West Shore Community College Nursing Program Application and Point Sheet

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West Shore Community College Nursing Program Application and Point Sheet NAME Student ID # Fall 2018 Section A- High School GPA or Calculated College GPA (Applicant to provide transcript) HIGH SCHOOL GPA (GED SCORE*) Use for less than 12 college credits CALCULATED COLLEGE GPA USE FOR 12 COLLEGE EDITS OR MORE.90 + 6 POINTS.90+ 0 POINTS TOTAL.80 -.89 POINTS.80 -.89 8 POINTS POINTS.70 -.79 2 POINTS.70 -.79 6 POINTS.60 -.69 0 POINTS.60 -.69 POINTS (0 possible points).50 -.59 28 POINTS.50 -.59 2 POINTS.0 -.9 26 POINTS OR.0 -.9 0 POINTS.0 -.9 2 POINTS.0 -.9 28 POINTS.20 -.29 22 POINTS.20 -.29 26 POINTS.10 -.19 20 POINTS.10 -.19 2 POINTS.00 -.09 18 POINTS.00 -.09 22 POINTS 2.50-2.99 16 POINTS 2.50-2.99 20 POINTS Section B - HESI COMPOSITE SCORE (Average of English Composite & Math scores) Check One: Use all college classes Use only college classes within last 8 years (from F 2009 forward) * Please contact the Nursing Program Office (21) 8-5818 for more information if you have a GED and less than 12 College credits. HESI ADMISSIONS TEST SCORE 99-95 10 POINTS 9-90 8 POINTS 89-85 6 POINTS 8-80 POINTS 79-75 2 POINTS TOTAL POINTS (10 points possible) Section C Bonus Points General Education College Coursework (Coursework transferable for BSN) All courses in SECTION C are awarded 1 point for B- or B. Two points awarded for an A or A-. ANP 20 ENG 111 CHM 107 PSY 161 ANP 21 BIO 22 Section D- Work Experience/Allied Health/Certification SECTION A + SECTION B + SECTION C + SECTION D + 2 POINTS TOTAL POINTS (12 points possible) Health Care Work Experience (Letter must be on letterhead with experience in direct care in past years) 6 months 1 year work experience (2 points) 1-2 years work experience ( points) 2+ years work experience (6 points) (Applicant to provide letter from employer verifying length of employment & duties) Allied Health Class w/o CENA cert. (2 points) Current CENA/MA/EMT certification (must provide copy of certification) ( points) TOTAL POINTS (10 points possible) 2 points awarded for applicants who are In- District residents of the College. = TOTAL POINTS

Student Criminal Background Disclosure Statement To be Retained by the Educational Institution Student Name: of Birth: Educational Institution Name: Training Program: 1. I certify that I have not been convicted of a crime or offense that prohibits me from being granted clinical privileges in a long-term care setting as required by P.A. 27, 28 and 29 of 2006 within the applicable time period prescribed by each crime. 2. I certify that I have not been the subject of an order or disposition under the Code of Criminal Procedure dealing with findings of not guilty by reason of insanity for any crime.. I certify that I have not been the subject of a state or federal agency substantiated finding of patient or resident neglect, abuse or misappropriation of property or any activity that caused my nurse aide certification to be flagged.. I have listed below all offenses for which I have been convicted, including all terms and conditions of sentencing, parole and probation and any substantiated finding of patient or resident neglect, abuse or misappropriation of property. Conviction/Offense of Conviction/Finding City State Sentence of Discharge 5. I certify that I have reviewed the list of prohibited offenses as defined in P.A. 27, 28 and 29, and that the above list of my convictions and/or substantiated findings of patient or resident neglect, abuse or misappropriation of property (if any) is true, correct and complete to the best of my knowledge. I also understand that if the information is not accurate or complete, my clinical privileges will be withdrawn immediately. I understand that the facility or educational program denying my privileges based on information retained through a background check is provided immunity from any action brought by a Student due to the decision to remove clinical privileges.

ENG 111 PSY 161 Ferris State University College of Health Professions NURSING Bachelor of Science (BS) Degree-BSN West Shore Community College RN to BSN Completion Track Semester 1 (Summer) English Composition I Introduction to Psychology 6 ANP 20 MTH 121 WSCC PHL 10 Semester 2 (Fall) Anatomy & Physiology I Intermediate Algebra Cultural Enrichment or Global Consciousness Bio Ethics 1 Semester (Winter) Semester (Summer) ANP 21 Anatomy & Physiology II WSCC Cultural Enrichment ENG 112 English Composition II Global Consciousness Elective PSY 266 Social Psychology BIO 22 Elementary Microbiology SPE 110 Interpersonal Communication 7 1 Semester 5 (Fall) Semester 6 (Winter) NUR 110 Fundamentals of Nursing Theory NUR 160 Medical Surgical Nursing I NUR 111 Fundamentals of Nursing Clinical NUR 161 Medical Surgical Nursing I Clinical NUR 16 Pharmacology for Nurse NUR 170 Obstetrics & Pediatrics Theory POL 151 American National Government NUR 171 Obstetrics & Pediatrics Clinical 1 1 WSCC Upper Level Cultural Enrichment Ferris 1 Semester 7(Summer) Semester 8 (Fall) ENG 21 Advanced Composition NUR 220 Mental Health Nursing COHP 50 Health Care Statistics NUR 221 Mental Health Nursing 1 6 NUR 20 Medical Surgical Nursing II NUR 21 Medical Surgical Nursing II Clinical NUR 20 RN to BSN Skills Acquisition 1 Semester 9 (Winter) (Summer) NUR 25 Professional Issues in Nursing NUR 255 Professional Issues in Nursing Lab NUR 258 Medical Surgical Nursing Theory III NUR 259 Medical Surgical Nursing III Clinical NURS 2 Transition to Profess Nursing Graduate ADN 1 1 SUMMER NCLEX EXAM COHP 50 Evidenced Based health Practice

Completion Schedule-Part Time Semester 10 Semester 11 NURS 10 NURS xx Population Based Health Promo Elective 6 NURS 0 NURS 0 Community Nursing Leadership in Nursing 6 Semester 12 NURS 50 Nursing Capstone NURS 95 Senior Capstone Leadership Practicum BSN Graduation 7 Alternative Completion Schedule-Part Time Semester 10 Semester 11 NURS 10 NURS xx NURS 0 Population Based Health Promo Elective Community Nursing 9 NURS 0 Leadership in Nursing NURS 50 Nursing Capstone NURS 95 Senior Capstone Leadership Practicum BSN Graduation 10

NURSING APPLICATION CHECKLIST Before submitting your Nursing Program Application, please be sure ALL the documentation listed below is included. Application period is January 1 March 1 for admission beginning in the fall 2018. Submit an admission application to West Shore Community College available on line @ https://my.westshore.edu/ics/admissions/1 Eligibility for Math 120 as evidenced by (one of the following) MTH 051/MTH 098 with a C (2.0) or better; MTH 120 with a C (2.0) or higher or transfer equivalent; Appropriate placement test scores within the last five (5) years. Eligibility for ENG 111 as evidenced by English Comp I with a C (2.0) or better or equivalent transfer credit; Appropriate placement test scores within the last five (5) years. Submit ANY and ALL OFFICIAL high school and college transcript(s) to Student Services. Address: West Shore Community College 000 N. Stiles Road, Scottville, MI 95. GPA calculation sheet required with a WSCC advisor s signature if more than one college was attended. Calculation sheet available from an advisor. Must have a minimum overall GPA of a 2.5 or better in coursework prior to making application. THEN Submit the Nursing Application Form, and all necessary documentation, to Student Services. Attach proof of Completed HESI test. Must score a 75 or higher. May only take the test twice. Take the Medical Math Test: Must score 100% (three tries/application year allowed). Letter of proof of passage must be submitted with your application. Letters can be obtained through the Nursing Department if original was not retained. Passage of the Medical Math Test is good for two years. We offer a Medical Math review online, through Canvas, and it is free of charge. If interested, please contact Wanell Cabot (21) 8-5818, wkcabot@westshore.edu for details. Attach, if pertinent, verification of direct care (employment) within the past years. For example, a letter from an employer on agency letterhead indicating employment dates and job responsibilities. Attach signed criminal background disclosure form. Attach completed point sheet and any certifications. Please Note: While the total points for entrance into the Nursing Program changes each year, the students accepted in the Fall 2017 Nursing Program had point scores of 7 and above. Achieving this score does not guarantee admission into the Nursing Program, but does act as a guide for those applying. Student Services will accept only completed packets. If any of the above items are missing, the application may be considered incomplete and will not be considered for acceptance. COLLEGE PLACEMENT and HESI tests & scores can be retrieved in the Testing Center (21.8.5528). Picture ID must be presented.

Important Notes To All WSCC 1 st Level Nursing Applicants Thank you for considering the West Shore Community College Nursing Program. As you consider making application to the program, we would like you to know we care about our students and support them in their journey to be an excellent nurse. If accepted, you would be joining a program with a rich heritage of nursing graduates since 1982. It is the applicant s responsibility to ensure that the WSCC Admissions Office is in receipt of all required admissions documentation. 1. You must have an Application for Admission to West Shore Community College on file to be considered for admission to the Nursing Program. 2. If you are interested in the Academic Progression Program (BSN) please make an appointment today with student services for advising at 21.8.5510 or call the nursing office at 21.8.5818 space is limited.. All students applying for the WSCC Nursing Program, must submit an application packet yearly between January 1 st and March 1 st. Only completed application packets will be considered. Please refer to the Nursing application check list for pertinent information.. Your high school or GED transcripts must be on file with the WSCC Admissions Office prior to action being taken on your application. Be sure your high school transcript is complete, showing all eight semesters. 5. You must have official copies of any and all post-secondary education transcripts forwarded to the WSCC Admissions Office prior to action being taken on your application. 6. HESI Test: To schedule your HESI test, please contact the Learning and Testing Center at: 21.8.5528 or email: testingcenter@westshore.edu. The cost of this test is $62 and can only be taken twice. 7. Medical Math Test: You must score 100% and submit your letter of proof with your application packet. You are allowed three chances to achieve your 100% per year. To schedule your Medical Math Test, please contact the Learning and Testing Center at: 21.8.5528. Passage of the Medical Math Test is good for two years. Success letters can be picked up at the Nursing Department located in the Technical Center. Please call ahead to Wanell Cabot, 21.8.5818 to ensure your letter is ready for pickup.