North Hennepin Community College (NHCC) Nursing Application Checklist

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1 North Hennepin Community College (NHCC) Nursing Application Checklist ***Submitting the completed application well before the deadline is encouraged so that an applicant may have priority to make amendments if needed.*** Admitted to North Hennepin Community College (Paid $20 application fee and received acceptance from Admissions office), NHCC Student tech ID Nursing Application (pages 3 & 4) completed (signed, initialed, & dated) ATI TEAS test results enclosed/sent (if taken outside of MANE, an official score report MUST BE SENT from ATI) (Must meet 58.7% cut score in order to apply) MANE Participating Colleges (TEAS scores will be sent free of charge if taken at one of the following): Anoka Ramsey Community College, Century College, Inver Hills Community College, Metropolitan State University, North Hennepin Community College, Normandale Community College, Riverland Community College, Ridgewater College Have ALL Official transcripts (in a sealed envelope or via electronic PDF directly from the college) for ALL post-secondary institutions previously enrolled (even if the courses may not transfer or apply to the program), (including military, CLEP, and advanced placement-ap, IB courses, beauty school, etc) on file when apply or attached to application Official transcripts from MN State schools may be pulled from our Records and Registration office-contact them with questions If you submitted an Official transcript(s) from a non-mn State school(s) previously to NHCC, you may not have to resubmit them unless additional coursework has been taken after they were submitted Contact Records and Registration to find out what transcripts they have on file and which may need to be submitted or transfer@nhcc.edu International Transcript - evaluated by World Education Services (WES), Education Credential Evaluators (ECE), or other international credential evaluator enclosed (unless an official copy was sent to NHCC previously) Not applicable Other Highly Recommended, not required, items to consider when applying Attended a Nursing Information session Checked to see if and how courses may transfer to NHCC Viewed the NHCC nursing website and specifically read through and understand the Nursing Application Process Details page

2 Selection Criteria for Acceptance/Admission to MANE 1. ATI TEAS composite score divided by a factor of 10 (Example: Composite score of 79.3% = 7.93) 2. First semester GPA of MANE Program Plan (Example: 3.49) 3. The combined total TEAS and GPA score will be utilized to rank applicants for order of acceptance. (Example: =11.42 ranking score) 4. In the event of a tied combined total TEAS and GPA score, the applicant with the highest TEAS science sub-score will advance in rank order for acceptance. If a further tie exists, the applicant with the highest TEAS math sub-score will advance in rank order for acceptance. Timelines for Notification of Admission Applications and all required supporting documentation must be submitted prior to any application deadline. 1. Notification to applicants are sent via mail: a. Fall semester start: March 15 letters mailed for applicant notification of accept, deny or waitlist status. April 1 notification deadline by applicant to respond to NHCC to accept or deny admission to the program b. Spring semester start: July 15 letters mailed for applicant notification of accept, deny or waitlist status. August 1 notification deadline by applicant to respond to NHCC to accept or deny admission to the program

3 This is a fillable form that you may print. However, you will not be able to save it. Therefore, print an extra copy for your records. MINNESOTA ALLIANCE FOR NURSING EDUCATION (MANE) PROGRAM APPLICATION The Minnesota Alliance for Nursing Education (MANE) is comprised of member community colleges and Metropolitan State University who collaboratively offer a Bachelor of Science in Nursing (BSN) degree, with dual admittance to North Hennepin Community College and Metropolitan State University for degree completion. This opportunity provides nursing students flexibility in their educational and career planning. Completion of this single application provides the information necessary to be considered for dual admission to North Hennepin Community College and Metropolitan State University s MANE nursing program. The nursing application deadline is February 1 st of each year for a Fall semester start and June 1 st of each year for a Spring semester start. Advanced Standing (for current LPNs) will only be offered Fall semester (Feb 1 st deadline). All requirements for application must be completed prior to and submitted by the application deadline. Last name: First name: MI: Previous names used: North Hennepin Community College ID # (required): ***The applicant must fully complete the General Admission process at NHCC before applying to nursing program (including paying the $20 application fee). Street address: City: State: Zip: Home Ph # ( ) Cell Ph # ( ) Work Ph # ( ) For your application to be processed, the courses listed below must be completed with a minimum 2.75 GPA. Complete the chart below with the relevant courses completed. Must be completed prior to Course Nameapplying: subject & number: (i.e. ENGL1201) 1. Credit Amount: (i.e. 4) Location course was taken: (i.e. NHCC) Semester & Year course was taken:(i.e. Fall 13) Grade received: (i.e. B) Biology 1 General Biology (NHCC s course= BIOL1001) College Writing I (NHCC s 2. Course= ENGL1200 or 1201) General Psychology (NHCC s 3. Course=PSYC1150 OR 1160) Intro to Chemistry (NHCC s 4. course= CHEM1010) If courses were in progress at a non-minnesota State institution at the time of application, please submit updated transcripts that include posted grades and enrolled courses. The following must be completed prior to applying and submitted with the application as applicable: All applicants are required to have completed the most current Assessment Technologies Institute (ATI), standardized Test of Essential Academic Skills (TEAS) prior to application deadlines. Minimum score for consideration is 58.7% Date taken: Location taken: Total Score (%): TEAS score will be verified with ATI if taken at a MANE college or university If TEAS taken at a non-mane college or university (see checklist), applicant must request an official TEAS transcript be sent to NHCC(fee may apply).

4 Education: Applicants must supply NHCC Records & Registration office with official transcripts (in a sealed envelope, via electronic PDF from institution, or submitted to Records office previously) for ALL post-secondary institutions at which they previously enrolled (even if they may not transfer or apply to the program), (including but not limited to military, CLEP, Advanced Placement (AP), etc.). International college credits must be evaluated course by course through World Education Services ( Educational Credential Evaluators ( or other international evaluator Minnesota State transcripts will be pulled through a shared system as part of the application processing; therefore, those transcripts may not need to be sent. Non-Minnesota State transcripts (including U of M-all campuses, private colleges/universities, out of state, out of the country, etc), must be sent or submitted in official form to NHCC s Records & Registration office List names of colleges and/or universities you previously attended: (be sure there is a transcript on file for each institution listed- check with Records office prior to deadline.) For more information, registration@nhcc.edu or contact our Records & Registration office Misrepresentation of application information is grounds for canceling application. I certify the information I have provided on this application form and all other admission application materials are complete, accurate, and true to the best of my knowledge. Initial I give my permission for Assessment Technologies Institute, LLC (ATI) to verify my TEAS score report (Individual Performance Profile) for North Hennepin Community College (NHCC) so that they can use the scores for admission to their Nursing program. I understand that this consent form is only valid for the current admission cycle and should NHCC need these same scores for the next application cycle, I will need to complete a new form. Initial *****SIGNATURE REQUIRED: Date: **Print and sign this application and be sure to include all documents necessary from the Nursing Application Checklist before submitting. Print a copy for yourself**

5 **Be sure that you ve completed your application fully and that you initialed, signed, and dated your application as well as included all necessary attachments according to the Nursing Application Checklist before you turn it in** ***Submitting the completed application well before the deadline is encouraged so that an applicant may have priority to make amendments if needed.*** MAIL or DROP OFF THE COMPLETED APPLICATION by June 1 st, 2018 deadline MUST be POSTMARKED June 1 st, 2018 OR DROPPED OFF during normal business hours Monday-Friday 8am-4:30pm (June 1 st is a Friday this year. Do Not wait until the last day!)) Admissions & Outreach (Information Desk) ES Building North Hennepin Community College 7411 Eighty-fifth Avenue North Brooklyn Park, MN You are encouraged to make a copy of this application for your own records (this page does not need to be submitted). Application questions can be directed to: Nursingadvisor@nhcc.edu OR our Admissions & Outreach Office at Admission is granted without regard to race, creed, color, sex, age, national origin or handicap. This institution abides by the provisions of Title IX, federal legislation forbidding discrimination on the basis of sex and by all other federal laws regarding equal opportunity. Note: Federal and state legislation requires that the contents of student files be open to review by the student. Application forms, high school transcripts, test date, letters, and recommendations that are sent as part of any application for admission will be open to the student's review upon request. Note: This application is available in alternative formats for people with disabilities. For more information, call Disabilities Services at (voice) and TTY: (Change to your campus information) Note: If an applicant has been arrested, charged or convicted of any criminal offense, he or she should investigate the impact that the charge or conviction may have on his or her chances of employment or licensure as a registered nurse and the student s chances to obtain federal, state and other higher education financial aid ( by Minnesota Statute 135A. 157). If the applicant refuses, or is disqualified as a result of the background study, the applicant will be unable to successfully complete the requirements of the MANE program. Note: Involuntary termination from a healthcare institution may prohibit you from completing this program. Note: Application requirements are subject to change.

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