Supplemental Application for LPN To RN Transition Program

Nursing Division

BEFORE SUBMITTING A SUPPLEMENTAL APPLICATION FOR A HEALTH SCIENCE PROGRAM, YOU MUST SUBMIT AN ADMISSION APPLICATION

The application, all transcripts, and any applicable test scores must be received by January 15th or July 15th deadline to be eligible for the program. Program facts: The program begins in January or August. Notification regarding acceptance into the program is mailed in mid March for fall admission and mid September for spring admission . Admissions requirements: Must provide proof of six months of full-time employment as a licensed practical nurse within the past five years; Active LPN license in the state of Maryland; Satisfactory letter of recommendation from the most recent nurse manager; Completion of required prerequisite courses and all general education courses before beginning the program. All nursing applicants (LPN and RN) must complete the nationally-normed test for nursing students known as the Test of Essential Academic Skills (TEAS). For more information, contact the Department of Nursing at 240-500-2276.

Additional Information:

Do you have any healthcare experience?: *

Yes

If you have no healthcare experience, you are not eligible for the transition program. Please refer to the program requirements. You may be eligible to apply for either the RN or LPN programs. You may not apply to both.

Program Information

I am interested in the following semester for admission : *

I am interested in the following year for admission : *

Personal Information

First name: *

Middle initial:

Last name: *

Date of Birth: *

Email address: *

Student ID number:

Former name:

Address: *

City: *

State: *

Zip: *

County: *

Telephone: *

Is this a new address?:

Additional Information

Is English your first language?: *

Have you taken any nursing course work at another college?: *

If, yes, indicate name of school(s) and date(s) below:

Which of the following do you have?: *

Have you completed or do you plan to complete coursework at another college?: *

If so, please make sure that all official transcripts have been sent to HCC

Any healthcare experience?: *

Number of years of healthcare experience: *

Current employer:

Check all that apply: *

I understand that I will be considered for the indicated program during the year specified on this application. If I wish to defer consideration to a later year, it is my responsibility to submit a new application to the Office of Admissions and Registration.

I understand that the program that I am applying for is selective, and that acceptance is not guaranteed. I also understand that preference may be given to students residing in Washington County.

I have met individually with an academic advisor or program coordinator concerning the requirements of the program I am applying for.

I understand that it is my responsibility to ensure all application materials are received by HCC by the published deadline, and to inform HCC of any address or name changes immediately.

Office Use Only

Received by:

Received on:

Coded in Datatel by:

Coded in Datatel on:

Curriculum Change processed by:

Curriculum Change processed on:

Received by Program Coordinator:

Received by Program Coordinator on:

Notes: