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					                                                Evergreen Valley College
                                              Nursing Program Application
                                               Academic Year 2008/2009
                                          NURSING APPLICANT INSTRUCTIONS
                                                Evergreen Valley College
                                                Nursing Program Majors
                                                Deadline October 31, 2007
I. Application Submission
   Submit to the Admissions & Records Office an application for admission to Evergreen Valley College (EVC) . If you have not done
    so already, you can fill one out by going to
    http://cccapply.org/Applications/California_Community_College/apply/Evergreen_Valley_College.html

   Submit a Nursing Application to the Nursing Department (either via US Mail to Adrienne Burns, Nursing, Evergreen Valley
    College, 3095 Yerba Buena Road, San Jose, CA. 95135 or bring into the Nursing Office in Room S207 (PLEASE SUBMIT TWO
    COPIES if submitting a hard copy)

    You can also submit your application via email to Adrienne.burns@evc.edu with the header in the subject line Academic Year
    2008/2009 Nursing Application . (The application is also available on our website at
    http://www.evc.edu/nah/nursing/nursing_application.htm

    The Nursing Program is not responsible for applications lost in the mail. It is the students’ responsibility to be certain that all
    completed forms and transcripts are received by the deadline.

   You must include a PERMANENT EMAIL ADDRESS on your application. All communications will be submitted to you via
    email. It is your responsibility to check your email and respond appropriately.

   If your application is received after the deadline (indicated above) your application will not be considered.

   Course work considered for eligibility criteria must be completed by October 31st, 2007 (The only exception to this is the N110
    class can be in progress fall 2007). All official transcripts verifying completion of your course work must be on file in the
    Admissions & Records Office at the time of submission of your application. Credit grades must be converted to letter grades to
    be considered in the selection process.

   You must convert quarter units to semester units on your application by multiplying quarter units by 0.66.

   Applicants will be notified by February 28, 2008 if they have been selected/or not selected to enter the nursing program in the fall of
    2008 or the spring of 2009. This communication will be done by email.

II. Transcripts
   It is your responsibility to make certain that all official transcripts from previous college courses are ON FILE in the Admissions
    & Records Office when you submit your application. Official HS transcripts are required if you have completed less than 30
    semester college units by the time of application.

   Foreign Transcripts

   Foreign transcript evaluations must show letter grades, course equivalencies and semester units completed in order to be considered.
    (This involves obtaining a “Detailed Report” from the International Research Foundation Inc.) The contact information form is
    available in Admissions and Records.) Even if you have formally expressed your intention to major in nursing in previous years,
    transcripts submitted at that time may no longer be in your file.

   It is your responsibility to resubmit any transcripts or required information purged from your file.

III. Selection Process

   If there are more applications than spaces available, 50% of the applicants will be selected on GPA (calculated on last 30 semester
    college units) and 50% will be randomly selected.

   If there are more applications than spaces available, then 12 units must have been completed at West Valley College, Mission
    College, San Jose City College or Evergreen Valley College
                                                     Evergreen Valley College
                                                     Nursing Program Application
                                                      Academic Year 2008/2009
                                                Section 1
Last or Family Name: ___________________________________________________________
Maiden Name: ______________________ Other Names: _______________________________
First Name: ________________________ Middle Name: _______________________________
Street Address: _________________________________________________________________
City: _________________________ State: ______ Zip Code: _ _ _ _ _ - _ _ _ _
Home Telephone: (_ _ _) _ _ _ - _ _ _ _       Work Number (_ _ _) _ _ _ - _ _ _ _
Cell Number: (_ _ _) _ _ _ - _ _ _ _

E-mail Address:______________________                              Student ID:_____________________________
This is a mandatory field and is the way the EVC Nursing
Program will be communicating with you. It is your
responsibility to check your e-mail for any updates. All
communication to and from the Nursing Program should be
through e-mail.
                                                                      Section 2
Have you previously submitted an EVC Nursing                     Yes, would you like to use that application for the
Program application for the academic year 2007/2008?            academic year 2008/2009?(If you have taken additional
                                                                classes since your last application and would like to
                                                                include them on your application, you must complete a
                                                                new application)
                                                                                Yes, stop here and this submit this
                                                                                    application (we just need your
                                                                                    personal information filled out above)
                                                                                No, continue to the next question
Have you submitted your San Jose City/Evergreen                  Yes, continue to the next question.
Valley College application? This is a requirement before
                                                                 No, please go to Admissions and Records to
applying to the nursing program
                                                                complete a college application or go to www.evc.edu to
                                                                fill one out on line. Do not submit a nursing
                                                                application until your college application has been
                                                                submitted.
* Have you submitted transcripts to EVC from other               Yes, continue to the next question.
schools you have attended?
                                                                 * No, Please submit transcripts from all colleges
                                                                and universities at which you have completed course
                                                                work. Do not submit a nursing application until your
                                                                transcripts have been submitted to Admissions and
                                                                Records.
Have you completed at least 12 semester units at San             Yes, continue to the next section.
Jose City/Evergreen Valley District or West
                                                                 No, you may still apply to the Nursing Program.
Valley/Mission District
                                                                However, first consideration will go to the service area
                                                                candidates if there are more applications than spaces
                                                                available.
Have you successfully completed (C or better) or are             Yes, please continue
you currently enrolled in N110 Basic Concepts of
Nursing?
                                                                 No, Stop here. You are not eligible to apply for
                                                                the nursing program unless this prerequisite is
                                                                currently in process or has been completed.
* Previously submitted transcripts may no longer be in your file. It is your responsibility to resubmit any transcripts or required information that
has been purged from your file in Admissions and Records at Evergreen Valley College. You do not need to submit transcripts for Evergreen
Valley/San Jose City College. The EVC Nursing Program has access to this information. Official High School transcripts are required if you have
completed less than 30 semester college units by the time of application. If this information is not on file at the time your application is reviewed,
your application will be suspended and you will not be eligible for the Nursing Program until the next application period.
                                               Evergreen Valley College
                                     Nursing Program Application
                                      Academic Year 2008/2009
                                                       Section 3
Date of High School Graduation or GED (not required if you have completed 30 or more college semester units):
___________________________________________________________________________________________
List all colleges and universities where you have completed college course work:
1.                                                          5.
2.                                                          6.
3.                                                          7.
4.                                                          8.
List all course work in progress:
Course#       Title of Course                   Units     College                         Instructor




Proposed Spring Schedule:
Course#       Title of Course                   Units     College                         Instructor




Record of Nursing Major and General Education courses required for completion of Nursing AS Degree
   1. List only courses that are completed.
   2. Course units may only be used once.
   3. Nursing Major Requirement courses must have been completed with a grade of C or Better

Pre-requisite Courses:
Course                                      #of         Course Number and College   Semester &         Letter
                                            Semester
                                            Units       Attended                    Year               Grade
Human Anatomy with Lab (within 5
years) 5.0 units (minimum 4 units)
AND
Physiology with Lab (within 5 years) 5.0
units (minimum 4 units)
OR
Combined Anatomy and Physiology
with Lab (within 5 years) 5.0 units
Microbiology w/ Lab (within 5 years)
5.0 units
Nursing N110 (within 2 years)2 units
Demonstrate elementary algebra competency
by achieving a minimum score of 26 on the
Elementary Algebra Placement Test OR
score 33 on COMPASS, OR completing
MATH 011A, 011R, 011S, or equivalent or
any higher level math course. Indicate
which method passed.
                                            Evergreen Valley College
                                    Nursing Program Application
                                     Academic Year 2008/2009

Demonstrate college level reading skills
(grade 13 or higher) on the Stanford
Diagnostic Reading Test (SDRT) by
achieving a minimum score of 51 on
comprehension and 49 on vocabulary
OR score 80 on the COMPASS, OR
completing English 102. Indicate
which method passed.
Demonstrate college level writing skills
(grade 13 or higher) on Assessment and
Placement Services (APS) Writing
Placement Test) by achieving a
minimum score of 31 OR score 85 on
COMPASS, OR successfully completing
English 104, 001A or 092 (SJCC) or an
equivalent. Indicate which method
passed.

General Education Courses:
Course                                     #of        Course Number and College          Semester &   Letter
                                           Semester
                                           Units      Attended                           Year         Grade
PSYCH 001             3 Units
One       of    the      following:
ETHNIC Studies 010, 030, 040, 042
3 Units
Fine Arts             3 Units
HIST 017A and 017B OR HIST 001
and POLSC 001

                           6 Units
PE or Dance               1 Unit
One of the following: Communication
Studies 010, 020, 040, 045

                          3 Units
ENGL 001A                 3 Units


You must convert quarter units to semester units by multiplying quarter units by 0.66.

				
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