BACHELOR OF SCIENCE IN NURSING RN to BSN PROGRAM APPLICATION PACKET. School of Nursing

1.

BACHELOR OF SCIENCE IN NURSING

RN to BSN PROGRAM APPLICATION PACKET

School of Nursing

Instructions for the Application Process:

 Please type or print legibly.

 Complete all applicable information and sign in the appropriate places.

 Apply online to NAU Undergraduate Admissions.

 Submit your School of Nursing application to Extended Campuses (see page 4).

APPLICATION DEADLINES

 NAU’s School of Nursing currently offers continuous admission to the RN to BSN program. Complete application packets are reviewed on a continual basis.

 It is the responsibility of the applicant to verify that application documents have been received. Incomplete applications will not be considered for admission.

NOTICE OF ADMISSION

Students will be notified by mail of their admission status within 4 weeks of application

review.

The RN-BSN program builds on the knowledge and skills registered nurses have acquired through a diploma or associate degree program. It is designed to enable students to move into a wider array of practice and leadership roles, and be prepared for admission to graduate school.

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LETTER OF GREETINGS FROM SCHOOL OF NURSING CHAIR

Dear Nursing Program Applicant,

Thank you for your interest in the Baccalaureate Program at the School of Nursing at Northern Arizona University. We are pleased that you have chosen to apply for our program and wish you the best of luck during the application process.

Our three semester program of study in nursing is comprehensive and will prepare you for a rewarding career as a professional member of a contemporary health care team. You will enjoy the lifelong friendships that you will cultivate as a member of the School of Nursing. Our skilled and knowledgeable faculty members are prepared to help you be successful in all facets of your nursing education.

Once again thank you for your choice of the nursing program here at Northern Arizona University. Sincerely,

Debera Thomas

Debera Thomas, DNS, RN, ANP/FNP Dean, School of Nursing

College of Health and Human Services Northern Arizona University

NORTHERN ARIZONA UNIVERSITY SCHOOL OF NURSING

AFFIRMATIVE ACTION

Northern Arizona University and the School of Nursing do not discriminate on the basis of age, race, color, religion, sex, gender, national origin, disability, or veteran status in admissions, employment, or educational programs and activities, as required by Title IX of the Education Amendments of 1972, Title VI and Title VII of the Civil Rights Rehabilitation Act of 1973 as amended; the Civil Rights Act of 1990, and the Age Discrimination in Employment Act of 1967.

Northern Arizona University’s policy on nondiscrimination is augmented by the voluntary affirmative action policies of Executive Order 11246, Section 503, of the Rehabilitation Act and the Vietnam Era Veteran’s Readjustment Assistance

Act of 1973 as amended.

Inquiries regarding the application of these regulations may be made to:

Office of Affirmative Action Coordinator of Section 504

P.O. Box 4083 Americans with Disabilities Flagstaff,

AZ 86011 P.O. Box 6045

928-523-3312 Flagstaff, AZ 86011

928-523-2261

NORTHERN ARIZONA UNIVERSITY SCHOOL OF NURSING

DISABILITY SUPPORT SERVICES (DSS) Undergraduate Admissions:

All programs at Northern Arizona University are open to qualified students. Special services for students with disabilities are available by contacting a Disability Support Service Coordinator in the office of Disability Support Services. Students are advised to provide documentation to DSS at least eight (8) weeks prior to attending NAU so that arrangements can be made to meet individual needs. Questions may be directed to Disability Support Services, P.O. Box 5633, Flagstaff, AZ 86011, or call 8773; TTY 928-523-6906; FAX 928-523-8747.

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PRE

-

PROFESSIONAL COURSEWORK

Pre-professional courses may have been taken prior to applying, or can be taken through NAU or a community college following admission to the School of Nursing. Pre-professional courses are:



Any pre-professional courses taken outside the state of Arizona must be approved by the Curriculum

Committee. Please submit those course descriptions to Extended Campuses along with your

application.

Course Prefix

Course Title

Hours

Minimum

grade:

OR

ENG 101 & 102

Critical Reading & Writing OR English – 2 semesters 4 OR 6 C OR C MAT 110 OR MAT 114 OR STA 270 College Algebra OR Quantitative Reasoning OR Applied Statistics 3 OR 3 OR 3 C OR C OR C BIO 181 & 181L OR CHM 130 & 151L

Unity of Life & Lab OR

Fundamental Chemistry & Lab

4 OR 5 C OR C

BIO 201 & 201L Human Anatomy & Physiology I & Lab 4 C

BIO 202 & 202L Human Anatomy & Physiology II & Lab 4 C

BIO 205 & 205L Microbiology & Lab 4 C

BIO 320 General Pathology 3 C

NTS 135 OR NTS 256 Human Nutrition 3 C

PSY 101 Introduction to Psychology 3 C

PSY 240 Developmental Psychology 3 C

STA 270 OR PSY230

Applied Statistics OR

Intro to Statistics in Psychology

3 OR 4 C OR C

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APPLICATION PROCESS

RN to BSN PROGRAM

Admission to the RN to BSN Program requires two applications:

1. Apply online to NAU Undergraduate Admissions:

The online application can be accessed at: ec.nau.edu/applytonau.aspx

Students should select in the application that they are seeking the Bachelor of Science degree in the nursing major. Official transcripts of all previous college credits must be submitted in order to be admitted as a degree seeking student. Please have your official transcripts sent to:

Northern Arizona University Undergraduate Admissions P.O. Box 4084

Flagstaff, AZ 86011

2. Apply to the School of Nursing:

The application can be accessed at nau.edu/chhs/nursing Follow the links at the School of Nursing website to degrees and programs/RN-BSN/Admissions – the application is under step four. It must be printed out, completed, and then mailed to Extended Campuses at:

Northern Arizona University Extended Campuses

ATTN: RN-BSN Program P.O. Box 4117

Flagstaff, AZ 86011

The application can also be emailed to [email protected] – Attn: RN to BSN Application

Specialist.

The application must include the following:

a.

Unofficial Transcripts

(copies) from each college or university attended.

Out-of-state courses will

require accompanying course descriptions

.

5.

Personal Information

Name: NAU ID Number: Planned Date of Enrollment:

Spring 20_____

Fall 20______

Permanent Address: City, State, Zip:

Permanent Phone Number:

Local Phone Number:

Work Phone Number:

Current Address: City, State, Zip:

Email Address:

Emergency Contact Name: Emergency Contact Phone: Relationship:

State of legal residence: Your primary language:

All languages in which you are fluent:

The following information is voluntary and will be used for statistical purposes only

Birth Date: Marital Status:

Single Married Divorced Separated

Predominant Ethnic Background: (circle one)

American Indian or Native Alaskan Tribe_____________ African American

Asian or Pacific Islander Hispanic

Caucasian or White Birth place (city and state):

Country: Number of Dependents: Sex: Male Female U.S. Citizen: Yes No U.S. Veteran: Yes No

6.

EDUCATIONAL RECORD

Beginning with the most recent, list all colleges and universities attended, regardless of length of attendance. Include any educational institution you are currently attending.

INSTITUTIONS ATTENDED

College or University Location: City & State Dates of Attendance

From: M/Year To: M/Year

Degree or Certification (Indicate Major)

PRE-PROFESSIONAL COURSES

Grade (write “IP” if currently in progress) Critical Reading/Writing (ENG 105)

OR

English Composition (ENG 101&102) Math Foundation: (College Algebra or higher) Quantitative Reasoning (MAT 114) Unity of Life (BIO 181 & Lab)

OR

Fund. Chemistry (CHM 130 & Lab) Human Anatomy. & Physiology. I (BIO 201 & Lab)

Human Anatomy and Physiology II (BIO 202 & Lab)

Microbiology (BIO 205 & Lab) General Pathology (BIO 320) Human Nutrition (NTS 135) OR (NTS 256) Intro. To Psychology (PSY 101) Developmental Psychology (PSY 240)

Applied Statistics (STA 270)

OR

7.

Final Semester

Project Requirements

(

The agency information below must be submitted mid-term before your final semester

)

In the final semester fieldwork projects are most often completed in the areas of leadership and quality improvement. These can be found in various types of healthcare settings. RN students may complete these assignments with their employing agency.

In order to ensure that the NAU School of Nursing (SON) will be able to work with you (as an RN student), and the agency of your choice, please provide the name of the agency, address, phone number, and the name of the Chief Nursing Officer. If you are not employed as an RN, please supply the name of at least two agencies, to provide the SON the opportunity to make advance affiliation arrangements.

Required Documents

Copies of the documents below will be required to complete the registration process for NUR 442 and

NUR 450C/452.

 Current RN license in the state where you will do your project. Indicate year that you were first licensed.

 AZ DPS Fingerprint Clearance (if original AZ RN license obtained before Jan. 1999).

 Personal health insurance policy or identification.

 Professional liability insurance.

 Current CPR certification (Health Care Provider level).

 Record of a general physical exam.

 Current TB test results (within the last year).

 Record of Hepatitis B series (3 inoculations OR titer).

 Record of MMR immunizations or titer (2 inoculations OR titer).

 Record of Varicella (chicken pox) immunity (2 inoculations or titer).

 Record of Tdap (tetanus, diphtheria, pertussis) within 10 years.

These documents must be renewed annually or upon expiration. It is your responsibility to maintain

current records and have copies mailed, emailed, or faxed to the School of Nursing.

8.

A copy of all unofficial transcripts detailing previous coursework must accompany this application. If prerequisite courses are still in progress, proof of those must be included. Applicants are not required to submit transcripts for courses taken at NAU. Please mail official transcripts to: Extended Campuses, ATTN: RN-BSN Program P.O. Box 4117, Flagstaff, AZ 86011.

I certify that all information provided is true, correct and complete, and that I am the sole author of my application to the NAU School of Nursing. I understand that if I have provided false information in this application, I may be dismissed from the Nursing program at any time. I also understand that only completed applications will be considered for admission and that completion of all required prerequisite courses does not guarantee admission to the Nursing program.

Signature __________________________________________________ Date______________________

Please Print Name ______________________________________________________________________

ADMISSION DISCLAIMER – RN -BSN Option

Your admission to the Northern Arizona University School of Nursing is no guarantee that you will graduate with a Bachelor of Science in Nursing. Further, graduation with a Bachelor of Science in Nursing is not the sole criteria for obtaining a license to practice Nursing in Arizona. Licensing requirements are the exclusive responsibility of the State Board of Nursing (Nursing Practice Act A.R.S. Section 32-1632, et seq.), and you must satisfy those requirements independently of your completion of any requirements for graduation from the Bachelor of Science in Nursing program. I have read and understand the Admissions Application Disclaimer.