Document Sample
Spring+2012+PN+Application+Packet Powered By Docstoc
					Dear Prospective Nursing Student:

Thank you for your interest in the Community College of Denver Nursing Program. CCD is an exciting,
vibrant, and diverse educational community. Our nursing students have access to an incredible array of
educational and supportive resources. CCD boasts one of the most advanced Patient Simulation
Laboratories in Colorado, a large and comprehensive Skills Laboratory, a fully staffed Nursing Learning
Resources Center, expert Case Management, and a highly qualified faculty devoted to excellence in
nursing education.

To be considered for admission to the Practical Nursing Program (PN), prospective students must
complete the Practical Nursing Program Application Packet. Only students who have attained the
minimum test scores and pre-requisite grade point average (GPA) will be considered for admission.
Applicants who meet the minimum qualifications will be ranked based on test scores, GPA, previous
educational background, healthcare experience, and other attributes. The top ranked students will be
offered admission to the Practical Nursing Program.

PN Minimum Admissions Requirements

ATI Test of Critical Thinking                        20th percentile program rank
ATI TEAS Test-English                                20th percentile program rank
ATI TEAS Test-Reading                                20th percentile program rank
ATI TEAS Test-Math                                   20th percentile program rank
Pre-Requisite Course GPA                             2.5 on a 4.0 scale

Our PN Educational Case Manager is available to answer any questions that you have about the Practical
Nursing Program and to help you through the competitive admissions process. You can find the
Program Plan as well as prerequisite and suggested classes for each program at We encourage all interested
students to make an appointment to meet with the Educational Case Manager. Here is her contact

La Verne Donelson, PN Educational Case Manager

Thank you again for your interest in the Community College of Denver’s PN Nursing Program. We look
forward to working with you as you begin your journey to become a nurse.

Hal White, RN, MA, MSN
Dean of Nursing
(303) 365-8361

CCD Nursing
Admissions Timeline

Spring Semester 2012

      Practical Nursing

Application Available                                7/11/11
Application Due                                      10/03/11
Provisional Invitations Extended                     10/10/11
Deadline to Accept Invitation                        10/17/11
Supplemental Invitations Extended                    10/19/11
Deadline to Accept Supplemental Invitation           10/24/11
Mandatory Intake Meeting                             10/19/11 to 10/28/11
Intake Forms Due Deadline                            11/11/11
First Day of Class                                   1/17/12

   Application Checklist
   The following checklist should be used to ensure that all of your application materials have been
   submitted. All application materials MUST be submitted to the Nursing Program Intake
   Coordinator, Mike Massengill, by October 3, 2011 without exception. It is your responsibility to
   make sure that your application is complete prior to this deadline.

   All application materials must be either submitted in person or mailed to:

   The Community College of Denver Nursing Program
   Mike Massengill, Intake Coordinator
   1070 Alton Way
   Building 849
   Denver Colorado, 80230

        1. The Community College of Denver Enrollment Application must be completely filled out,
   signed, and submitted. If you have never attended a Colorado Community College, complete the
   CCD enrollment application online which you can find at:

         2. You must complete the Basic Skills Assessment. To be accepted into the PN program at
   Community College of Denver, you must obtain the scores indicated in the chart below, complete
   indicated course work, or obtain a waiver for the assessment. If you need to take the Accuplacer,
   please contact the Testing Center at (303) 556-3810.

                      Accuplacer        Or         ACT          or           SAT       or         Following
                                                                                                  Course with a
                                                                                                  grade of a C or

   Reading            RC 62-79                     17                        430                  REA 090

   English            SS 70-94                     18                        440                  ENG 090

   Mathematics        EA 45-60                     19                        460                  MAT 090

         3. The Nursing Program Application must be completely filled out, signed, and submitted.

         4. Completion of all pre-requisite courses. Pre-requisite courses for the program include:

       Basic Anatomy and Physiology (BIO 106) OR Human Anatomy and Physiology I (BIO 201) and
        Human Anatomy and Physiology II (BIO 202)
       English Composition I (ENG 121)
       Dietary Nutrition (HPR 108) OR Human Nutrition (HWE 100)

        5. Unofficial Transcripts from all post-secondary educational institutions must be submitted
with your application.

         6. A Current Resume must be submitted. Your resume must include:

       Educational history
       Honors
       Awards and certifications
       Your experience in the healthcare field
       All other work and volunteer experiences over the last five years.

         7. You must take the Test of Essential Academic Skills (TEAS) and the Test of Critical
Thinking at the Auraria Testing Center. Payment to the Testing Center of $125.00 for these two tests
is required. Both tests are timed and most students complete both tests in approximately five hours.
We will have access to your scores. Please use the attached Auraria Testing Center Guidelines to
schedule and take your TEAS and Critical Thinking tests.

                                      TEAS TEST TUTORING


Educational Case Manager


        8. You must sign, date, and submit the Confirmation Statement.

Please contact Mike Massengill, Intake Coordinator, if you have any questions.

   Mike Massengill

Application for Admission, PN Nursing Program
Spring Semester2012

Applicant’s Name:

Last                              First                        Middle                            Maiden

S-Number (if you have attended a Colorado Community College):

Mailing Address:

Number and Street                         City                          State           Zip Code

E-mail Address:

Phone Number:

Are you a U.S. Citizen? Yes        No

If you are not a U.S. Citizen, what is your current residency status? ________________________

Are you a Colorado Resident? Yes          No

Have you ever attended another Nursing Program? Yes             No
If yes, which one did you attend? Why did you leave this program?

Science (BIO) prerequisites must have been taken in the past seven years to be valid.


Basic Anatomy and Physiology (BIO 106) OR
Human Anatomy and Physiology I (BIO 201) and
Human Anatomy and Physiology II (BIO 202)
Dietary Nutrition (HPR 108) OR Human Nutrition
(HWE 100)

English Composition I (ENG 121)

Signature of Applicant                                                   Date

Confirmation Statement

Please initial each of the following items.

                I have read all of the information contained in the Nursing Program Application Packet
    and I understand the application and admissions process.

              I understand that the CCD Nursing Program reserves the right to revise program
    requirements and/or applicant selection procedures.

                  I understand that it is my responsibility to follow proper application procedures, provide
    all application documentation, and meet all program requirements.

                I understand that if I submit an application that is incomplete or does not meet
    application/program requirements it will be considered ineligible.

               I understand that it is my responsibility to notify the CCD Nursing Program of any
    changes in my contact information including a change in address, telephone number, or e-mail

               I understand that failure to notify the Nursing Program Admissions Office with a
    “Confirmation of Acceptance” by the due date will result in my offer of acceptance becoming null
    and void.

                I understand that if I am admitted into the program and I decline acceptance, my spot is
    lost. I understand that I may not defer my acceptance to a later semester.

                I understand that my admission to the program following an offer of acceptance is
    contingent on the results of a Background Check, FBI Fingerprint Check, and a Screen for Illegal
    Substances. I have been given a list of Disqualifying Offences.

                I understand that my admission to the program following an offer of acceptance is
    contingent upon the acquisition of a CPR certification for Healthcare Professionals, a TB test, and
    documentation of all required immunizations or positive titers. I understand that I must keep these
    requirements up-to-date to be permitted to continue in the nursing program.

             I understand that admission to and continuation in the Nursing Program is contingent
   upon my agreement to abide by the rules and regulations set forth in the CCD Nursing Student
   Handbook. I also understand that these rules and regulations are subject to change.

                I understand that successful completion of the Nursing Program necessitates a specific
   set of functional abilities. I have read through the list of necessary Functional Abilities and I verify
   that I have either met these requirements or can provide medical documentation of necessary

                I understand that the completion of all clinical rotations is a mandatory component of
   the nursing program. I understand that clinical rotations may be scheduled with a minimum of
   forty-eight hour advance notice and that I may not submit clinical scheduling requests.
   Furthermore, I understand that clinical rotations may be scheduled during the day, evening, or night
   and on weekdays, weekends, or holidays as well as during school vacations.

                I understand that I must have a dependable car at my disposal for travel to clinical
   facilities (many of which may be a significant distance from my home).

              I understand that clinical rotations may not be available during the course of the
   semester and that my graduation may be delayed due to the lack of availability of clinical sites.

                I understand that the CCD Nursing Program strongly recommends that students do not
   work full time while enrolled in the program. I understand that the Nursing Program recommends
   that students do not work more than 20 hours a week while enrolled in the program.

Signature                                                 Date

   My signature denotes that I have read, understand, and accept the above statements.


Please be advised that all students must meet the following minimum physical requirements to
successfully complete clinical rotations in the CCD Nursing Program.

   1. Work for 12 or more hours in a standing position and do frequent walking and stair
   2. Lift and transfer adult patients up to 6 inches from a stooped position; then, push or pull
       the adult up to 3 feet.
   3. Lift and transfer adult patients from a stooped to an upright position to accomplish bed-
       to-chair and chair-to-bed transfers.
   4. Physically apply up to 10 pounds of pressure to bleeding sites or in performing CPR.
   5. Immediately respond and react to auditory instructions/requests, monitor equipment
       and perform auditory auscultation without auditory impediment.
   6. Perform a clinical laboratory experience for up to 12-hour duration, including standing
       for up to 4 hours at a time.
   7. Perform close and distant visual activities involving objects, persons, and paperwork, as
       well as discriminate depth perception.
   8. Discriminate between rough/smooth and hot/cold when using hands.
   9. Manipulate small objects in precise movements; for example, prepare and administer
       injectable medications.
   10. Communicate intelligibly in English, both orally and in writing.

Please Note: As a student nurse you will be exposed to latex gloves and other products
containing natural rubber latex which may cause allergic reactions such as skin rashes; hives;
nasal, eye or sinus symptoms; asthma; and (rarely) shock.

Please carefully consider any physical limitations you may have. If you have a diagnosed
disability that may prevent you from carrying out any of these physical expectations, please
discuss your situation with the Program Chair. Students who enter the program do so with the
understanding that they will be expected to meet course requirements, with or without any
reasonable accommodations. Admitted students who have a disability will be referred to the
Center for Persons with Disabilities to determine if accommodations can be made. Inability to
carry out any of the above activities while in the program may prevent completion of the


The Colorado Community College System (CCCS) and the State Board for Community Colleges
and Occupational Education authorize the Nursing Programs to conduct a background
investigation of all student applicants. The clinical sites used in the Nursing Programs require
background checks of all potential interns. The purpose is to maintain a safe and productive
educational and clinical environment. New students who refuse to comply with the background
investigation will not be allowed to enter a CCCS Nursing Program.

An applicant will be disqualified from a CCCS nursing program based on the following

• Any violent felony convictions of homicide. (No time limit)

• Crimes of violence (assault, sexual offenses, arson, kidnapping, any crime against an at-risk
  adult or juvenile, etc.) as defined in section 18-1.3-406 C.R.S. in the 10 years immediately
  preceding the submittal of application.

• Any offense involving unlawful sexual behavior in the 10 years immediately preceding the
  submittal of application.

• Any crime, the underlying basis of which has been found by the court on the record to include
  an act of domestic violence, as defined in section 18-6-800.3 C.R.S. in the 7 years immediately
  preceding the submittal of application.

• Any crime of child abuse, as defined in section 18-6-401 C.R.S. in the 7 years immediately
  preceding the submittal of application.

• Any crime related to the sale, possession, distribution or transfer of narcotics or controlled
  substances in the 7 years immediately preceding the submittal of application.

• Any felony theft crimes in the 7 years immediately preceding the submittal of application.

• Any misdemeanor theft crimes in the 5 years immediately preceding the submittal of

• Any offense of sexual assault on a client by a psychotherapist, as defined in section 18-3-
  405.5 C.R.S. in the 7 years immediately preceding the submittal of application.

• Crimes of moral turpitude (prostitution, public lewdness/exposure, etc.) in the 7 years
  immediately preceding the submittal of application.

• Registered Sex Offenders. (No time limit)

• Any offense in another state, the elements of which are substantially similar to the elements
  of any of the above offenses.

• More than one (1) D.U.I. in the 7 years immediately preceding the submittal of application.

If the investigation reveals information that could be relevant to the application, the designated
individual responsible for background checks may request additional information from the
applicant. The offense shall be reviewed on a case by case basis.

Students who have successfully completed the terms of a deferred adjudication agreement will
not be disqualified.

If any applicant feels the criminal background check is inaccurate, they may appeal the decision
and request a review with the specific community college applied at. It is the applicant’s
burden to produce substantial evidence that proves the crimes charged are incorrect.

ATI Standardized Testing Information
        TEAS Test (Test of Essential Academic Skills)
        Test of Critical Thinking Skills

 Testing is available by appointment at the following start times:

        MONDAY                9AM and 11AM
        TUESDAY               9AM, 11AM, and 1PM
        WEDNESDAY             9AM, 11AM, and 1PM
        THURSDAY              9AM and 11AM
        FRIDAY                9AM and 11AM
        Contact the testing center at (303) 556-3810 for other available times

 The TEAS (Test of Essential Academic Skills) is a computer based, multiple-choice, timed test consisting
 of four sections:

        Reading: (40 Questions, 50 Minutes)
        Mathematics: (45 Questions, 45 Minutes)
        Science: (30 Questions, 38 Minutes)
        English: (55 Questions, 65 Minutes)

 The Critical Thinking Test (40 Questions, 40 Minutes) is a separate test, but must be taken with the
 TEAS test.

 Please Note:

        The combined time for these tests is approximately 5 hours, including breaks.
        Calculators are NOT allowed. Scratch paper will be provided.
        Study Guides and Practice Tests are available at

 CCD Testing Fee:
 A $125 fee for the TEAS and Critical Thinking tests must be paid at the time of the testing. We accept
 Visa, MasterCard, Discover, check, money order, or cash at CCD. You must pay this fee at the
 Cashier’s Office (303-556-2075), SO 136, prior to testing. Be sure to bring your receipt.

 Where is the CCD Testing Center?

 We are located on the Auraria Campus in downtown Denver. For a map, go to this web site: The CCD Testing Center is located in the South
 Classroom Building on the second floor in Room 223. You may park in the Tivoli Parking Lot (G) off of
 9th Street and Auraria Parkway. Bring your parking ticket with you to be validated. The RTD Light Rail
 (D-Line) also stops at Auraria Campus on Colfax near the South Classroom Building.

ATI Registration Form

Please follow the steps below to setup a new ATI account.
1. Go to

2. Click on the “Create an account” button, located below the password field in the Secure Sign On

You may also print the “How to Create a New Account” document that guides you through the ATI
registration process. This document can be found with the application packet on the Admissions
and Information link on the CCD Nursing web page. Once your new account is created, you will have
a Login Name and a Password that you will use to take your TEAS and Critical Thinking tests. Please
write down your Login and your Password on this form. Please bring this form with you to the CCD
Testing Center when you go in to test.

My ATI Login Name:

My ATI Password:


Shared By: