Practical Nursing Process & Application Documentation

Practical Nursing Process & Application Documentation

Thank you for your interest in pursuing an education through Medical Professional Institute (MPI). Our

Practical Nurse training will have you ready for your career in as little as one year!

Anyone wishing to start MPI’s Practical Nursing program must follow a series of steps before enrolling.

Prospective students must first pass a Pre-Application Assessment test. Once the Pre-Application

Assessment Test is passed students will be eligible to take the Test of Essential Academic Skills (TEAS).

The TEAS is a 4 hour test on the subjects of Reading, Math, English, and Science. Passing scores will be

given by each person’s respective Admissions Counselor. The TEAS costs $60 per test. Once the TEAS

has been passed with the acceptable scores prospects will be given an application packet.

To be prepared the documents that will be needed include, but are not limited to:



High School Diploma or GED with Transcripts – A valid high school diploma and transcripts are

required for anyone who plans to attend classes at MPI. If an applicant has attended high school

in a different country they must have an equivalency evaluation done of their diploma through

the Center for Education Documentation (CED). Online high school diplomas are not valid.

Anyone who has an invalid diploma or no diploma at all must complete the General Education

Development (GED) test.

*NOTE: MPI must have proof of a high school graduation date. College diplomas are not valid

and will not be accepted.



College Transcripts – If an applicant has attended any higher education MPI requires an official

copy of all transcripts from all schools no matter what the courses or grades. Any dishonesty of

prior education will result in revocation of applicant.



Copy of TEAS Report – If the TEAS test is taken at MPI a copy will already be saved. The TEAS can

be taken at other locations so long as it covers all four (4) subjects of Reading, Math, English, and

Science. It must also have been taken within one calendar year, it must be Version 5, and must

be taken on a computer. A copy of results must be presented to an Admissions Counselor for

review. If the scores are accepted the test would not have to be done again.



Updated Résumé – Anyone wishing to enter the school must present an updated résumé.



Proof of Health Insurance – All students of the Practical Nursing program must have current

health insurance. A copy of a health insurance card must be presented to the Admissions

Counselor. If a card has not yet arrived an Admissions Counselor may accept a letter stating that

a healthcare policy has been purchased with the policy and card number. The card must be

presented before orientation.



Current CPR Certification and First Aid for Healthcare Providers – Must provide proof of current

First Aid certification and Cardiopulmonary Resuscitation (CPR) certification throughout the

entire program – American Heart Association (AHA) Health Care Provider or Red Cross Rescuer (If

the applicant is taking the course(s) at MPI, proof of registration for the course(s) and payment

are required with the application packet. If accepted to the program, the student must take and

pass the course(s) prior to starting the clinical portion of the first semester.

Medical Professional Institute 380 Pleasant Street



Completed Physical Examination and Immunization Record Form – Attached is a Report of

Physical Examination and Immunization Record Form. This form is to be fully completed by each

prospective student’s primary care physician before class orientation. Print the form and bring it

to your doctor. In order to start classes this form must be handed in no later than the given date

of orientation.



Transfer Request Form – The attached Transfer Request Form is for students wishing to transfer

in courses from other schools. Currently MPI will accept Anatomy & Physiology 1 & 2 (Both must

be completed), Human Growth & Development, and/or Microbiology. Courses need to have

been taken within four (4) years with a grade of a “B” or higher. Anything less will not be

accepted.

MEDICAL PROFESSIONAL INSTITUTE - PRACTICAL NURSING PROGRAM

REFERENCE FORM (1)

This section to be completed by the applicant:

Applicant’s Last Name Applicant’s First Name:

Name of Evaluator/Reference: Affiliation:

Under the provisions of the Family Educational Rights and Privacy Act of 1974, I waive my right of access to this reference form; Medical Professional Institute may consider it confidential.

_______________________________________________ _______________________________

Signature of Applicant Date This section to be completed by the evaluator:

The applicant named above has applied for admissions to the Practical Nursing program at Medical Professional Institute and has listed you as a reference. Please complete this form and send it back to the applicant in a sealed and signed envelope. We assure you that any information given to us will be held in the strictest confidentiality. Thank you for your assistance. How long and in what capacity have you known this applicant?

__________________________________________________________________________________________ Please carefully assess the applicant in the following areas:

Excellent Very Good Good Fair Poor Unable to Evaluate Dependability and Reliability

Flexibility Initiative Leadership Motivation

Oral Communication Skills Written Communication Skills Interpersonal Skills

Professionalism and Work Ethics Judgment and Critical Thinking Emotional Maturity

General Academic Ability

Strengths:________________________________________________________________________________ ________________________________________________________________________________ Weakness:_______________________________________________________________________________ ________________________________________________________________________________ Would you recommend this applicant for this program? Yes____ No____ If “No” Why? _________________ Please feel free to use the reverse side for any additional comments.

MEDICAL PROFESSIONAL INSTITUTE - PRACTICAL NURSING PROGRAM

REFERENCE FORM (2)

This section to be completed by the applicant:

Applicant’s Last Name Applicant’s First Name:

Name of Evaluator/Reference: Affiliation:

Under the provisions of the Family Educational Rights and Privacy Act of 1974, I waive my right of access to this reference form; Medical Professional Institute may consider it confidential.

_______________________________________________ _______________________________

Signature of Applicant Date This section to be completed by the evaluator:

The applicant named above has applied for admissions to the Practical Nursing program at Medical Professional Institute and has listed you as a reference. Please complete this form and send it back to the applicant in a sealed and signed envelope. We assure you that any information given to us will be held in the strictest confidentiality. Thank you for your assistance. How long and in what capacity have you known this applicant?

__________________________________________________________________________________________ Please carefully assess the applicant in the following areas:

Excellent Very Good Good Fair Poor Unable to Evaluate Dependability and Reliability

Flexibility Initiative Leadership Motivation

Oral Communication Skills Written Communication Skills Interpersonal Skills

Professionalism and Work Ethics Judgment and Critical Thinking Emotional Maturity

General Academic Ability

Strengths:________________________________________________________________________________ ________________________________________________________________________________ Weakness:_______________________________________________________________________________ ________________________________________________________________________________ Would you recommend this applicant for this program? Yes____ No____ If “No” Why? _________________ Please feel free to use the reverse side for any additional comments.

MEDICAL PROFESSIONAL INSTITUTE - PRACTICAL NURSING PROGRAM

REFERENCE FORM (3)

This section to be completed by the applicant:

Applicant’s Last Name Applicant’s First Name:

Name of Evaluator/Reference: Affiliation:

Under the provisions of the Family Educational Rights and Privacy Act of 1974, I waive my right of access to this reference form; Medical Professional Institute may consider it confidential.

_______________________________________________ _______________________________

Signature of Applicant Date This section to be completed by the evaluator:

The applicant named above has applied for admissions to the Practical Nursing program at Medical Professional Institute and has listed you as a reference. Please complete this form and send it back to the applicant in a sealed and signed envelope. We assure you that any information given to us will be held in the strictest confidentiality. Thank you for your assistance. How long and in what capacity have you known this applicant?

__________________________________________________________________________________________ Please carefully assess the applicant in the following areas:

Excellent Very Good Good Fair Poor Unable to Evaluate Dependability and Reliability

Flexibility Initiative Leadership Motivation

Oral Communication Skills Written Communication Skills Interpersonal Skills

Professionalism and Work Ethics Judgment and Critical Thinking Emotional Maturity

General Academic Ability

Strengths:________________________________________________________________________________ ________________________________________________________________________________ Weakness:_______________________________________________________________________________ ________________________________________________________________________________ Would you recommend this applicant for this program? Yes____ No____ If “No” Why? _________________ Please feel free to use the reverse side for any additional comments.

Transfer Request Form

Medical Professional Institute

Education for the Real World

Phone: (781) 397-6822 Fax: (781) 397-8811

Website: www.mpi.edu

380 Pleasant Street Suite 13 Malden, MA 02148

MPI Director/Administrative Staff Member Signature

Printed Name of MPI Director/Administrative Staff Member

Date

Date Provided to Student: _________________

Handed E-mailed Mailed

Students may request a transfer of credit for courses taken at another institution. MPI will review completed Transfer Request

Forms with the required documents only and return incomplete requests to the student either by postal mail or in person. To receive

a Transfer Request Form, the student should contact the Admissions Department. A student enrolling into a program at MPI may

submit the following for transfer consideration: completed Transfer Request Form and official transcript(s). The completed form

and official transcript(s) must be submitted to the Admissions Department prior to the start date of the program and before attending

a financial planning appointment. MPI may request more documentation from the student, if necessary. Courses taken at another

institution must be the equivalent of the course(s) offered at MPI and must have been taken at a college or university accredited by

an agency recognized by the United States Department of Education (USDE) or the Council for Higher Education Accreditation

(CHEA). The course(s) for transfer consideration must have been taken within four (4) years prior to the intended start date of the

program. For Allied Health program courses, MPI will consider courses taken from an institution as stated above that the student

received a grade of “C” or better. For Practical Nursing program courses, MPI will consider courses taken from an institution as

stated above that the student received a grade of “B” or better. For the Practical Nursing Program, MPI will allow the transfer of the

following courses from another institution: Anatomy & Physiology I & II, Human Growth & Development, and/or Microbiology.

Transfer of courses taken at other institutions must first be approved by one of the following: The Director of Education, The

Director of Nursing, or other administrative staff members qualified to do so. The student will be notified of the approval or denial

of the transfer of credit request by postal mail, e-mail, or in person. The student will receive credit for the transferred course, but the

grade will not be calculated into the student’s GPA. The student must agree to or deny the transfer of the courses accepted by MPI

by signing this form. Students will not receive a tuition waiver for courses accepted as transferred.

Please print clearly.

Date: _________________________________

E-mail: ________________________________

Phone: _________________________________

Course 1

Course 2

Course 3

Course Title

Textbook(s)

Used for Course

Prerequisites (if

any) Required

for the Course