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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.

 Unofficial transcripts for all colleges or universities you have attended.

 A copy of your NMU Transfer Credit Evaluation (TCE) if you have transferred credit from another college or university. (Obtained from the Registrar’s Office; takes several weeks.)

 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 101

Please answer the following questions:

1.

Are you currently enrolled at Northern Michigan University? yes no

2.

If not currently enrolled, have you been informed by letter of your acceptance to Northern Michigan

University? yes no

3.

Have you completed a minimum of 12 credits at NMU? yes no If yes, is your NMU GPA > 2.75?

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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 listed courses on transcripts & TCE.

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.

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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. (if LPN > 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

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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.

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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

_____________

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Checklist for Nursing Application

(highlight all prerequisites)

Please attach the following to your application:

An unofficial copy of your NMU transcript. Include

current semester of classes and gpa.

Transcripts from all colleges and universities you have

attended.

A copy of your NMU Transfer Credit Evaluation (TCE) if

you have transferred credit from another college or

university (obtained from the Registrar’s Office and

takes several weeks).

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Appendix I

Northern Michigan University – School of Nursing

Admission Criteria Scoring Grid

Category I – Cumulative GPA (Use Transfer GPA if student has less than 12 NMU credits. If student has

accrued ≥ 12 NMU credits use NMU GPA).

4.0-3.75

3.74-3.5

3.49-3.25

3.24-3.0

2.99-2.75

15

12

9

6

3

Category II – Science GPA (Chemistry 109 grade stands alone, even if student has taken lower level

Chemistry prior to CH 109. If student has taken two (2) chemistry courses in lieu of CH 109, the two grades

will be averaged for a single score, i.e.: CH 107 & 108; or CH 107 & CH 112; or CH 111 & CH 108; or CH

111 & CH 112; or CH 105 & CH 112).

A

A-

B+

B

B-

C+

C

C-

Anatomy

10.00

8.75

7.50

6.25

5.00

3.75

2.50

1.25

Physiology

10.00

8.75

7.50

6.25

5.00

3.75

2.50

1.25

Chemistry

10.00

8.75

7.50

6.25

5.00

3.75

2.50

1.25

Category III – Previous Degree (maximum of 5 points)

LPN or Baccalaureate/Masters

5

Category IV ≥ 12 credits completed at NMU

Completed at NMU

10

Total Points of Admission Criteria /60

Reviewer Initials_____________________ Date___________________

Reviewer Notes:

References

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