Nursing Program Application Spring 2017

New Mexico State University Carlsbad

Nursing Program Application Packet

Spring 2017

NURSING PROGRAM APPLICATION

Thank you for your interest in the NMSU Carlsbad Nursing Program. Nursing is a demanding discipline. We urge you to recognize the commitment that is essential for one to be successful in this program. Prior to making application to the program, individuals should consider carefully the mental and physical demands of the program and unique pressures involved in successful completion of the nursing certificate/degree.

Begin your application as soon as possible to ensure that you meet all the requirements by the deadline. There will be no late applications accepted. Meeting the minimum requirements for admission is no guarantee that you will be accepted.

In order to consider your application, the following items must be submitted with your completed packet:

Ø  Current Degree Audit

Ø  All college and high school transcripts

Ø  Background Check – Clearance must be documented by first day of Spring 2017 semester. Forms and finger print information are available in the Nursing Administration Office.

Ø  Documented evidence of all required Immunizations and/or Titers; current American Heart Association Healthcare Provider CPR certification will be required by the first day of Spring 2017 semester with the following exception:

·  Hepatitis B – Series must be initiated by first day of Spring 2017 semester

Ø  If you do not meet admission criteria, or are applying for re-admission and would like consideration, please submit a letter of request to the AP&G committee.

Ø  A valid email address must be provided, and NMSU email is preferred. All correspondence regarding your application will take place via email.

In addition, you will need to schedule an advising appointment. Please contact the Nursing Administration office at 575-234-9300 to schedule that appointment. The attached checklist will assist you in completing your requirements prior to submission. If you have any questions, you may contact the office or your advisor.

Application and all required documents due No Later Than 5pm November 15, 2017.

NEW MEXICO STATE UNIVERSITY CARLSBAD

Nursing Program

APPLICATION FOR ADMISSION TO THE NURSING PROGRAM

Select One: ADN (RN) ______PN Certificate (LPN) ______

NAME: ______

(Last) (First) (Middle) (Maiden)

ADDRESS: ______

(No. and Street) (City and State) (Zip Code)

Telephone: ______SS#: ______E-mail ______

Have you taken the Accuplacer test? Circle one: Yes No

Date Accuplacer scores submitted to the nursing office: ______

Date HESI A2 test taken: ______What was your HESI A2 test composite score? _____

Date HESI A2 scores submitted to nursing office: ______

Date CNA class was completed: ______Where CNA class was taken: ______

Did you take chemistry in high school? ______If so, what was your semester grade? _____

Name of High School: ______Date of Graduation:______

G.E.D: ______Date of G.E.D: ______

I certify all of the above statements are correct and complete:

SIGNATURE: ______DATE: ______

No applications will be accepted unless accompanied by copies of high school and college transcripts. SPRING ADMISSION APPLICATIONS ARE DUE November 15.

Prior to submitting this application, if you have ever been convicted of a felony or declared mentally incompetent, you should contact the Board of Nursing in the state in which you intend to seek licensure.