1 APPLICATION GUIDELINES MAY 1 st - 31 st Year: PLEASE READ ALL APPLICATION GUIDELINES CAREFULLY. Some guidelines may have changed since the last application period. It is the APPLICANT'S RESPONSIBILITY to read all guidelines carefully. NOTE: Admission as an LVN 30 Unit Option student is on a limited space-available basis. If you have any questions regarding the application guidelines call MJC Allied Health at (209) 575-6362. IMPORTANT INFORMATION 1) It is a requirement of the Board of Registered Nursing (BRN) that MJC provide a 30 Unit Option Pathway; however MJC does not endorse the pathway as educationally sound for students desiring to become a registered nurse. The 30 Unit Option Pathway does not require the same prerequisites as the general LVN to ADN Advanced Placement Pathway. Applicants for the 30 unit option will be missing some of the required prerequisites for the Advanced Placement Pathway and may be limited in educational advancement opportunities. LVN applicants who have completed all required prerequisites may have a greater chance of being selected for program entry. Students interested in the 30 Unit Option Pathway are advised to meet with a nursing advisor prior to submitting an application. 2) Daily Access to a Computer with Internet Students enrolled in the LVN 30-Unit Option must have daily access to a computer with Internet. It is strongly recommended that students have Internet access from their place of residence. Admission to Modesto Junior College: If you are not a current MJC student, you may apply for admission at www.mjc.edu or in person at Enrollment Services on either campus. You do not need to be enrolled in classes. High school graduation or equivalent (GED or college degree): High school graduation is not required for admission into the LVN 30 Unit Option, however, high school graduation or equivalent is required in order to take the NCLEX-RN. Official transcript showing high school graduation or documentation of equivalent may be submitted with your program application. The MJC Allied Health or Enrollment Services can verify that your high school transcript (or equivalent) is already on file. Allied Health is located on West Campus, Glacier Hall room 165. Enrollment Services (209) 575-6853, is located on East Campus in the Student Services Building room 102 and on West Campus in Yosemite Hall room 147. Your application packet will include a Transcript Verification Form to be initialed by the person who verifies that your high school transcript is on file or the person who receives your official transcript. Please keep a copy of the Application Receipt.
2 Official College transcripts and LVN program transcripts: If you completed a Licensed Vocational Nursing program, an official copy of your LVN program transcript should be submitted with your program application unless it is already on file. If you have attended any college(s) other than Modesto Junior College or Columbia College, official college transcripts may be submitted with your LVN 30 Unit Option application. You should have someone from Allied Health initial the Transcript Verification Form included in your application packet to verify that your transcripts are already on file or to verify receipt of your transcripts. Only official transcripts submitted by the application deadline will be used to determine program eligibility. It is the applicant s responsibility to ensure that all transcripts are on file and up-to-date by the program application deadline. NOTE: Students submitting transcripts from colleges out of the Yosemite Community College District or from any college prior to 1995 must provide course descriptions on coursework required for the nursing program which includes math, English and sciences. A copy of the cover of the catalog for the year the course was taken must be included along with the course description from that catalog. Recommended Math Competency: The following competency is recommended for success. Eligibility for entrance into any 100-level MATH course through the MJC Math Assessment See www.mjc.edu or phone (209) 575-6026 for the math assessment testing calendar. or Score of 3, 4, or 5 on AP Exam: Calculus AB or Calculus BC or Statistics or Completion of MATH 89 or higher level MATH course at MJC, or an equivalent course from another institution with a grade of C or higher. Course may be taken as P/NP or CR/NC. Score of 5 on IB exam; Mathematics HL Students who possess a bachelor s degree or higher completed at a regionally accredited college or university will have satisfied general education and competency requirements including guidance and activities for the associate s degree. Prerequisites: Priority will be given to applicants who have successfully completed the prerequisites. Microbiology and physiology may be challenged or completed with a grade of C or better. Units Microbiology 101........................................... 4 Physiology 101............................................. 4 Nurse 259: Transition into the RN Role........................... 2 In order to enroll in this course, students must provide proof of a California LVN license with current IV certification and completion of Microbiology 101 and Physiology 101. Written and Skills Proficiency Testing: In selected cases, both written and skills proficiency testing may be required (CCR 1429). Test of knowledge and clinical skills to identify areas where remediation might assist the student however, test results may not be used to deny the applicant admission to the program.
Test of Essential Academic Skills (TEAS) Applicants are strongly recommended to take the TEAS which measures skills in the content area domains of Reading, Mathematics, Science, and English and Language Usage. A score of 62% or higher is recommended for success; however, a score lower than 62% cannot be used to deny the applicant admission to the program. Applicants who have taken the TEAS at another institution may have official scores sent by ATI to MJC. Preparation materials are available from Assessment Technologies Institute (ATI) at www.atitesting.com. Copies of the TEAS Pre-test Study Manual are available at both MJC libraries and at the Columbia College library. To schedule your TEAS, contact ATI at www.atitesting.com and schedule your test at Modesto JC. If you have questions regarding the TEAS, you may call Kendis Bettencourt at (209) 575-6569 or email her at bettencourtk@mjc.edu. Documentation of LVN license: A photocopy of your LVN license with IV certification must be submitted to Allied Health by the application deadline along with the completed application. Policy Statement on Denial of Licensure The California Board of Registered Nursing (BRN) protects the public by screening applicants for licensure in order to identify potentially unsafe practitioners. Statutory authority for denial of licensure is set out in the Business and Professions Code. Any student considering a career in nursing who has a criminal record is advised to go to the BRN website at www.rn.ca.gov and search Enforcement and then License Discipline and Convictions prior to applying to the ADN Program. Background Check Pre-nursing students with a criminal record should attempt to have convictions expunged prior to applying for entrance into the nursing program. A criminal record may prevent students from clinical placement and therefore continuing in a nursing program. 3
4 SELECTION PROCESS MJC LVN 30 Unit Option applicants are selected on a space-available basis. LVN to ADN Advanced Placement Pathway applicants who have completed all required prerequisites for the ADN program with grades on transcript at the time of application will be given priority for admission. LVN 30 Unit Option Application: Please fill out the application as completely as possible. Complete LVN 30 Unit Option application packets must be submitted to Allied Health or be postmarked by May 31 st. Late application packets will not be accepted. Incomplete application packets will not be processed. LVN 30 Unit Option Application packets include the following: LVN 30 Unit Option Application Please fill out as completely as possible. Proof of CA LVN License Submit copy of LVN license. Proof of IV certification Submit a copy of certification Applicant Profile This form is used for statistical reporting only, not in the selection process. Application packets may be mailed to: OR Submitted in person to: Modesto Junior College MJC Allied Health Office ADN Program ATTN: Donna Blagg MJC West Campus 435 College Ave. 2201 Blue Gum Avenue Modesto, CA 95350 Glacier Hall, Room 165
5 APPLICATION RECEIPT This form is your verification that Allied Health has received your application packet. All complete application packets will be processed as quickly as possible after the closing date of May 31 st. All applicants will be notified of their acceptance status by email. Please DO NOT call the Allied Health office to check on your acceptance status or on the status of notification emails. Acceptance into the third semester of the ADN program as an LVN 30 Unit Option is on a spaceavailable basis. Final determination of available space will not be known until after finals. You will be notified as soon as space availability is known and selection has been made. IMPORTANT: If you move and/or change your telephone contact information, please email Donna Blagg at blaggd@mjc.edu and update your contact information. It is important that we have the ability to contact you by telephone. PLEASE NOTE: If accepted, you will be expected to be available a week or two prior to the beginning of the semester for a mandatory orientation. Basic Life Support (BLS) certification will also take place prior to the beginning of the semester. Please take this into consideration when making plans. When you submit your application packet the person accepting your application packet will sign for it in the box below and stamp the receipt date. Please keep this form for your records. LVN 30 Unit Option application for: Applicant Name (Please Print or Type) OFFICE USE ONLY DO NOT WRITE IN THIS SPACE Received by: Allied Health Signature Allied Health Date Received TRANSCRIPTS RECEIVED
6 APPLICATION Applying for Year: ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ PLEASE TYPE OR PRINT Last Name First Middle Previous/Maiden Name Mailing Address City State Zip PHONE: Primary/Secondary Date of Birth Social Security Number E-Mail Address (Required) MJC Student ID Number ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ APPLICANT CHECKLIST Admission to Modesto Junior College Official high school transcript or documentation of equivalent (GED or college degree) submitted Official college transcripts (if any) submitted (other than MJC/Columbia) Official LVN Program transcripts submitted Copy of LVN license submitted Copy of IV certification submitted Completion of Microbiology 101, Physiology 101 and Nurse 259 with a minimum grade of C on transcript. I have read and understand the LVN 30 Unit Option Application Guidelines. I understand that if I have a criminal record, which includes driving under the influence (DUI), I should attempt to have convictions expunged prior to applying for entrance into the nursing program. I understand that I am selecting a pathway that does not lead to an Associate of Science degree in Nursing. Applicant s signature Date
7 If you have completed any of the following courses, please list them below. All coursework must be verifiable by official transcripts if it is to be used. Priority will be given to applicants who have completed these courses with a grade on official transcript at the time of application. LVN TO ADN ADVANCED PLACEMENT PATHWAY (APP) PREREQUISITES SEM/YR COLLEGE COURSE NAME AND NUMBER GRADE UNITS English 100* or 101* Anatomy 125* Microbiology 101 Physiology 101 Nurse 259 ADDITIONAL LVN TO ADN APP PREREQUISITES SEM/YR COLLEGE COURSE NAME AND NUMBER GRADE UNITS Psychology 101* Sociology or Anthropology* Speech* MJC GE GRADUATION REQUIREMENTS SEM/YR COLLEGE COURSE NAME AND NUMBER GRADE UNITS Activities* Guidance* Humanities* *Not required for LVN 30 Unit Option YOU MUST INCLUDE A COPY OF YOUR LVN LICENSE WITH YOUR APPLICATION I have submitted my LVN License: YES NO I have submitted my IV certification: YES NO Are you currently employed as an LVN? YES NO If YES, your current employer:
8 TRANSCRIPT VERIFICATION FORM VERY IMPORTANT: This form may be completed and submitted with your LVN 30 Unit Option application. A transcript from your LVN Program (if applicable) may be submitted. Official transcripts from all colleges other than Modesto Junior College or Columbia College may be submitted. Official high school transcripts or documentation of GED may be submitted unless you have a college degree documented on official college transcript. Last Name First Middle Previous/Maiden Name Phone: Primary/Secondary Date of Birth MJC Student ID Number High School (if Graduated) or GED location Year of High School Graduation or GED OFFICE USE ONLY: Initials Verifying Receipt LIST ALL COLLEGES (including Columbia College). IMPORTANT: Official transcripts MUST BE submitted to Allied Health by the program application deadline, May 31 st if they are to be used in evaluating your application. Use the back of this form if you need more room. Name of College: Degree (if any) OFFICE USE ONLY: LIST SCHOOL WHERE LVN PROGRAM WAS TAKEN (if applicable): Name of School Date Program Completed
9 APPLICANT PROFILE MAY 1 st -31 st Year: VETERN STATUS Check the category that applied to you. I am a Veteran I am not a Veteran The following information is optional and is requested for statistical purposes only. This information will not be used in the selection process. ETHNIC BACKGROUND Check the category that best applies to you. Black/African-American American Indian or Alaska Native Asian Indian Filipino Native Hawaiian or Other Non-Filipino Pacific Islander White/Caucasian Hispanic/Latino Other race Unknown race and ethnicity GENDER Check the category that applies to you. Female Male AGE DOB: Enter day, month and year. - - XX XX XXXX