BRCC TRADITIONAL FULL TIME NURSING CLINICAL COMPONENT APPLICATION PACKET

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BRCC TRADITIONAL FULL TIME NURSING CLINICAL COMPONENT APPLICATION PACKET The primary criteria for competitive selection into the clinical nursing component includes, but will not be limited to, nursing entrance test scores, academic performance as determined by cumulative grade point average in pre-nursing general education courses*, and references. Admission preference will be given to residents of the Counties of Augusta, Rockingham, Highland, and the cities of Staunton, Harrisonburg, and Waynesboro. In order to be considered as a resident of the BRCC service region, applicants to the BRCC nursing program must have resided continuously in the service region for the 12 months preceding the clinical application deadline and must not be residents of the service region for the primary purpose of education. Enrollment in the clinical component may be limited. There may not be space to admit all qualified applicants who apply. Completion of a medical evaluation form will be required prior to entry into clinical courses, but not prior to the meeting of the Admissions Committee. The Physical Form, CPR, Malpractice Insurance, Health Insurance and completion of criminal background check documentation and completion of a drug screen should be turned in to the Nursing Department by July 31, 2018 at 3 PM. If you have a documented disability that could affect your functioning as a student or an R.N., discuss this with the Coordinator of Disability Services so that appropriate educational accommodations can be made, as necessary. Blue Ridge Community College does not discriminate on the basis of race, color, national origin, sex, or disability in its programs or activities. Inquiries related to the college s nondiscrimination policies should be directed to Tim Nicely, Director of Human Resources, 540-453-2371.

IMPORTANT INFORMATION To ensure that everything you turn in gets into your NURSING file, please do the following: Any student who has debts to the College, including the library, will NOT be eligible to apply to the nursing clinical component. Put your EMPLID on all documents that you turn in. Be sure that all reference forms sent include your EMPLID. If there will be transcripts, reference forms, or other documents coming in under a name other than the name you have written on your application, please indicate the former name on your clinical application form. If you have been convicted of a felony or misdemeanor, this could prevent you from taking the licensing exam and should be discussed with the State Board of Nursing prior to admission to the clinical component. You will be kept informed about the status of your nursing application file through your VCCS email account. You are responsible for checking your VCCS email regularly. IMPORTANT DATES: Date Requirement Location January 22, 2018 (by 3PM) Official transcripts from all non-vccs colleges attended received by A &R Admissions & Records Houff Student Center February 9 st, Clinical Component Application Deadline Nursing Dept.- return in 2018, (by 3 PM) person to Sue Orebaugh, M-F (9:00am-3:00pm), J131B March 30, 2018 Notification of Selection-weather permitting Nursing Dept. July 31, 2018 3:00 p.m. Physical Form; documentation of current immunizations; CPR, Health and Malpractice Insurance; two step PPD; criminal background checks and drug screens due Nursing Dept. Failure to comply with these deadlines will result in your being ineligible for admission to the Nursing Clinical Component. Transportation: You are responsible for your own transportation to and from BRCC and to all clinical facilities.

TRADITIONAL FULL TIME NURSING CLINICAL COMPONENT ADMISSIONS PROCESS 1. The applicant must meet minimum program admissions requirements: Applied to the College Attained a 45 score on math, reading, writing, science comprehension, and critical thinking portions of the nursing entrance exam required by the program. Competitive Applicants Score in the 80 s and 90 s. 1 unit of high school biology with laboratory, with a grade of C or higher (or BIO 101) 1 unit of high school chemistry with laboratory, with a grade of C or higher or CHM 101, however CHM 111 is strongly recommended for transfer to 4 year colleges. Demonstrating competency in MTE Math Module 1-5 or higher.. High School Transcript. Admission preference will be given to high school candidates who have successfully completed Advanced Placement (AP) courses, who have a higher high school grade point average than other high school applicants or who have completed dual enrollment courses through the Tech-Prep Consortium. Any college coursework completed must have a cumulative GPA of 2.5 and a minimum grade of C in all completed pre-nursing general education courses. The applicant's nursing & admission files must be completed by the clinical application deadline. Nursing applicants are responsible for insuring that materials have been received. Files which are not complete by February 09, 2018 by 3 PM will not be considered by the Nursing Selection Committee. Forms A and R. The following must be received by Admission & Records Houff Student Center by the posted deadlines. High School Transcript. GED & test scores - if applicable Student must fill out an official Transcript Evaluation Request Form to go to A &R in order to have incoming (nonvccs) transcripts evaluated for transfer credit. Official transcripts from all colleges attended, except colleges in the VCCS. Must be received by January 22, 2018 by 3 pm. Placement Test Scores Documentation that the student is in the Health Sciences-Nursing program.

Nursing Forms The following must be received in person to the Nursing Department (J131-B) by the posted deadlines. Nursing Department Hours: M-F (9am 3pm). Nursing Clinical Component Application due by the deadline of February 09, 2018 at 3PM. This application must be turned in person by applicant. Two Reference Forms from place of employment. If not currently employed, use BRCC faculty as references. Be sure that references know that they must mail forms so that they are received prior to February 09, 2018 by 3PM. No letters will be accepted. Form of Recommendation - PDF Nursing Entrance Scores (Kaplan) scores within last 2 years. Scores must be 45 or better in reading, math, sciences, critical thinking, and writing. Competitive applicants score in the 80 s and 90 s. BRCC Nursing Department (J131B) P.O. Box 80 Weyers Cave, VA 24486

TRADITIONAL FULL TIME NURSING CLINICAL COMPONENT APPLICATION COMPLETE AND RETURN IN PERSON TO: BRCC-NURSING OFFICE J131 B NAME (last) (first) (m.i.) ADDRESS (street or box) EMPLID # (city) (state) (zip) (home telephone) VCCS email address (do not provide your personal email address) (cell phone #) Emergency Contact Person and Telephone Number: I. I wish to enroll in the nursing clinical component of the nursing program beginning the Fall Semester of. II. HEALTH CARE EXPERIENCE? Briefly describe your job duties and skills related to health care experience paid in a certified Facility within the past year and any military experience in health care. III. EMT S, Rescue Squad VOLUNTEER WORK OF 50 HOURS OR MORE WITHIN THE PAST YEAR Name of Rescue Squad and Supervisor LETTER OF REFERENCE FROM VOLUNTEER SUPERVISOR Yes No IV. LIST ALL PREVIOUS COLLEGES AND SCHOOLS ATTENDED

I certify that all statements on the Clinical Component Application are true and correct to the best of my knowledge. Applicant s signature: COMPLETE & RETURN IN PERSON TO: Date: BRCC-Nursing Office J131 B 8/10 Directions for Reference Form When completing the top of the reference form: Only recommendations using the attached Reference Form will be accepted. No letters will be accepted. No more than 2 reference forms will be accepted. If more than 2 references are received, only the first two references will be evaluated. Give these forms out as soon as possible. Please provide each person completing the Reference Form with a stamped, addressed (BRCC-Nursing Office, J131B, One College Lane, Weyers Cave, VA 24486) envelope. Be sure that these Reference Forms are returned to the Nursing Office by the Nursing File Complete deadline-february 09, 2018 3:00 p.m. It is the student s responsibility to make sure these references are in their file before the deadline. Fill in your name at the top of Reference Form. If you choose not to view your records, check I Hereby waive. If you choose the right to view your records, check I do not waive. Please include your name and EMPLID on all documents.