School of Nursing
APPLICATION FOR ADMISSION
Baccalaureate Nursing Program
Fall 2015
Accepting Applications beginning October 31, 2014 Application Due Date: March 16, 2015
Shorter University, School of Nursing
315 Shorter Avenue ~ Rome, GA 30165 ~ 706-233-7464 ~ su.shorter.edu
Shorter University School of Nursing Application for Admission – Fall 2015 Page 1
APPLICATION FOR ADMISSION
SCHOOL OF NURSING
BACHELOR OF SCIENCE IN NURSING PROGRAM
Admission to the Nursing program requires a separate application to be mailed to the Shorter University School of Nursing, 315 Shorter Avenue, Rome GA 30165. The first two years of general education
prerequisites are taken at Shorter University, or any accredited college or university. Students may apply and be admitted while perquisites are in progress toward completion. However, all courses must be completed prior to entry into the nursing program.
The School of Nursing accepts applicants with the highest likelihood of success in the program. The admission process is competitive and meeting the criteria for admission is not a guarantee of acceptance.
Each applicant is considered on an individual basis. The Admission Committee will not review an applicant’s file until all the required documentation is included and complete. No decisions will be made on incomplete files. It is the responsibility of the applicant to ensure that file is complete for review. Final acceptance is contingent upon successful completion of all prerequisite courses, final transcript review, and successful completion of background check, drug screen and physical examination. International students must be status approved by the Shorter University verification process.
Applicants may contact the School of Nursing office at 706-233-7464 with any questions or concerns during the application review process.
The nursing program is designed to be completed in five semesters. An additional requirement includes successful completion of a global study abroad requirement. Graduates of the BSN program will be eligible to take the NCLEX examination for licensure in any state. Accepted students will be assessed fees each
semester for supplies, computer learning programs, standardized exams, association fees, and random drug screenings.
All undergraduate applicants must submit:
A complete School of Nursing application undergraduate form.
A $25.00 application fee in the form of check or money order made payable to Shorter University.
This fee is non-refundable and does not apply to registration fees. The application fee is waived for students currently enrolled in Shorter University.
Shorter University School of Nursing Application for Admission – Fall 2015 Page 2 Admission Criteria:
Minimum overall GPA 3.0/4.0 scale
Standardized Test Required: Test of Essential Academic Skills (TEAS V), taken within the last 6 months, must be completed and results submitted to the School of Nursing by March 16, 2015.
Completed application and all required documents. This includes two official transcripts from each college or university attended, irrespective of degree status. The transcripts must be received in a sealed envelope with registrar’s official seal. Only official transcripts will be used for evaluation of credit. A grade of “C” or better must be obtained to receive credit. Science courses over 6 years may require validation before credit can be granted. Science and Math courses receive additional
weighting in acceptance decisions. Please mail to Shorter University School of Nursing, 315 Shorter Avenue, Rome, GA 30165.
International Students: Transcripts must be evaluated by an approved evaluation service.
Statement of Purpose; see below.
Completion of all required prerequisites. See Section A
Once students have received notice of conditional acceptance via U.S. Mail, students are expected to successfully complete a background check, drug screen, physical examination, and submit a $200 non- refundable fee to hold their space in the program. This fee will be used to purchase nursing equipment and supplies. International students must be approved with student status verification. Upon satisfactory
completion, students will be confirmed for acceptance and will receive an orientation packet.
Annual Background Checks/Physicals:
The School of Nursing at Shorter University requires a background check, physical, and drug screen for admission. The background check and physical are repeated annually. Students accepted into the School of Nursing will receive a complete packet of information and forms upon acceptance into the program.
Clinical Agencies:
As a nursing student, you may be required to provide a criminal background report and/or drug screening, at your own expense, if required by the clinical agency to which you are assigned, with results reported directly to the clinical agency. If the clinical agency finds the results of the drug screening or criminal background check to be unacceptable, the School of Nursing at Shorter University may not be able to provide further educational experiences, which could impede the student’s progression and completion of the nursing degree.
Statement of Purpose:
Please address your reason for choosing nursing as a profession and how you envision Shorter University supporting your goals in Nursing. The Admission Committee will be reading for content, grammar and spelling. This statement of purpose is a very important part of the application process.
Shorter University School of Nursing Application for Admission – Fall 2015 Page 3
S h o r t e r U n i v e r s i t y S c h o o l o f N u r s i n g
A p p l i c a t i o n U n d e r g r a d u a t e F o r m
P L E A S E C O M P L E T E ( p r i n t )
_______ _____________________ _________________ _____________________
First Name Middle Name Maiden Name Last Name
___________________________________ ______________________ _______ ______________
Street Address City State Zip Code
________/________/__________ _____________________________
Social Security Number Birthdate Birth Place
( ) ( ) _
Home Phone Cell Phone E-mail Address
Have you ever been enrolled at Shorter University? If so, when.___________________________________
Check if currently enrolled at Shorter University ___________________________________
Scholar ID
Gender: M F Married Single U.S. Citizenship: Yes No
If not U.S. Citizen, provide the following:
Country of Citizenship Type of Immigration Visa
Select as Appropriate
American Indian/Alaska Native Caucasian Non Hispanic/Latino origin
Asian Hispanic/Latino origin Other
Black or African American Native Hawaiian or Pacific Islander Is English your native language? Yes No If not, please list language
Religion Preference/Denomination **(optional) _______________________________________________
Church Membership **(optional) _______________________________________________
__________________ ________________________
Emergency Contact Relationship Telephone
Signature* Date
*My signature indicates that I am providing Shorter University School of Nursing with information that is factually correct, honest and complete.
**Completing these categories allows applicant to be considered for additional scholarships and/or grants.
Shorter University School of Nursing Application for Admission – Fall 2015 Page 4 Applicant’s Name
EDUCATION
High School
City State Graduation Date Month/Year LIST IN CHRONOLOGICAL ORDER ALL SCHOOLS ATTENDED SINCE HIGH SCHOOL (Last, First)
Name City/State Entry Date Departure
Date
Diploma/
Degree
List any courses you are currently taking at the university level and any courses in which you plan to enroll next term.
Name of course Name of Institution Term Enrolled
List any honor that you have received, as well as community service and extra-curricular activities in which you have been involved.
Briefly describe any employment experiences (if applicable).
Shorter University School of Nursing Application for Admission – Fall 2015 Page 5 Other Academic Graduation Requirements:
-- A minimum grade of “C” is required to pass courses; a grade of “B” in Science and
-- Math courses enhance admission eligibility. -- Minimum GPA to enter Nursing Program: 3.0 -- Student may repeat one Science, Math, or Nursing course
All health records, immunizations, criminal background checks/drug screening, and CPR certification must be on file in the School of Nursing prior to Fall admission. (information and forms provided after acceptance into the School of Nursing)
Bachelor of Science – Nursing Catalog Year:
Common Core Outline of Nursing Major
Hrs Course Sem
Taken
Grade Institution/
Location
Hrs Course Sem
Taken
Grade Institution/
Location
3 FYS 1000 (entering freshmen only)
6 NUR 3110 Foundations
3 ENG 1010 OR ENG 1030 3 NUR 3120 Health Care
Assessment
3 ENG 1020 OR ENG 1040 3 NUR 3140 Health Care
Delivery
3 ENG 2xxx 2 NUR 3150 Pharmacology I
3 COM 1010 2 NUR 3155 Pharmacology II
0-2 CIS 1000 (If FYS not taken) 6 NUR 3210 Family Centered
Care
3 HIS 1020 OR HIS 2060 4 NUR 3220 Vulnerable
Populations 3 MAT 1110 OR higher
4 BIO 1010, 1011 5 NUR 3230
Community/Global Health
1 HPE 1010 6 NUR 3310 Community Global
Health Mission/Practicum
0.5 HPE Activity 3 NUR 3320
Cultural Diversity and Spiritual Dimensions of Care
0.5 HPE Activity 7 NUR 4110 Adult Health I
3 CST 1011 3 NUR 4120 Research/EBP
3 CST 1012 3 NUR 4130 Leadership
Professional Issues 3 ART 1500, 2010 OR MUS 2030,
3430 OR THE 2250
4 NUR 4210 Adult Health II
3 PSY 1010 6 NUR 4220 Senior Practicum
2 NUR 4230 Quality of Care 36-38 Semester Hours in Common Core 65 Semester Hours in Major
Secondary Core (not chosen above) NOTES:
3 PSY 3210 Dev: Birth-Adolesc 3 PSY 3220 Dev: Adulthood-Aging 4 BIO 3010, 3011-Anatomy &
Physiology I
4 BIO 3020, 3021 Anatomy &
Physiology II
4 BIO 3030, 3031 Microbiology 4 CHE 1020, 1021 Pre-Nursing
Chemistry I
3 NAS 3100 OR MAT 3180 OR PSY 3500 OR BUS 3580
3 SOC 1010
28 Semester Hours in Secondary Core
65-68 Total Combined Semester Hours in Core/Secondary Core TEAS:
Total: ________ Science: _________ Math: ________
