Name: W#: Phone#: Date: E-mail Address: MJC ASSOCIATE DEGREE NURSING MULTICRITERIA SCREENING PROCESS ADVISING RECORD (MSPAR) - Assembly Bill (AB) 8 (extension of AB 9) Applied for admission to MJC (prior to submitting transcripts or program application) Assessment tests taken Test of Essential Academic Skills (TEAS) test taken Date: Location: Score: Math competency met: Eligibility for 00-level MATH course or Completion of Math 89 or higher or Bachelor s degree or higher LOCATION: DATE: Were you a previous student in this program? Semester - Year- Previous last name- LVN - Provided copy of LVN license with IV certification If no, skip next three lines. LVN Program name: WASC Accredited Challenged LVN Boards Nurse 9 LVN Transition: Role Change Preparation taken at MJC CRITERIA Total Possible Points: 00 Yes Yes Yes No No No A B C D E Academic degrees or diplomas, or relevant certificates held by an applicant. Any relevant work or volunteer experience. Academic degree from a regionally accredited college or university - Select one Criterion Areas A E = 6 A = BA/BS Degree or higher Official transcript. AA/AS Degree 3 Official transcript. Licensed/certified healthcare worker - Select one from each category if applicable Licensed vocational nurse (LVN), licensed psychiatric technician (LPT), registered respiratory therapist (RRT), certified respiratory therapist (CRT), paramedic, physician Certified nurse assistant (CNA), certified medical assistant (CMA), emergency medical technician (EMT) CA certification or national registry Relevant Work Experience Healthcare work experience (see B above) 000 hours in the years prior to May 3 of application year Volunteer Experience Volunteer work 00 hours in the years prior to May 3 of the application year Military healthcare work experience B = To determine college accreditation, google Accredited Institutions of Postsecondary Education and click on Accreditation of Postsecondary Education in the United States. Copy of current license. Documentation of credentials for physicians 3 Copy of current certificate. C = 3 3 D = E = Corpsman/medic TOTAL POINTS FOR CRITERION AREAS A E = Criterion C and 3D Supporting Documentation forms (SDF) Criterion C Supporting Documentation Form Criterion D Supporting Documentation Form Copy of Defense Department Form DD-. Honorable Discharge Required
CRITERIA Grade Point Average (GPA) in relevant coursework (prerequisite courses). All prerequisites must be completed for letter grades. Criterion Areas A E = 60 Chemistry 3 or equivalent course Natural Sciences GPA (Anatomy or equivalent, Microbiology 0 or equivalent, Physiology 0 or equivalent). All courses must be completed with a grade of C or better. A = 30 Official transcript with final grades posted by the application deadline. For all out-of-district course work, must provide course descriptions from catalog and copies of catalog covers for the years the courses were taken. MJC uses semester units. If you have transferred quarter units from another school, they must be converted to semester units before calculating the GPA.* Semester/year completed A = grade points, B = 3 grade points, C = grade points Anat- Micro- Physio- Total points Total Units = Combined GPA A Did you check to ensure that each course was a semester unit or converted to a semester unit? Yes See conversion chart below if necessary. *Quarter unit to semester unit conversion information: Quarter Units Semester Units = 0. =. 3 = =. = 3. 6 = 7 =. 8 =. 9 = 6 0 = 6. = 7. = 8 3 = 8. = 9. = 0 GPA.0 3.-3.99 3.0-3.9.-.99 <. not qualified 30 0 Deduction for substandard grades (D, F, NC/NP) or Ws in Natural Sciences (Anatomy or equivalent, Microbiology 0 or equivalent, Physiology 0 or equivalent) in the 3 years prior to the application year. Maximum Deduction for B = -0 B substandard grade substandard grades 3 substandard grades or more substandard grades - - -0 Disqualified
CRITERIA C English 00 or 0 is required for all students entering the ADN program. Points will be awarded for the highest grade for English 00 or 0, not the average of the two combined courses. If an Advanced Placement (AP) score is used to meet the English prerequisite, you will only receive credit for a C grade. English 03 may be taken for letter grade to raise the English score. NOTE: English 0 taken prior to Fall 07 will be accepted to raise the English score. GPA for remaining three prerequisites. Psychology and Sociology 0 or 0 or or 0 or or 6 or Anthropology 0 and Communication 00 or 0 or 0. All courses must be completed with a grade of C or better. The highest grade for each of the three will be used to calculate the GPA. Psychology 0 may be taken for a letter grade to raise the Psych grade. NOTE: Psychology 0 taken prior to fall 06 will be accepted to meet the psychology requirement. MJC uses semester units. If you have transferred quarter units from another school, they must be converted to semester units before calculating the grade point average (GPA).* A = grade points, B = 3 grade points, C = grade points C = GPA A - B - 0 C - < C not qualified D = 0 Semester/year completed D PSYCH- SOCIO- COMM- Total points Total Units = Combined GPA Did you check to ensure that each course was a semester unit or converted to a semester unit? GPA.00 0 E F Yes See conversion chart below if necessary. *Quarter unit to semester unit conversion information: Quarter Units Semester Units = 0. =. 3 = =. = 3. 6 = Highly recommended coursework MFDNTR 9 Nutrition or equivalent MNURSE : Introduction for Nursing Majors (MJC) or CGUIDE 0: Guidance for Nursing Majors (Columbia) ONLY; no equivalent courses MDAST 3: Medical Terminology or equivalent Completed all lower division coursework for transfer to a BSN program (refer to page on MSPAR 3.-3.99 3.0-3.9.-.99 <. not qualified 8 6 E & F = TOTAL POINTS FOR CRITERION AREAS A F = 3
Additional Requirements for the CSU-GE Transfer Pattern Courses in Area A, A, A3 and B must be passed with a grade of "C" or higher, "P" or "CR". Warning: A grade of C minus may not be accepted by other institutions when attempting to transfer. Area A.3: Critical Thinking - 3 units Any course from the A.3 category will satisfy the CSU GE transfer requirement. Recommendation: English 03. Area B.: Physical Science Chemistry: units Area B.: Mathematics and Quantitative Reasoning MATH 3: Elementary Statistics units or SOCIO 0: Introduction to Statistics for the Social & Behavioral Sciences 3 units Area C: Arts and Humanities -6 units Area D: Social Sciences -6 units Chemistry 0, 0,, 3,, (or the equivalent) will also be accepted. Recommendation Chemistry 3 Organic Chemistry (CHEM ) is not required to articulate to CSU, Stanislaus and is no longer required for entry into the generic CSU, Stanislaus nursing program. Recommendation: Sociology 0 The transfer requirement in this category is nine units. Graduates from MJC will have already completed three of the nine required units. To satisfy the category requirements, three units must be from area C.., three units from area C.., and three additional units from areas C. or C.. Do not take all 9 units in one category. The transfer requirement in this category is nine units. Graduates from MJC will have already completed three of the nine required units CSU US History, Constitution and American Ideals (see catalog) An additional six units are needed to complete the US History & Government requirement for the BA/BS degree. Three units from group a and three units from group b OR six units from group c. Six units may also be counted toward Area D. Recommendation: History 0 & Political Science 0 Link to CSU, Stanislaus: www.csustan.edu/nursing
3 CRITERIA Life experiences or special circumstances of an applicant, including but not necessarily limited to the following. Select only one if applicable. Criterion 3 Areas A-H = 3A Disabilities. Documented learning disability or proof of participation in or eligibility for Disability Support Program and Services (DSPS). 3B Low family income. Proof of eligibility for or proof of receipt of financial aid, e.g. BOGG fee waiver, Cal Grant, Pell Grant or other federal grant, or Cal Works. 3C First generation of family to attend college. Paragraph explaining the educational background of your parents. 3D Need to work. Paycheck stub from the period of time you were enrolled in prerequisite coursework or Criterion 3D Supporting from employer verifying employment while completing prerequisite coursework. If Criterion C Supporting was submitted for the period of time in which you were enrolled in prerequisite coursework, the Criterion C Supporting can be used to document Criterion 3D. 3E Disadvantaged social or educational environment. Proof of participation in or eligibility for Extended Opportunity Programs & Services (EOPS). 3F Difficult personal and family situations or circumstances. Paragraph explaining the situation or circumstances. 3G Refugee status. Documentation or letter from U.S. Citizens & Immigration Services (USCIS) verifying your refugee status. 3H Veteran status. Copy of Defense Department Form DD-. Honorable discharge required. TOTAL POINTS FOR CRITERION 3 Areas A-H =
CRITERIA Proficiency or advanced level coursework in a language other than English. Credit for languages other than English shall be received for languages that are identified by the state Chancellor s office. Criterion = Language: Criterion Supporting Documentation Form Proficiency in a Language other than English or official transcript from a US regionally accredited college verifying four semesters of one foreign language with a grade of C or better for each semester. TOTAL POINTS FOR CRITERION = Assessment/readiness test results: Test of Essential Academic Skills (TEAS). As of June 07, a student has two opportunities to take the TEAS with a minimum score of 7 (6%). Points will be awarded for the higher of the first two scores. You may obtain a TEAS study guide by logging on to www.atitesting.com and clicking on shop online under products. Study guides are also available in the MJC and Columbia College Library and Learning Centers. The TEAS is available in the MJC Testing Center, but you must preregister online through ATI Testing. Whole numbers only will be used. TEAS scores with decimals will not be rounded up. Criterion = 0 Official TEAS score from ATI Testing. NOTE: We will continue to accept the highest of the first three attempts for students that took the TEAS between Sept st 06 and May 3 st 07. TEAS Tutoring Referral Form 98-00 Yes 96-97 No 9-9 9-93 90-9 88-89 86-87 8-8 8-83 80-8 78-79 76-77 7-7 7-73 70-7 68-69 66-67 6-6 6-63 < 6 ineligible/must retest 0 9 8 7 6 3 0 9 8 7 6 3 TOTAL POINTS FOR CRITERION = UNOFFICIAL TOTAL FOR CRITERIA = /00 AS Degree: Additional Requirements for Associate of Science Degree Activities.0 units Humanities 3.0 units Guidance class 0. unit 6
Advisories: Program cost Clinical clearance Health clearance Background check Drug screen BLS Support system Supportive Services, i.e. disabilities services, health services, mental health services College Accreditation Status Google Accredited Institution of Postsecondary Education. Click on Accreditation of postsecondary Education in the United States Applicants applying for the first semester of the ADN program will be disqualified for entering coursework from non- accredited institutions Applicants who completed nursing coursework at a non-accredited institution will have program eligibility determined on a case-by-case basis. Recommendations: Faculty Signature Faculty Phone Number My signature acknowledges that I have been advised that the score on this document is unofficial. Final scores will be tabulated on the official application once supporting documentation is received and reviewed. Student Signature Date 7