Georgia Highlands College RN-BSN Online Application Deadline March 31 www.highlands.edu/site/bsn (706) 204-2290 cjablons@highlands.edu Page 1

Georgia Highlands College Department of Nursing Application for Admission RN/BSN PROGRAM Application Due Date March 31 Admission Information The application process is competitive and a minimum cumulative GPA of 2.5 out of 4.0 is required for consideration. Acceptance is based on cumulative GPA, completed application and supporting materials (GA license, verification of employment, and references), acceptance to GHC, and a satisfactory personal interview with the RN-BSN faculty. Students may be admitted fall, spring, or summer semesters for part time or full time study. APPLICANT PERSONAL INFORMATION First Name Middle Name Last Name Maiden (if applicable) Date of Birth Age GHC ID Address City State Zip Home Cell Home Email Work Email Nursing School Attended State NURSING SCHOOL AND LICENSURE INFORMATION Nursing School Information Year of Graduation Licensure Information (Any Nursing License ever held) Other Information Have you ever had any disciplinary action taken against you as a student or RN? Yes No If so, please explain and include any documentation EMERGENCY CONTACT INFORMATION Name Relationship Home : Cell Address: City: State Zip Page 2

EMPLOYMENT INFORMATION Are you currently employed? Yes No Name of Employer Name of Employer (if applicable) Name of Employer (if applicable) BSN PROGRAM QUESTIONS How you plan to attend the program Fulltime (3 semesters) Part-time (4 or more semesters) Check the semester you would like to start Fall Spring Summer How did you hear about the GHC RN to BSN program? Race: White Black Asian American Indian/Alaska Native Native Hawaiian/other Pacific Islander Multiracial DEMOGRAPHICS (FOR DATA COLLECTION PURPOSES ONLY) Ethnicity: Sex: Hispanic/Latino Male Non-Hispanic/Latino Female Foreign Student: Yes No English as a second language: Yes No Please complete and submit the following items prior to the March 31 due date. Include nursing application fee of $30 payable to GHC-BSN. Georgia Highlands College Admissions RN to BSN C/o Charlene Jablonski 415 East Third Avenue Rome, GA 30161 Proof of general admission to Georgia Highlands College (separate application) RN to BSN Application form $30 non-refundable RN-BSN application fee (Check made payable to GHC BSN) Resume Verification of Employment Form (Located on GHC BSN-Nursing Webpage) Health Forms (Located on GHC BSN-Nursing Webpage) Current BLS Card (CPR certification) Copy of Driver s License Copy of current Georgia Nursing License with no current disciplinary action Copy of Transcripts if you have attended any college other than GHC/Floyd College (if you attended MCG then you must send copies of transcripts) Accessed or completed online waiver for student health insurance For Internal Use Only Page 3

Date File Received File Complete Date : Initials: Core Curriculum- (60 hours) o ENGL 1101 English Composition I o ENGL 1102 English Composition II o MATH 1001 Quantitative Skills and Reasoning, MATH 1111 College Algebra, or MATH 1113 Precalculus o MATH 2200 Elementary Statistics o COMM 1100 Human Communications* or COMM 1110 Public Speaking o FCCS 1100 Freshman College Computer Studies*, IDIS 1000 Social and Cultural Issues, IDIS 1101 Social and Cultural Issues, or NSCI 1100 Science in Today's World o 1 literature course (can be American, British, or World Literature) o 1 humanities elective o 1 Science sequence: CHEM 1151K and 1152K Survey of Chemistry I & II*; CHEM 1211K and 1212K Principles of Chemistry I & II; or BIOL 1010K and BIOL 2190 Introductory Biology & Principles of Nutrition o POLS 1101 American Government o HIST 2111 American History I or HIST 2112 American History II o Western or World Civilization: HIST 1111, HIST 1112, HIST 1121, or HIST 1122 o PSYC 1101 Introduction to General Psychology o SOCI 1101 Introductory Sociology o BIOL 2121K Anatomy & Physiology I o BIOL 2122K Anatomy & Physiology II o BIOL 2161K Medical Microbiology o BIOL 2190 Principles of Nutrition * Preferred courses Nursing Courses- (68 hours) Transfer for Nursing Associate Degree- (36 hours) (Granted once student completes NURS 3301 (Concepts in Nursing) BSN Nursing Curriculum- (32 hours) Required: o NURS 3301 - Concepts in Nursing o NURS 3302 Health Assessment o NURS 3303 Issues and Nursing Perspectives o NURS 3304 - Foundations of Research o NURS 4401 - Community Health Nursing o NURS 4402 Leadership & Management o NURS 4403 Capstone Project o NURS 4404 - Leadership Practicum Electives: (Choose 1) o NURS 3305 - Nursing Informatics Page 4

o NURS 3306 - Healthcare and Diverse Cultures Page 5