Updated January 2015 km
Northern Michigan University School of Nursing
Application for Admission: BSN Track
Deadlines for applying for admission into the BSN Track
February 1 for Fall admission
October 1 for Winter admission
Please complete and return to: School of Nursing, Northern Michigan University, 1401 Presque Isle, Marquette, MI 49855.
Name: _____________________________________ Other Names: _____________________ NMU ID #: _______________________ Date of birth: _______________ Male ___ Female ___
Mailing address: (Street) ________________________________________________________________ (City)_____________________________State _____________ (Zip) _____________________________ Current phone: ________________________ Cell phone: ______________________________
NMU E-mail address: _________________________________________________________________ Permanent address: (Street) _____________________________________________________________ (City)______________________________State ___________ (Zip) ______________________________ Permanent phone (if different from current phone #): ____________________________________
Application Directions:
Required Prerequisites: Please indicate when you completed all of the prerequisite courses on the table on the reverse side.
Application Attachments: Please attach the following to this application:
A copy of your unofficial NMU student transcript. Include current semester of classes & GPA.
A NMU Transfer Credit Evaluation and unofficial transcripts for all colleges or universities you have attended if you have earned < 12 credits at NMU.
Post Baccalaureate students transferring pre-requisitecourses from another institution must take the enclosed “Post Baccalaureate Prerequisite Check List” to the Registrar’s office to be completed. Allow 5 business days for completion. This form is to be submitted with the application in an envelope sealed and stamped by the registrar.
If you have received AP (advanced placement) credit for Anatomy (BI201), Physiology (BI202) or Chemistry (CH109 or CH107/108 or CH111/112) you will need to enclose a copy of your official scoring report from the College Board.
If you transfer from another nursing program, please provide a letter of good standing from the director of the previous nursing program.
All required prerequisite courses should be highlighted on transcripts & TCE.
Eligibility requirements for the BSN Track:
•
Admitted to Northern Michigan University•
Achieved a minimum cumulative grade point average of 2.75•
Have completed with a minimum of a C-; or be concurrently enrolled for all the following prerequisite courses: BI 201, BI 202, BI 203, CH 109, HN 301 A&B, PY 100, SO 101Please answer the following questions:
1.
Are you currently enrolled at Northern Michigan University? yes no2.
If not currently enrolled, have you been informed by letter of your acceptance to Northern MichiganUniversity? yes no
3.
Have you completed a minimum of 12 credits at NMU? yes no If yes, is your NMU GPA > 2.75?yes no
4.
Have you completed or are currently enrolled for all of the following prerequisite courses: BI 201,I wish to be admitted as: an entering first semester BSN student an entering first semester LPN to BSN student
(May check more than one) a re-entry student. Specify semester reentered: _________________ other, Explain ______________________________________________ Please check if applicable:
I am a transfer student; specify institution(s): __________________________________________ I have another Degree, specify: _______________________________________________________ I have previously applied for admission to the NMU nursing program; When? ________________
REQUIRED PREREQUISITES FOR BSN TRACK PLEASE COMPLETE; INDICATE IF CURRENTLY ENROLLED
Course Semester Credits Semester Year Grade Institution Requirements met (office use only)
BI 201: Human Anatomy (3) BI 202: Human Physiology (5) BI 203: Medical Microbiology (3) CH 109 Chemistry (4) HN 301 A&B: Nutrition for Health
Professionals (4)
PY 100 General Psychology (4) SO 101: Intro to Sociology (4)
Attach transcript and/or Transfer Credit Evaluation to the application. Highlight all pre-requisite courses.
NMU GPA ____________ TRANSFER GPA ____________ TRANSFER INSTITUTION ________________________________
•
Applicants will be ranked by the Nursing Department Admissions Committee. The Admission Criteria Scoring Grid found in appendix, will be utilized to rank students for admission to the BSN program. Students will be notified by mail by the time of registration (mid semester) regarding their admission status.•
The faculty reserves the right to select the applicants who shall be admitted and that action by the Admissions Committee of the School of Nursing is provisional, pending receipt of evidence that all pre-nursing requirements have been met.Updated January 2015 km
LPN to BSN Students
Additional Application Directions:
LPN to BSN students must complete this page.
Application Attachments:
In addition to previous directions, please attach the following to this
application:
A copy of your LPN license:
The license must be unencumbered and have no restriction and/or no sanctions.
A letter verifying employment within the last 5 years.
I am a registered LPN; specify State: ____________________________________________
License # ____________________________________________________________
I am currently enrolled in an LPN program. School: _________________________________
Expected date of graduation:______________________________________________
LPN EMPLOYMENT HISTORY
PLEASE COMPLETE; INDICATE IF CURRENTLY EMPLOYED
NMU Department of Nursing
Student Application Information Form
Core Performance Standards
Potential BSN Students: Please read the following statements carefully before signing.
Nursing is an occupation which involves daily contact with individuals and requires ability to perform a wide variety of activities. Some individuals might not be suited to perform the activities of a registered nurse. Many hospitals require physical examination, laboratory testing and x-rays prior to hiring an individual to rule out pre-existing conditions which could cause problems in performing the expected duties. If you have any condition which might impair your ability to perform the activities required of a registered nurse, you might wish to reconsider applying for admission to the nursing major. Indicated below are core performance standards for admission and progression in the BSN program.
CORE
PERFORMANCE STANDARD
EXAMPLES OF NECESSARY ACTIVITIES (not all inclusive)
Communication
Communication abilities sufficient for interaction with others in verbal and written form.
Explain treatment procedures, initiate health teaching, document and interpret nursing actions and client responses.
Mobility
Physical abilities sufficient to move from room to room and maneuver in small spaces.
Move around in client rooms, work spaces and treatment areas, administer cardio-pulmonary procedures.
Motor Skills
Gross and fine motor abilities sufficient to provide safe and effective nursing care.
Calibrate and use equipment, position clients, administer medications orally and parenterally.
Hearing Auditory ability sufficient to monitor and assess health needs.
Hears monitor alarms, emergency signals, auscultatory sounds, cries for help.
Visual
Visual ability sufficient for observation and assessment necessary in nursing care.
Observes client responses; recognizes subtle physical changes.
Tactile
Tactile ability sufficient for physical assessment and performance of skilled nursing activities.
Performs palpation, functions of physical examination and/or those activities related to therapeutic nursing interventions, e.g. insertion of a catheter or starting and IV.
Adapted from MAIN Dimensions: February 1993, Vol. 4 Issue 2
OTHER CONSIDERATIONS
1. Registered nurses must be licensed by the state(s) in which they plan to work. Persons making application for licensure are screened for criminal records and/or convicted felonies. If you have a criminal record, you should consider seeking individual legal counsel as to the possibility of being ineligible for licensure prior to applying for admission to the program. See the BSN Student Handbook for further information regarding criminal background check requirements.
2. Admission to the BSN Program involves a significant time commitment. Students should expect to spend 20-30 hours per week on course related work on campus and in clinical placements. Students are required to be in clinic at 6:30 a.m. for some clinics and on occasion may also be assigned afternoon or evening clinics. Transportation to clinic sites is the responsibility of the student.
Updated January 2015 km
PLEASE RETURN THIS PORTION WITH YOUR APPLICATION
I believe I have fulfilled the requirements for admission as set forth by the
School of Nursing.
yes
no
I understand incomplete applications will not be reviewed or considered.
yes
no
I understand that if I am not selected for admission, I will need to go
through the application process again to be considered for admission.
yes
no
I understand the faculty reserves the right to select the applicants who
shall be admitted and that action by the Admissions Committee of the
School of Nursing is provisional, pending receipt of evidence that all
pre-nursing requirements have been met.
yes
no
I understand the previously described Core Performance Standards.
yes
no
Printed Name: _______________________________________________________
Signature:___________________________________________________________
Date:________________________________
NOTE: This form must accompany application form and transcript. Return to the
Department Secretary no later than October 1 for winter semester admission and no later
than February 1 for fall semester admission.
Optional: Please complete the following information:
Used only for program report.
1.
Indicate citizenship:
U. S.
Other, specify
______________________________
2.
Indicate location of
home:
Upper Peninsula
Lower Peninsula
Out of State
3.
Indicate racial/ethnic
background:
Caucasian/White
Multiracial, Specify
_____________
Office of the Registrar
2202 Hedgecock
227-2278
Fax: 227-2231
Post-Baccalaureate Prerequisite Check List
School of Nursing Applicants
Name:_____________________________ IN:________________
Required Course
Credits
Grade
School
BI 201
BI 202
BI 203
CH 109
or CH 107/111
or CH 108/112
HN 301A
HN 301B
PY 100
SO 101
(C- or better is required in all courses)
Degree Awarded: ____________________________ Year Degree Awarded: ________________________
Updated January 2015 km