Nursing Assistant Application Letter
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Nursing Assistant Application Letter document sample
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Winona State University
P.O. Box 5838
Winona, MN 55987-5838
Phone: 507-457-5000
November 1, 2010
Dear Nursing Program Applicant:
Thank you for your interest in the undergraduate nursing program at Winona State University. Please review the following
information carefully.
The application for admission to the WSU nursing program is attached. This application is only for the Fall 2011
Semester Admission. The form is quite explanatory, but we ask that you fill out your information accurately – especially
your full address and e-mail address. As verification that we received your application, an e-mail will be sent to you letting
you know your application was received in the office. If you have not received an e-mail, that means we did not receive
your application by the deadline date which is February 1st, 2011 by 4:00 p.m. No applications will be accepted after the
deadline date. If an e-mail is not sent to you by January 31st, 2011 you will need to contact our office by 4:00 p.m. on
February 1st, 2011 to verify that your application has been received.
Following are instructions for you to follow if you are a current Winona State student:
** All students admitted to the Nursing: Generic Option for Fall 2011, must complete all prerequisites, including the
requirement for certification as a nursing assistant, and be listed as “active” on the Minnesota Department of Health’s
Nursing Assistant Registry before courses begin for Fall semester 2011. For more information, please see attached letter
in the application packet.
STUDENTS CURRENTLY ENROLLED AT WSU:
1. After summer session, the Nursing Department will obtain your WSU transcript for placement in your nursing file.
2. Review admission policies and procedures to be sure your file is complete and you are ready to apply.
3. Students who signed the Four-Year Graduation Guarantee Contract as first-year WSU students and meet the
contract requirements will have first priority for admission to the nursing program.
TRANSFER STUDENTS:
For Fall 2011, the number of students who signed the Four Year Guarantee exceeds the number of positions available in the
nursing program. As a result, we will not be able to accept applications from transfer students seeking admission to the
nursing major for Fall 2011. If you are a transfer student seeking admission to the nursing major, please visit your academic
advisor for clarification.
WSU STUDENTS:
The Department of Nursing Undergraduate Progression Committee will meet in late February to review applicant files and
determine who will be admitted to the nursing program. By the mid March, each person applying to the nursing program
will receive a letter regarding his or her admission status.
Nursing is an exciting and personally satisfying profession. The faculty looks forward to working with you as you prepare to
become a professional nurse. Please do not hesitate to contact the Department of Nursing if you have any questions. The
11/1/10
Winona Campus Nursing Department telephone number is (507) 457-5120 and the Rochester Campus Nursing Department
telephone number is (507) 285-7349.
Sincerely,
The Department of Nursing Undergraduate Progression Committee
11/1/10
WINONA STATE UNIVERSITY
College of Nursing and Health Sciences
Department of Nursing
APPLICATION FOR ADMISSION TO THE NURSING MAJOR
FOR FALL 2011 – GENERIC OPTION – WINONA & ROCHESTER CAMPUS
Due Date: Tuesday, February 1st, 2011 by 4:00 p.m.
Full Legal Name ___________________________________________________________________________________________
Last First Middle Previous
Warrior ID # __________________________
Local Address _________________________________________________________________________________________
Permanent Address (if different) _________________________________________________________________________________
(Letter of Acceptance will go to the permanent address)
Phone # - Present ________________________ Cell __________________________ Home ________________________
When were you accepted to WSU: _________________ Are you currently attending WSU? ____ Yes ____ No
WSU Webmail: ______________________________________ Email: ______________________________________________
Names of All Institutions Attended* Dates of Cum.
Area of Study Degrees/Certificates
Including WSU Attendance GPA
* All PSEO credits (college credit taken while in high school) will be counted as transfer credits.
COMPLETION OF PREREQUISITE COURSE WORK WITH GRADE OF "C" OR BETTER
(4 out 5 Natural Sciences with Chem 210 or 4 out of 6 with Chem 212 & 213 Need to be Completed with a Grade in Order to Apply)
Completed Will
Course or its Equivalent per Official
Grade complete by List Other Plans for Completion
Evaluation of Credit (Degree Audit Report (DAR)) Received May 11
Biology 206 Normal Nutrition ~ OR ~
HERS 205 Nutrition for Lifetime Fitness
209 Microbiology
211 Anatomy & Physiology I
212 Anatomy & Physiology II
Chemistry 210 Allied Health Chemistry
~ OR ~
212 Principles of Chemistry I
213 Principles of Chemistry I
Psychology 210 General Psychology
250 Developmental Psychology
Sociology 150 Introduction to Sociology
212 The Family
English 111 College Reading & Writing
*Statistics 110 or 305 or Psychology 231
I certify that the information I have provided on this application is correct to the best of my knowledge and that the Department of
Nursing may request additional information upon admission to the major.
Applicant Signature _____________________________________________________ Date_________________________________
COMPLETE THE PREVIOUS NURSING EDUCATION FORM ON REVERSE SIDE & STUDENT REVIEW FORM ----->
(* not required for admission but required to start the major)
11/1/10
NAME: ___________________________________________________________________________ Date: _________________
I AM PLANNING TO COMPLETE THE NURSING MAJOR: _____ Full-Time (in 2 academic years)
_____ Part-Time (in 3 or more academic years)
CAMPUS PREFERENCE: _____ No Preference
Winona
_____ Rochester
Give reason(s) for any campus preference: ______________________________________________________________
________________________________________________________________________________________________
CNA CERTIFICATE: Yes____ No_____ MINNESOTA REGISTRY Yes___ No_____
Plan for completing CNA and Minnesota Registry:________________________________________________________________
_________________________________________________________________________________________________
***You must be “active” on Minnesota registry by the day of admission to the nursing program.***
PREVIOUS NURSING EDUCATION
HAVE YOU PREVIOUSLY BEEN ENROLLED IN A NURSING PROGRAM? _____Yes _____No
If yes, list the name of the program and the dates that you attended.
____________________________________________________________________________________________________
List the dates of your most recent clinical experiences and the type of experiences.
____________________________________________________________________________________________________
____________________________________________________________________________________________________
Request a letter from the academic head of the program stating that you are eligible for continuing in or readmission to that
program: You may be asked to supply more information if you wish to transfer nursing courses.
DO YOU CURRENTLY HOLD AN LPN LICENSE? _____ Yes ______No
RETURN THIS FORM AND STUDENT REVIEW OF NURSING ADMISSION PROCEDURES/POLICIES TO THE
NURSING OFFICE:
WSU Department of Nursing
PO Box 5838 - 303 Stark Hall
Winona MN 55987-5838
(507) 457-5120
1-800-242-8978 Ext. 5120
Administrative Assistant: Melissa Neitzel mneitzel@winona.edu
- OR -
WSU Department of Nursing
859 SE 30th Avenue, HS 107
Rochester, MN 55904
(507) 285-7349
1-800-366-5418
Administrative Assistant: Deb Bond dbond@winona.edu
DUE DATE FOR NURSING APPLICATIONS IS: Tuesday, February 1st, 2011 BY 4:00 P.M.
11/1/10
Department of Nursing
STUDENT REVIEW OF NURSING ADMISSION PROCEDURES/POLICIES
Please return this signed form with your admission application.
SIGNATURE REQUIRED
The following policies and admission procedures pertain to the Fall 2011 nursing admission. Note that these policies are also found in
your WSU catalog and the letter accompanying your nursing application. You are responsible for meeting all admission criteria and
making sure that your file is complete.
To be considered for admission to the WSU Nursing Program, you:
1. must have completed 4 out of 5 natural science prerequisites with Chemistry 210 or 4 out of 6 natural science
prerequisites with Chemistry 212 & 213 with a grade of “C” or better;
2. must have a plan for completing all prerequisite courses (including English 111);
(NOTE: All prerequisites must be completed with a “C” or better before starting the nursing major in the fall.)
3. application form must be received (not postmarked) by 4:00 p.m., Tuesday February 1st, 2011.
For the Fall Semester 2011 nursing admission process, priority consideration will be given to students who are enrolled in and meet
the criteria of the 4-year graduation guarantee program.
Conditions that need to be met for continuation in the 4-year graduation guarantee:
1. All entering first-year students wishing to participate in the graduation guarantee program must complete the guarantee
application form and officially declare a major within the nursing department during their first two weeks of their first
semester classes.
2. All participating students must be qualified to begin college level (non-remedial) science, mathematics, and English courses
as required by the nursing major. If the student takes Math 050 and/or English 099, this contract is void. All 100 level
University courses are acceptable and not considered remedial.
3. All participating students must pre-register for classes each semester and have their class schedules approved by their official
nursing advisor.
4. All participating students must meet university or program GPA and/or grade requirements as stipulated in the University
catalog and/or the schedule of classes and have a cumulative GPA of 3.30 at the end of the 3rd semester the student is enrolled
at WSU. The cumulative GPA is not rounded up.
5. All participating students must successfully complete an average course load of 15 credits each semester (30 credits per
academic year). This includes any PSEO credits and summer school credits completed prior to first application to the nursing
major.
6. Any prerequisite courses are completed with a grade “C” or better and you can not withdraw (W) or repeat any of these
prerequisite courses.
7. This guarantee is only valid for the Nursing major, Generic Option.
8. Failure to meet any of the above conditions (1-7) voids the guarantee. Once the graduation guarantee contract is void, the
student is not eligible for reinstatement of the contract.
I have reviewed the Nursing program admission criteria. I know that I am responsible for monitoring my admission status, including
submitting required transcripts and evaluations of transfer credit. I agree to complete all nursing prerequisites before beginning the
major in FALL 2011.
Student’s Signature: _________________________________________________________________ Date: ___________________
11/1/10
KEEP THIS FORM to track your application -- DO NOT RETURN
WSU NURSING PROGRAM APPLICATION
CHECKLIST for
Fall 2011
_____ Contacted WSU Admissions Office to check on status of transcripts received at WSU.
Date(s) called: _______________| _______________| _______________| _______________|
_____ All transcripts needed have been received in WSU Admissions Office. Date verified: ____________
_____ Mailed nursing program application to Winona Campus Nursing Department. It must be received (not
postmarked) by 4:00 pm, Tuesday, February 1st, 2011.
_____ Received e-mail from WSU Nursing Department that application has been received by February 1st, 2011.
_____ Received letter from WSU nursing program regarding admission status
[should receive by 3rd week of March; if not, contact the Nursing Department].
_____ If accepted to the nursing program, your Confirmation of Admission needs to be returned by March 25th, 2011
_____ Transcripts from any summer session 2010 coursework must be received by the Admissions office by
January 15th, 2011.
11/1/10
To: Applicants for admission to the Generic Option of the Nursing Major Fall 2011
All students admitted to the B.S. major in Nursing: Generic option for Fall 2011 must complete an approved nursing
assistant training program that meets state and federal requirements to work in certified nursing and boarding care homes
and be listed on the Minnesota Department of Health’s Nursing Assistant Registry”.
This means that:
All students admitted to the Nursing: Generic Option for Fall 2011, must complete all prerequisites, including the
requirement for certification as a nursing assistant, and be listed as “active” on the Minnesota Department of
Health’s Nursing Assistant Registry. A copy of your CNA certificate should be submitted to the nursing department
before courses begin for Fall semester 2011.
As you select a nursing assistant course:
Be sure that upon completion of the course you are eligible to take the Certification Exam for Nursing Assistant.
Courses that meet this requirement are, as noted above, approved nursing assistant training programs that meet
state and federal requirements for employment in certified nursing and boarding care homes.
After you successfully complete the exam, you will be a certified nursing assistant and your name will appear on the
Minnesota Department of Health’s Nursing Assistant Registry.
If you attend a course outside of Minnesota, you must apply for registration with the Minnesota Department of
Health by completing an interstate endorsement form. The Department of Health will determine equivalency for
nursing assistance training programs. If training does not meet registry standards, you will be asked to correct any
deficiencies for registry.
Students are responsible for all costs, registration and testing fees, and course arrangements.
To find listings of certified programs in Minnesota or to obtain interstate endorsement forms see the Minnesota Department
of Health’s home page at: http://www.health.state.mn.us/divs/fpc/profinfo/narinfo/aboutnar.html
Dr. Jo Stejskal, Department Chair
Dr. Jo Stejskal
11/1/10
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