Application to Nursing is a 2 Step Process:

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20 Νοε 2013 (πριν από 4 χρόνια και 1 μήνα)

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APPLICANT
INFORMATION FOR

RN
-
BSN

PROGRAM


NURSING
APPLICATION DEADLIN
E IS
12

P.M.,
January 0
6
, 2014


For application
instructions,
visit


www.calstatela.edu/academic/hhs/nursing/BSN_
RN
_adm.php

and follow link to

RN
-
BSN Supplementary application


Admissions Information



Thank you for your interest in the
RN
-
BSN

program at Cal
ifornia

State

University, Los Angeles (CSULA)
. This
is a wonderful time to be entering nursing. The need for
professionally prepared nurses is great, and there are
increasing opportunities for practice in many areas.



The CSULA School of Nursing (SON) has ONLY ONE applicant pool annually
. From this one applicant pool,
we wi
ll accept one class for the 2014
-
2015

academic year

(
beginning

Fall 2014
)
.


Our
RN
-
BSN

nursing program is a

traditional part
-
time over seven
-
quarter sequence
. The program includes
general education

combined with

theoretical and clinical nursing courses.
Upon completion of the program you
will
be awarded a bachelor
’s degree in Nursing (BSN).

Students who enter in
Fall 2014

can expect to graduate in
June

201
6
.

Courses are offered at variable days and times and involve travel to clinical sites in many areas of Los
Angeles County.




Please read

these instructions carefully and submit your completed forms by the printed deadlines. Please adhere
to the following application instructions.


Application to Nursing is a 2 Step Process:


1.
Admission to the University:

Unless you are currently at CSU
LA, you must APPLY for ADMISSIONS to
the university online at
www.csumentor.edu
. Note: You must adhere to the POSTED DEADLINES FOR
APPLYING to the university. The filing period to apply for Fall 2014 is October 1
-
November 30, 2013. You will
need to send a separate complete set of transcripts to the University of all the universities and colleges you have
attended.


2.
Admission to the School of Nursing:

This requires a second supplementary application. The
APPLICATION DEADLINE to the School of Nursing IS 12 P.M., January 03. 2014. As long as you have met the
eligibility requirements identified on the application, you are eligible to apply to the nursing major even if you
have already declared another major.




Nursing Student Services Office

Simpson Tower F415

5151 State University Drive, Los Angeles, CA 90032
-
8171

Monday

Thursday 9 am
-
5 pm


Friday 9 am
-
4 pm




2


*Note: The School of Nurs
ing will not process incomplete

and/or illegible application forms.




It is the applicant’s responsibility to provide complete and accurate materials by the
appropriate deadlines
.
Applications that are incomp
lete will not
be
consider
ed

for
review.

If you change
your
address, name, and/or phone number
during

the application

period you must notify the
Nursing

Advisement Office in writing

as soon as possible
.
If we do not receive your information c
hange you
may lose priority for

space
.



CSULA School of Nursing office is
NOT

responsible for lost or misdirected applications. Please photocopy
your
entire
packet
; then hand
-
deliver
the
original
or send
it
by certified mail via U.S. Postal Service to:


California State University, Los

Angeles

School of Nursing

Attention:
RN
-
BSN

Program

5151 State University Drive

Los Angeles, CA 90032
-
8171



Make sure
ALL
transcripts have been sent and received to University admissions and School of Nursing
.


California State University, Los Angeles

California State University, Los Angeles

School of Nursing
/ST 415





Admissions Office

Attention:
RN
-
BSN Program




5151 State University Drive

5151 State University Drive



Los Angeles, CA 90032

Los Ang
eles, CA 90032
-
8171










Initial communications with an adviser regarding applications and/or questions about applying

will be answered
via
e
-
mail only
.


CSULA S
CHOOL OF NURSING CONTACTS
:

Nursing
Student Services

Office, Simpson Tower F415, (323) 343
-
4730

Monica Ling,
mling@cslanet.calstatela.edu


All application materials submitted to CSULA School of Nursing

become the property of the School of Nursing.



PLEASE DO NOT CALL the School of Nursing for application s
tatus.





3



DEADLINES FOR APPLICANTS SCHOOL OF NURSING

FALL

20
1
4

APPLICANT POOLS


1.

September 03, 2013



January 06, 2014

Applicatio
ns are accepted from September 14

through December 11

for
2013
-
2014

admission pool. Applications
will not be accepted
if postmarked before

September 02, 2013

or after
January 06, 2014

• F
axed
or emailed applications will not be accepted.


•Applications must be submitted

www.calstatela.edu/aca
demic/hhs/nursing/BSN_
RN
_adm.php


by hand or
certified
mailed

s
ubmitted in person or in mailed.

Reminder: u
nless you are currently enrolled at CSULA, you must
APPLY for
University ADMISSION

online
at

www.c
sumentor.edu.

Note
: You must adhere to

the POSTED

APPLICATION
DEADLINES FOR

ADMISSION

TO THE UNIVERSITY
.



2
.
November 30, 2013


Deadline to
apply to the University for Fall 2014.


3
.

January 06, 2014

(by 12

pm if hand delivered)

Submission of Supplementary Application


This is a statement

of your intent to apply to the School of Nursing
(SON) for the

2013

applicant p
ool.

Mailed

a
pplications

received after
January 06, 2014

will not be considered.
Your completed application packet must be mailed or delivered t
o the CSULA School of Nursing
St
udent
Services

Office (Simpson Tower 415).
In order to confirm your application has been received it must be sent by
certified mail with return receipt requested
.




Your
A
pplication Packet

must include the following to be considered complete:



1)
Appli
cant checklist




2) Application for the

RN

BSN Program

Fall

2014

applicant pool.



3) Official t
ranscripts of all college work

including course work in

progress
.
These transcripts are
in


addition
to the official transcripts that are required by the University Admissions Office. NOTE:




University Admissions does not share transcripts with the School of Nursing; and
the School of Nursing


does not share transcripts

with Admissions.


If you have attended a California
C
ommunity
C
ollege, please request that your community college send official
CSU GE Certified transcripts

when you request your transcripts for the SON
and

University Admissions. If you
must have transcr
ipts sent directly from your school to the SON, please note on your SON application which
transcripts you have requested and the date they were requested.



Also include:




A copy of your current California
RN license




Include
t
hree

business
-
size, self
-
addressed
-
stamped
envelopes

size 4 1/8"x 9

1/2"



3
.

March 10, 2014



ADMISSIONS COMMITTEE COMMENCES
FINAL RANKING PROCESS.





4



4
.

March 21
, 2014




Deadline for completion of SIX prerequisite courses:

Communication 150
, Biology 200A & 200B; English






10
1,

Chemistry 151
, and
Microbiology
.
To check the transferability of your courses please go to
www.assist.org
.
Applications will be rejected if official transcripts showing your work in progress are not received in the SON
Student Services O
ffice by specified deadline
.


It is not the responsibility of the SON to notify students of missing documentation
.



Infor
mation on
course transferability

can be
found at
www
.
assist.org.




Final verification/documentation due in SON
Student Services
Office
.


4
.

April 01, 2014

NOTIFICATION OF ADMISSION COMMITTEE ACTION.
Adm
ission committee
’s notification will be made
upon completion of the applicant ranking process.
Acceptance
, waiting
-
list, and denial

letters will be
sent
0n

April
01
.


PLEASE DO NOT

CALL

the

office for information about your application.
Information will not be
released via telephone.

Note: This is
a much earlier notification date. It is extremely important for you to have your materials in on time.


5
.

June 21
, 201
4


Statistics (a 4 quarter unit course that includes inferential statistics)
, and a
General Education Critical Thinking
Course

or the
equivalent courses taken

grades are

due on this date.


Final transcript showing your Associate Degree in Nursing is due on this date.


6. July

28, 2014


RN
license is

due on this

date.



Additional Information


Increasingly, clinical agencies are requiring that students (and faculty) be drug
-
free and may be subject to random
drug testing.
Criminal background checks

are required by the California Board of Registered Nursing prior to
initial licensure. This same pr
ocedure is also required by some of our clinical agencies prior to student rotations.


Disclosure of one's Social S
ecurity number is mandatory for licensure by the BRN in accordance with Section 30
of the Business and Professions Code and Public Law 94
-
45
5 (42 USCA 405 ( c) (2) ( C).


Due to

the number of applicants for the program, completion of all e
ntrance requirements does not en
sure
selection for the
RN to BSN

nursing program
.


It is the responsibility of all applicants to check with the

University

Financial Aid Office

for information



5


regarding loans, scholarships, state and federal grants.

If you have not already applied
, do so as soon as
possib
le.



Nursing
Student Services Office

Simpson Tower F415

5151 State University Drive, Los Angeles, CA
90032
-
8171


Mondays


Thursdays • 9:00 a.m.


5:00 p.m.



Fridays • 9:00 a.m.


4
:00 p.m.



SUPPLEMENTARY APPLICATION FOR
RN
-
BSN

PROGRAM

FALL
20
14



Please type or print clearly. We will not accept illegible applications. If there are changes in any of this information aft
er
submission, it is your

responsibility to notify the School of Nursing in writing. You may fax us at (323) 343
-
6454.

(Please do not
fax applications).

Please fill out the Nursing Application form completely. You

must list all dates, grades and where each class was taken
. If the

question does not pertain to you, indicate N/A.

Failure to furnish each item of information will delay or may prevent completion of the purpose for which this supplemental
application was intended.

This application may only
be used for
the
Fall

2014

admission

pool.




FULL NAME: __________________________________________________________
__________________________





LAST


FIRST



MIDDLE


OTHER NAMES THAT MAY APPEAR ON YOUR ACADEMIC RECORDS:



__________________________________________________________________________________________________________________________




LAST





FIRST


MIDDLE


DATE OF BIRTH

___________/________/___________ Male : ______ Female: _______


PERMANENT
ADDRESS:

_________________________________________________________________________________________________



STRE
ET

CITY





STATE


ZIP CODE


MAILING

ADDRESS
:

(If
different from above)



_________________________________________________________________________________________________


STREET

CITY






STATE


ZIP CODE




PHONE NUMBERS:




Home:

(_
____
_)

___________
-
_____________
__
_ Cell

phone/pager

(_
____
_)

-
__________
-
___________
___


Email (Required)
_____________________________________
__________________
@____
______________________



Education and Work Background


Degree





Institution







Year

Associate Degree in Nursing


______________________________________



______





Current Employer
: ________________________________________________________________________




6



Person to contact in case of emergency: ____________________________________________________________________


Relationship: ___________________________________
__ Phone: (________)
-
___________
-
______________________



Please state your citizenship status:


_____US Citizen _____Permanent Resident _____F
-
1Visa _____Asylum, Refugee Temporary Protected Status _____other?


What is your ethnic background? (optional
) ____________________________________________________________________


I am
presently enrolled at
CSULA

Yes

____ No ____ CIN# _________________________

If no (Answer all that apply)

_____Transfer

_____2nd Baccalaureate



I am not currently enrolled:

I have applied to CSULA for admission for the _________________________Quarter/Year



Please
list below all colleges and universities you have previously attended
:


1. _________________
______________________________________________________
_

2
.
_________________
_______________________________________________________

3.

_________________
_______________________________________________________


4
. _________________
_______________________________________________________



I
have

a
previous baccalaureate or higher degree


Yes____

No_____

Type _______________


Previous Experience




S
erved in the military

Yes____

No____

Dates_____________________________

Please attach a copy of your certificate of release or discharge from activity duty.


Applicants who wish to have verification that
submitted paperwork has been received are strongly
encouraged to send all documents by certified mail, which will ensure a delivery confirmation receipt.

















7



COMPLETION OF NURSING PREREQUISITE COURSES

Information on course transferability can be determined by visiting
www.
assist.org
.


Please
do not guess

if your courses are transferable. If you are uncertain, talk to your college advisor.

You must list all dates, grades and where each class was taken
. If a class is
i
n
p
rogress, write IP on the grade line.


Admission to the University as a transfer student

requires completion of basic subjects (English, Speech, Critical
Thinking, and Math) and at least
60

transferable semester units.
Contact CSULA Uni
versity Admissions in Adm. 245,
(323) 323
-
3901, and ask about the acceptability of the above
four
courses if you have doubt.

Go to
www.calstatela.edu

and click on “Directories” at the top of the page. Go to Admissions for phone number and email address.


It is not possible to complete any prerequisites below concurrently with the nursing courses.


Prerequisites

Term/Year

Qtr/Semester




Course

Name/Number




Campus




Grade

Biol. 200A Human Anatomy
or

(min 4 sem./5 qtr units transfer course

w/ lab)





Biol. 200B Human Physiology

or

(min 4 sem./5 qtr units transfer course

w/ lab)





Chem. 151

Inorganic Chemistry

(or min 4 sem. units/6 qtr units
college level

transfer course w/ lab)






English 101

Composition I






Microbiology 201/202

(or any min 4 sem./6 qtr. units

transfer course w/ lab)





Communication 150

Public Speaking (or CSU A2 GE

Certified course)





Critical Thinking

(not U.S. Govt.

or Intro to Philosophy)





Statistics (includes inferential statistics)

(min 3 sem units or 4 qtr units)






I certify that all information provided in connection with this application is true, correct and complete. Providing false
information or
omitting required information is fraud and grounds for denial of enrollment or immediate expulsion from
the Nursing Program.


Signature of Applicant__________________________________________________Date________/_______/________



Print Name _____________
__________________________________________________________________________

Applications must be received in the CSULA School
of Nursing Student Service

Office no later than

January 06, 2014
.

ALL MATERIAL MAILED
TO THE CSULA SCHOOL
OF NURSING MUST BE
LABELED


“ATTENTION: RN
-
BSN NURSING PROGRAM


**
The California Board Of Registered Nursing requires possession of either a Social Security number or taxpayer ID to
apply for licensure. Please provide a copy of your taxpayer ID card if you do not have a Soci
al Security n
umber
.




8



Nursing
Student Services Office

Simpson Tower F415

5151 State University Drive, Los Angeles, CA 90032
-
8171


Mondays


Th
ursdays • 9:00 a.m.


5:00 p.m.;
Fridays • 9:00 a.m.


4:00 p.m.



SUBMIT THIS CHECKLIST WITH YOUR

FALL

201
4

RN
-
BSN

APPLICATION



_____________________________________

_______________________________________

Print Last Name


Print First Name


____ 1.

I am a current CSULA student.: my CIN is
____________________________



____ 2.

I am not a current CSULA student. I applied to the University for admission on ___/___/___


See University deadlines at
www.calstatela.edu
. Admission to the university as a transfer student
requires completion of basic subjects (English, Speech, Critical Thinking, and Math) and at least 60
transferable semester units. See above site. I am aware that
official copies of all transcripts

must
be
sent to the University Office of Admissions. These are in addition to the transcripts delivered to the
School of Nursing.


____ 3.

I submitted a supplementary application packet to the School of Nursing

.

Application

must be received
in the School of Nursing
Student Service
Office by
January 06, 2014

at 12
:00 p.m.






_____
I have included official transcripts for all of my college work, including work in progress with my
supplementary application.
I wil
l deliver

or mail my

transcripts of any additional work in progress
for fall, winter and spring terms to the
School of Nursing by

March 21, 2104.



_____
I have included 3 stamped self
-
addressed business size envelopes, size 4 1/8"x 9

1/2".


_____
I have attached a copy of my
RN License
along with a photo ID

no later than July

28, 2014.


_____
I

have attached

(when

applicable) a copy of my DD214 “Certificate of Release or Discharge from



Active Duty.”




____ 4.

I understand that the 6 prerequisite courses must be completed
on March 21, 2104

or my application
may be excluded from the pool. I may have in progress t
he other 2 prerequisites (Critical Thinking and
Statistics
)

which must be completed by June
21
,
2014
.



____ 5.

I will have
pre
-
requisite courses in progress

at the time of application. I will
hand
-
carry

or mail

the
grades to the Nursing
Student Services Office

as soon as I receive them ____/____/____
(deadline
March 21, 2104
).



____ 6.
I understand that I will be notified of my stat
us for admission on April 01, 2014.



____ 7.


I understand that my RN license is due on June 28, 2014.



____8
.


I will notify the SON when I have a change of
address, phone number, or/and e
-
mail address

and
understand that this is solely my responsibility
. If

the

SON is unable to reach me, I will lose my
enrollment status and my application may be cancelled.



____
9
.

I

have signed and dated my
RN
-
BSN

Supplem
entary Application
.


____
10
. I have kept a photocopy of this checklist and application for my records
.




9