NURSING ASSISTANT PROGRAM ADMISSION INFORMATION & APPLICATION

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NURSING ASSISTANT PROGRAM ADMISSION INFORMATION & APPLICATION 1) Eligibility requirements: In order to be eligible to apply for the AWC Nursing Assistant Program the student must: a. Have an Arizona DPS Fingerprint Clearance Card for Volunteer Health Science Student & Clinical Assistant To apply for a Fingerprint Clearance Card online, access a link to the Field print website on the Arizona Department of public Safety website at www.azdps.gov under Fingerprint Clearance Cards/Online Application and begin the process. The Fingerprint Clearance Card must be valid and have no restrictions through the duration of the course. Those with restrictions will be reviewed individually on a case by case basis to determine eligibility to apply for the AWC Nursing Assistant Program. This requirement is solely to meet the contractual requirements of the clinical facilities. Fingerprints are not required for Certified Nursing Assistant (CNA). Fingerprints are required for Licensed Nursing Assistant (LNA). b. Be eligible for MAT 121 or higher c. Have a reading score of 219 or above on the AWC Next Generation Reading Course Placement Test If the Next-Gen placement test has been taken more than once, the highest recorded score within the past 12 months of the application date will be used. Once the application has been submitted, the Next-Gen score may not be changed. This is part of the new standard college placement tests effective April 2018. If you have previously tested with the Accuplacer Test Score (CPT-R) you will be required to retest with the AWC Next- Gen Test. This test is available at no cost to the student through the AWC Testing Center. A student wishing to retest within 90 days will be charged $20. Please call 344-7641 for Testing Center hours. d. Students must hold a Healthcare Provider or Professional Rescuer (CPR) certification. The CPR card must be valid through the duration of the course. An online CPR course is not accepted. CPR Cards can be obtained through the following agencies: Yuma-Main Campus AWC-Public Safety Institute, Lupe Fuentes, 928-317-6452 Southwest Arizona Safety LLC, Alex Urzua, 928-246-8040 YRMC Clinical Education Office, 928-336-2915 American Red Cross 928-269-2427 Parker-La Paz Campus Quartzsite Fire Department, 928-927-6556

2) Selection Process: a. Acceptance into the nursing assistant program is determined by the ranking of AWC Next-Gen Reading Placement scores. b. If students at the admission cut off have the same score, the application submission number will determine priority. Applications are numbered by date and time received. c. All applicants will receive an email notification of their status via their Toro Email account within 4 college days of the application deadline. d. The first 60 eligible applicants will be offered a seat in the Spring and Fall semester courses. The first 20 eligible applicants will be offered a seat in the Summer semester course. e. The next 10 eligible applicants will be offered to be alternates. f. If an applicant declines or has not completed the admission requirements by the published deadline, the next applicant on the alternate list will be offered the seat providing all requirements have been met. g. If an alternate is not offered a seat they will need to reapply for admission to the program. h. If the applicant is accepted into the nursing assistant program they must attend a mandatory meeting. The date and time for this meeting will be specified in the acceptance letter. Failure to attend the mandatory meeting will result in the loss of the applicant s seat. 3) Application Process: a. Students are required to submit a completed application with supporting documentation by 4:30pm: The last Thursday of March for Summer semester (Yuma) The last Thursday of May for Fall semester (Yuma & Parker) The last Thursday of October for Spring semester (Yuma & Parker) b. An application is only valid for 1 semester. A waiting list is not maintained. 4) Application Instructions: a. Complete the Nursing Assistant Program Application form b. The following documentation must be attached to your Application form a. AWC Next Generation Reading Course Placement (College printout, WebAdvisor not accepted) b. Proof of being eligible for MAT 121 or higher (Arizona Western College Unofficial transcript or AWC Math Course Placement College printout, WebAdvisor not accepted.) c. CPR card, Health Care Provider or Professional Rescuer (Must be valid through completion of course.) d. AZDPS Fingerprint Clearance Card (Must be valid and without restrictions through completion of course.) c. Applications must be submitted: Yuma-Main Campus Programs: By Mail: Arizona Western College Attn: Nursing Assistant Program, LR 209 PO Box 929 Yuma, AZ 85366-0929 In Person: Main Campus LR Building Room 209 (by 4:30pm) Parker- LaPaz Campus Program: Arizona Western College-Parker Learning Center Attn: Nursing Assistant Program 1109 Geronimo Ave Parker, AZ 85344 (928) 669-2214

NON-DISCRIMINATION STATEMENT Arizona Western College does not discriminate in admission or access to, or treatment in employment in, its services, programs, or activities on the basis of race, color, national origin, sex, religion, age, or disability. DECLARACIÓN DE PRÁCTICAS ANTIDISCRIMINATORIAS Arizona Western College prohíbe la discriminación en el empleo en base a la raza, el color, la religión, el sexo, la nacionalidad, la religión, la edad o la discapacidad de las personas. La habilidad limitada del idioma inglés no es una barrera para la admisión o la participación de las carreras técnicas y vocacionales disponibles en la institución. Students who are accepted in the program will receive information needed to meet the tuberculosis and drug screening information required to enter the program at a mandatory meeting. Program cost and additional information is available online at: http://www.azwestern.edu/nursing.

Application for: Year ARIZONA WESTERN COLLEGE NURSING ASSISTANT PROGRAM APPLICATION Fall-Yuma Fall (Parker) Spring-Yuma Spring (Parker) Summer (Please Print) Name: Last: First: Middle: Former Name (s): Social Security # Student ID# Birthdate: Address: Street/Apt/P.O. Box City State/Zip Phone Number(s) Home: Work: Cell: The following MUST be complete for application to be considered valid: (Copies of documents must be attached.) College Reading Score (Next-Gen): Proof of Eligibility for MAT 121 or Higher CPR Card Type: AZ DPS Fingerprint Clearance Card Number: Expiration Date: Expiration Date: AWC TORO Email Address: I desire consideration for admission to the AWC Nursing Assistant Program. I understand that my admission is contingent upon my completing the program requirements. I understand that, as a condition of admission in the AWC Nursing Assistant program, I must satisfactorily complete and pass the Pre Admission drug screening. I fully understand that if I fail to pass the drug screening I will be disqualified from admission. Signature Date Are you planning on applying to the AWC Nursing Program: No Yes Year/Semester: For Administrative Use only. Date Received: Time Received: Application Number: In Application Tracker: In Database:

Blackboard Access Logging into Blackboard 1. Connect to the Internet and open your web browser. 2. Go to http://www.azwestern.edu. 3. Click on the Quick Links button then Click on the Blackboard button 4. 5. Follow the on-screen directions for entering your username and password. If you have difficulty logging on, see our tips for troubleshooting Setting up your e-mail address is critical. 6. Once you login you will come to the main screen of the AWC Blackboard system. At this point, we recommend that you change your password from the default to something more secure and easy to remember. 7. Open Nursing Assistant Application Status, and then click My Grades. 1. This will provide you access to the status of your application requirements. If no information has been received for a requirement, it will be indicated by a. If information has been received and the requirement is complete, it will be indicated by a. 2. This site will be updated once a week, on Thursday by 4:30pm. After this time, if your account does not reflect the information you have submitted, please call the Nursing Department office at (928) 317-6049.