequisite courses: If you have completed the course, enter the grade received. Include the grades for any courses that may have not yet transferred to NSC and/or are pending course substitution requests and make a note in the next column regarding the status of the course (e.g., transcript under review ). If you have not completed the course, indicate when and where you are taking the course. Nursing Prerequisite Example 1 for NURS 337 (course completed) If completed, enter grade(s) received: A If not completed, confirm where and when you are taking course: Example 2 for NURS 337 (course not completed) Nevada State College, Spring 2019 ENG 101 ENG 102 CEP 123 (if required) MATH 120 (or higher) BIOL 189 CHEM 112 or 108 Fine Arts Cultural Diversity SOC 101 or ANTH 101 CH 203 or US Constitution NV Constitution COM 101 Humanities PSY 101 PSY 210 or NURS 330 BIOL 223 BIOL 224 BIOL 251 CHS 421 NURS 140 NURS 337 *BIOL 223, 224, and 251 must be complete at the time of application. If you are currently retaking any of these courses, the grade(s) received on your previous attempt(s) will be calculated into your program specific GPA. Page 3 of 4

Section VI: Acknowledgements By initialing the following, I acknowledge and understand that: If I am admitted into the nursing program for the semester, I will be required to initial attend two new student orientations on Friday, March 15, 2019 and Friday, May 10, 2019. I must submit all required clinical health documents to the School of Nursing by the established initial deadlines or I may be dismissed from the program. I certify that the information provided by me on this application is complete and accurate. If I am admitted to the Nevada State College School of Nursing, I agree to abide by the established rules and regulations of the college and accept the obligations imposed on me by the honor system. I acknowledge that if I omit relevant information or provide inaccurate information (either by purpose or error), the School of Nursing may deny my application for admission or give priority to students who submitted complete and accurate applications. Applicant s Signature Date Print Name Page 4 of 4