BRCC LPN-RN NURSING CLINICAL COMPONENT APPLICATION PACKET

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BRCC LPN-RN NURSING CLINICAL COMPONENT APPLICATION PACKET Admission to the clinical portion of the Nursing Program will be selective and competitive. Applicants are advised that prior registration in BRCC general education courses for nursing does not imply acceptance into the clinical nursing component. Because the enrollment in the clinical component will be limited, there may not be space to admit all qualified applicants who apply. The primary criteria for competitive selection into the clinical nursing component includes, but will not be limited to, academic performance as determined by cumulative grade point average in required 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. 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 and Health Insurance should be turned into the Nursing Department in Suite J131B by 3:00 p.m. December 7 th, 2018. You will not be allowed to attend class in January if your Physical Form has not been turned in on time. A criminal background check and urine drug screen will be required prior to admission to the program. Upon acceptance, you will be receiving information on this and it is to be completed by December 7 th, 2018. KAPLAN payment fee due at the BRCC bookstore by January 18, 2019. 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 admissions file, please do the following: 1. Put your EMPLID on all documents that you turn in. Be sure that all reference forms sent include your EMPLID. 2. 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 beginning the nursing courses. IMPORTANT DATES: Date Requirement Location June 15 th, 2018 (by 3 PM Official transcripts from all non-vccs colleges attended received by A &R Admissions & Records Houff Student Center June 30 th, 2018 Clinical Component Application Deadline Nursing Dept.- return in person to Sue Orebaugh, M-F (9:00am-3:00pm), J131B August 1 st, Notification of Selection Nursing Dept. 2018 December 7 th, 2018 (by 3 PM) Physical Form; documentation of current immunizations; CPR, Health and Malpractice Insurance; two step PPD; criminal background Nursing Dept. January 18th, 2019 checks and drug screens due KAPLAN fee is due by: January 18 th, 2019 and failure to comply with this fee will result in dismissal from the program. 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. LPN-RN NURSING CLINICAL COMPONENT ADMISSIONS PROCESS 1. The applicant must meet minimum program admissions requirements: a. Must hold a current, unrestricted LPN license in the state of Virginia and be a graduate of an approved LPN program.

b. Complete the general education requirements for nurses with a cumulative GPA of 2.5 and a minimum grade of "C" in all courses. c. Be a high school graduate or equivalent, including the following courses; Biology with a lab course (one year with high school or one semester college BIO 101 at BRCC), Chemistry with a lab course (one year high school or Chemistry 101), but Chemistry 111 is highly recommended to transfer to a 4 year school. Complete (MTE Modules 1-5 at BRCC) with minimum grade of "C". The exception to this is successful completion of a college-level math of 151 or above with a grade of C or better. d. Complete the BRCC placement testing process in math, reading, and writing, and place at college level or satisfactorily complete any needed developmental coursework. e. Nursing entrance exam scores (Kaplan) Test scores of at least 45% in Reading, Math, English, Critical Thinking, and Science. (To be competitive), should have scores in the 80 s or 90 s. 2. The applicant's nursing and admission files must be complete by the application deadlines. Nursing clinical applicants are responsible for insuring that materials have been received in the BRCC Nursing Department and the Admissions and Records Office. Files that are not complete by the deadline will not be considered by the Nursing Selection Committee. Files must include the following materials: BRCC Admission & Records File must include: Official high school transcript GED & test scores - if applicable Documentation that student is in the Health Sciences-Nursing program Official transcript from all colleges attended, except colleges in the VCCS. Student must fill out official Transcript Evaluation Request form to go to A & R in order to have incoming (non-vccs) transcripts evaluated for transfer credit. Official transcripts from all colleges attended, except colleges in the VCCS. Must be received by June 15 th, 2018 by 3 pm in Admission and Records. BRCC Nursing File must Include: Nursing Clinical Component Application by June 30 th 2018, 3PM. Turn in person to Sue Orebaugh J131 B Two Reference Forms from place of employment. If not currently employed, use BRCC faculty as reference. (If reapplying to program, updated references are required) by June 30 th, 2018 Form of Recommendation.doc Official LPN school transcript. Copy of current, unrestricted Virginia LPN license. Nursing entrance exam scores- KAPLAN BRCC BRCC

A & R-Houff Student Center P.O. Box 80 One College Lane Weyers Cave, VA 24486 Nursing Department J131 P.O. Box 80 One College Lane Weyers Cave, VA 24486 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.

NAME LPN-RN NURSING CLINICAL COMPONENT APPLICATION (last) (first) (m.i) ADDRESS (street or box) (city) (state) (zip) (telephone) (cell phone #) EMPLID # VCCS E-MAIL Name of Emergency Contact: (please print) Relationship to applicant Phone number of contact I. I wish to enroll in the nursing clinical component of the nursing program beginning the Summer Semester of. II. LPN TRAINING: Please list date of attendance, name of LPN School and address: III. LPN WORK EXPERIENCE: Current License Number and expiration date Total Year(s) of LPN Experience IV. HEALTH CARE EXPERIENCE: Briefly explain your job duties and skills related to health care. V. EMTS, Volunteer Health Care experience with Rescue Squad of at least 50 hours within the past year

Supervisor s Name: Letter of recommendation attached: Yes NO Name of Rescue Squad: I certify that all statements on the Clinical Component Application are true and correct to the best of my knowledge. Applicant's Signature Date BRCC Nursing Department (J131B) One College Lane Weyers Cave, VA 24486 Directions for Reference Form Due in Nursing Department by June 30 th, 2018 When completing the top of the reference form: 1. Only recommendations using the attached Reference Form will be accepted. No letters will be accepted. 2. No more than 2 references will be accepted. If more than 2 references are received, only the first two references will be evaluated. 3. Give these forms out as soon as possible. Please provide each person completing the reference form with a stamped, addressed (BRCC-Nursing Department, One College Lane, Weyers Cave, VA 24486) envelope. 4. Be sure that these Reference Forms are returned to the Nursing Department by the deadline-june 30 th, 2018 by 3pm. It is the student s responsibility to make sure these references are in their Nursing file by the stated deadline. 5. Fill in your name at the top of the 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. 6. Include name and EMPLID on all documents.