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SNOW COLLEGE

PRACTICAL NURSING PROGRAM

Richfield, Ephraim, Nephi

ADMISSIONS PACKET

Dear Prospective Student, Thank you for your interest in our nursing program here at Snow College. We believe that we have one of the best LPN programs around and are very confident about the quality of education we provide for our students. It has received full accreditation status from the National League for Nursing Accrediting Commission (NLNAC). Our nursing program is held at Snow College Richfield's main campus as well as our outreach sites Nephi (housed at CVMC in Nephi) and Ephraim West Campus using a mixture of video conferencing technology and live instruction. Each classroom has microphones where all students can participate in lectures and discussions. We can accept up to 40 student; 20 on the Richfield campus and 20 between the Ephraim and Nephi campuses. All 40 students are filled from the same applicant pool. Students from all campuses will travel about 6 times a month to these different sites for labs and activities. Please follow the specific directions as outlined in the admission procedures and mail your complete application to Snow College / Richfield, c/o Amanda Lloyd ­ Allied Health Department, 800 West 200 South, Richfield, Utah 84701. All applications must be submitted no later than April 15th for the Fall LPN nursing class which begins the third week of August. All applications will be reviewed and scored appropriately. The top forty applicants that score the highest will be sent a letter indicating acceptance to the program. All letters should be received before the middle of June. It is your responsibility to inquire on the status of your file, to ensure that it is complete before April 15th. We are here to help you achieve your goal of becoming an LPN. If you have any questions or need help with your application please feel free to call us. Sincerely,

Amber Epling, MSN RN

Director/Assistant Professor Allied Health Department (435)893-2228 [email protected] Amanda Lloyd Nursing Secretary (435)893-2232 [email protected]

Snow College - Richfield Allied Health Department

The Mission of Snow College ­ Richfield's Allied Health Department is threefold: 1)To educate students for health care fields. 2)To inspire them to love learning. 3)To lead them to serve others. Through quality instruction the Allied Health Department will also facilitate the development of integrity, responsibility, the need of life long learning, and community services as health care providers.

ADMISSION PROCEDURES

Snow College is committed to providing equal educational opportunities to all students regardless of age, color, gender, marital/parental status, national origin, physical disability, race or religion in compliance with federal law.

Application deadline for Fall Semester is April 15th . Please follow this checklist when applying for the LPN program :

1. Submit a completed application form for admittance to Snow College. (If you are already a student at Snow College this part can be skipped.) The following items will need to be submitted with the application: a. High School and college official transcripts b. Proof of G.E.D. if not a high school graduate c. $30 application fee 2. Mail your completed nursing application form to: Snow College Richfield, Allied Health Dept. c/o Amanda Lloyd 800 West 200 South Richfield, Utah 84701 Applications must be postmarked before April 15th for consideration to our program.

3. Only TWO structured letters of reference from previous employers or teachers (not friends or relatives) will be accepted. You will need to send your two structured letters of references; along with the attached waiver sheet to your chosen qualified individuals you desire to give you a reference. Each reference will then need to individually mail the complete reference letter to Allied Health Department c/o Amanda Lloyd by April 15th of the current year. 4. A copy of current CNA State Licensure is required by April 15th. 5. OFFICIAL transcripts from ALL colleges/universities that you have taken prerequisite/ support /suggested courses from need to be mailed to Allied Health Department c/o Amanda Lloyd by April 15th.

PRACTICAL NURSING PROGRAM REQUIREMENTS

Pre-application requirements:

Must be completed before April 15th. Please send documentation with your application. Math 1010, passed with a grade of "C" (2.0) or better or/ an ACT score of 23 or higher in math (send HS transcript for proof of this) or/ ACCUPLACER test, must have a score of 90 or greater in Algebra CNA- a copy of current state certification is required by April 15th

Prerequisite courses:

Must be completed before nursing program begins in August Anatomy with Lab..... BIOL (2320, 2325) Physiology with Lab..... BIOL (2420, 2425) Microbiology with Lab....BIOL (2060, 2065) English....ENGL (1010) All prerequisite classes must be passed with a grade of "C" (2.0) or better. An OFFICIAL transcript of the prerequisite classes completed must be sent to Amanda by April 15th. If you have not completed a prerequisite course by April 15th, a grade of "C" will be given to figure your GPA. These 4 classes are the only classes used in figuring your nursing GPA.

Support courses:

Can be taken with LPN courses simultaneously. It is your responsibility to find your own class. Nutrition.....HFST1020 *Fall Semester Psychology..... PSY1010 *Spring Semester It is recommended that support classes Psychology PSY (1010) and Nutrition HFST (1020) are taken before entrance into the LPN program due to the intense LPN course work. Extra points are given to those applicants who have these courses completed by April 15th. Both classes require a minimum grade of "C" (2.0). Because of the April 15th deadline, if these classes are taken spring semester, no extra points will be given.

Suggested courses:

Highly recommended but not required Medical terminology NURP (1000) or HESC (1050) Human Growth and Development ­ Life Span HFST (1500) Drug Dosages and Calculations NURP (1101) Computer Class BT (1010) or CIS (1011) Extra points will be given if the suggested classes are taken before April 15th. A minimum grade of "C" (2.0) is required in all suggested courses. Medical Terminology and Drug Dosages online classes require a minimum of "B" (3.0) grade to be considered for extra points in the application process. Because of the April 15th deadline, if these classes are taken spring semester, no extra points will be given. You can contact the Advisement Office located at Snow College Richfield campus (435-893-2211) or Snow College Ephraim campus (435-283-7313) for information about prerequisite courses. You may also take the above classes at any other accredited college or university.

POINT SYSTEM

All applications will be reviewed and scored on the same point system. The top forty applicants that score the highest will be accepted in to our program. Please remember, it is your responsibility to inquire on the status of your file, to ensure that it is complete before April 15th. Points are given based on the following: Living in the SCR Service Area. This includes Sevier, Piute, Wayne, Sanpete, Millard, Garfield, Juab, & Beaver county. Being on the previous year's alternate list Applying the previous year with a complete application, and not being accepted Having all pre-application & prerequisite courses completed by April 15th Prerequisite GPA (Antaomy/Lab, Physiology/Lab, Microbiology/Lab, & English) Support courses (Nutrition & Psychology) completed by April 15th Recommended courses (Human Growth & Development, Drug Dosages & Calculations, Medical Terminology, Computer class) compelted by April 15th Work Experience. Working, or has worked, as a CNA, or CMA, or EMT, or NA, or any other certified health occupation. Letters of References Personal Resume. Points will be given based on writing skills, extracurricular activites, awards, honors, scholarships, etc)

NURSING PROGRAM

Upon acceptance to the program students MUST have: Physical examination Proof of current immunizations: Tdap, MMR, Varicella or positive antibody titer, Hepatitis B, negative TB test or Chest X-Ray, Flu Shot. Drug Screen Background check LPN CLASS SCHEDULE

The LPN program starts the end of August. Classes are held Monday thru Friday, generally from 9:00 A.M. to 3:00 P.M., with a one hour lunch break. Clinicals start the last week of January, continuing through February and March. Graduation is in April or May of each year. FALL SEMESTER NURP 1102 Fundamentals of Nursing NURP 1103 Pharmacology NURP 1106 Pediatric-Maternity Nursing 1 NURP 1114 Caring for the Adult 1 HFST 1020 Principles of Nutrition (if not completed) Total Credits 16 SPRING SEMESTER NURP 1115 Caring for the Adult 11 NURP 1108 Mental Health Fundamentals NURP 1107 Pediatric Maternal Nursing 11 NURP 1109 Professional Transition for the Practical Nurse PSY 1010 General Psychology (if not completed) 5:3:6 2:1:3 2:2:1 4:3:3 3:3:0

4:2:12 2:2:0 3:3:3 2:2:3 3:3:0

Total Credits 14 Grand Total= 30 credits **STUDENTS ARE REQUIRED TO JOIN HOSA (Health Occupations Students of America). Students are required to participate in State competitions with other schools demonstrating their knowledge in the health field. There is a National Competition every year that is optional for the student. Some fundraising is involved. Students must register for all nursing courses offered each semester. All courses must be completed with a grade of C (2.0) or better before the student advances to the next semester. NURP 1102 Class Fee: $15. (Name badge) NURP 1115 Class Fee: $20. (HOSA fees) NURP 1109 Class Fee: $40. (NCLEX Predictor Test) **SEE COLLEGE FEE TABLE FOR INFORMATION ON TUITION COST. **To apply for Financial Aid over the internet: www.fafsa.ed.gov or call: (435)283-7133 or 7129.

PRACTICAL NURSING PROGRAM SNOW COLLEGE - Richfield, Nephi, Ephraim

APPLICATION FOR ADMISSION

Date:_______________________________

Phone number: __________________

1. Print name in full:________________________________________________________ last maiden/other first middle 2. Usual signature:__________________________________ DOB: _______________

3. SS#:_________________________ E-mail address: ___________________________ 4. Home Address:__________________________________________________________ (print) Number and Street (or R.D.) City State Zip 5. Please describe the general state of your health: Good______ Fair_____ Poor_____

6. Give below information concerning high or other secondary schools attended. (or passed GED:_________ yr.) Name of School City & State Date of Date of Diploma Received Entrance Exit

7. Give below information concerning college, university, normal, or other schools attended. Name of School City & State Date of Date of Diploma Received Entrance Exit

List below any prerequisite/support courses you are currently enrolled in or what your future plans are concerning them:

8.

Are you aware of any reason why you would not be able to perform the essential physical and mental requirements of nursing school? Yes___ No___ If yes, give pertinent details:_____________________________________________ ___________________________________________________________________

9.

Have you since the age of 18, been convicted of a class A (drugs) misdemeanor or felony? Yes_____ No____. If yes, give dates, details, and penalties for each occurrence, including dates of any probationary periods:__________________________________________________ ___________________________________________________________________

10. If you have had any health-related education or employment background, give facts and include copies of certificates, etc. (Preference may be given for verified certification and experience in a health related field.) Examples: WORKING OR HAVE WORKED AS A CNA, EMT, Home Health Aide. Etc.

11.

If you have ever attended any school of nursing, give the following information: Name of school_________________________ City and State_________________ Date of entrance Date of exit___________________

Reason for leaving: ___________________________________________________ 12. Have you ever before made an application to this school? Have you been an alternate for this program? Yes_____ No_____ If yes, what year? ________ 13. Are you prepared to meet the necessary expenses of the program in this school of nursing? YES NO ___ Date __________

14. 15. 16.

When do you desire to enter this school? _________________________________ Have you applied for admission to Snow College? Yes Person to be notified in case of emergency: Name (print) Telephone number ________ No

Address ________________________________________________________ (Print) Number and Street (or R.D.) City State Zip

17.

Would you prefer to attend class on the Ephraim Campus (via Poly Com), the Nephi Campus (via Poly Com, at the Nephi Hospital), or the Richfield Campus? Please mark: 1st choice, 2nd choice, and 3rd choice Ephraim Campus___ Richfield Campus___ Nephi Campus___

(NOTE: all campuses are filled from the same applicant pool.) 18. Satisfactory progress through the nursing program requires attendance in both theory and clinical sections. Will you commit yourself to the prescribed hours, course of study and policies of the Department of Nursing? Yes No List below extracurricular activities, awards, honors, scholarships, student government, etc

19.

20. In the space below please write an account of: (1) any leadership, community or service positions (with dates) that you have held, (2) your reasons for selecting nursing as a career, (3) any special reasons for desiring to enter this college, and (4) your plans and aspirations for the future.

21. The department gives out several scholarships each year to deserving practical nursing students. Students need to have a cumulative 3.0 GPA and a 3.0 GPA for the nursing prerequisites. If you are interested in a nursing scholarship, please provide a financial need statement below.

I do hereby certify that the statements in this application are true and complete to the best of my knowledge. I also give my permission for the Nursing Department to look up my student information. Signed___________________________________________________Date________ Permanent address: _____________________________________________________ How long at this address: _________________________________________________

STRUCTURED REFERENCE FORM FOR APPLICANT

SNOW COLLEGE- RICHFIELD CAMPUS 800 West 200 South Richfield, Utah 84701

The below named applicant is a candidate for admission to this School of Practical Nursing. We would appreciate your evaluation of the applicant's performance and evaluation. Your comments will be used by the faculty members of this School of Practical Nursing to help them arrive at a better understanding of the applicant. Your cooperation in completing and promptly returning this form will assist both the applicant and the School of Practical Nursing.

Name of Applicant:_________________________________________________

(Last Name) (First Name) (Middle Initial)

Address:___________________________________________________________

(Number and Street) ____________________________________________________________________ (City) (State) (Zip) Pursuant to recent federal law, a student admitted to this School of Practical Nursing is entitled to inspect this evaluation in his or her file, unless the student has signed a waiver of this right of access. However, the School does not require a waiver as a condition for admission to, receipt of financial aid from, or receipt of any other services or benefits from the School. Applicants submitting names of individuals for letters of recommendation, therefore, are free to determine whether or not they wish to waive their potential right to examine such evaluations.

WAIVER:

The Family Educational Rights and Privacy Act permit us to request, but not require, that you waive your right to inspect this evaluation. The right, which we request that you waive, would arise if you were an enrolled student at this school and if the evaluation were maintained after your enrollment. In considering whether you will waive, please be advised that the information contained on this form will be used to evaluate you as an applicant for admission to this School of Practical Nursing. If you elect to waive your rights of access to and review of this information, please sign your name.

_____________

_________________________________________________________

Date

Applicants Signature

Structured Reference Form for Applicant

Please return these evaluation forms directly to the nursing secretary by April 15th in a sealed envelope with your signature on the back of the envelope. Amanda Lloyd Snow College Richfield, Allied Health Department 800 West 200 South Richfield, UT 84701

Structured Reference concerning________________________________________________________________ I have known this person for_______________________________________________ (length of time in months) I know this person as a (an) ____________________________________________ (employer, supervisor, teacher) INSTRUCTIONS Respondents should (1) rate each statement independently, and (2) avoid a tendency to rate on general impressions. One characteristic might influence the rating of all characteristics. The following questions or statements identify a variety of traits, skills, attitudes, etc. Please indicate the degree on which each quality is characteristic of the person you are rating by (1) reading the statement carefully, (2) reading comments in each category. If you do not feel you have enough information to rate the person on a particular item, please circle "NA" (not apply), next to the item. 1. Problem-Solving: Ability to identify and solve problems is: NA 1 2 3 4 5 6 Poor Average

7

8 9 Excellent

2.

3.

Sense of Responsibility: Ability to complete tasks and duties, honors commitments: NA 1 2 3 4 5 6 7 8 9 Doesn't complete Average Always completes; accepts Responsibility responsibilities; consistent; dependable Maturity: Conducts self in mature, adult manner: NA 1 2 3 4 5 6 7 8 9 Immature, childish Average Mature, adult behavior Attitude: Based upon your experience with this person, what type of attitude does this candidate project toward life, school, job, etc.? NA 1 2 3 4 5 6 7 8 9 Very negative Average Very positive Creativity: Does this person display a degree of creativity? NA 1 2 3 4 5 6 Very little Average

4.

5.

7

8 9 Exceptionally creative

6.

Stress/Anxiety Response: Deals with stressful, anxiety-producing situations: NA 1 2 3 4 5 6 7 8 9 Very poorly; Average Excellent Ineffective, Comes unglued Motivation/Drive: Extent to which individual applies self: NA 1 2 3 4 5 6 Uninspired Average

7.

7

8 9 A self-starter, Systematically A hard worker

8.

Appearance: Extent to which standard of appearance is met: NA 1 2 3 4 5 6 7 Untidy, poorly Average groomed

8 9 Well groomed

9.

Health: Extent to which health or physical disability problems affect performance: NA 1 2 3 4 5 6 7 8 9 Health problems Average Health almost never interferes interfere frequently with activities Acceptance of Personal Feedback: Please rate the person's ability to handle constructive criticism and positive feedback: NA 1 2 3 4 5 6 7 8 9 Resents, rejects Average Seeks, utilizes, responds doesn't respond effectively Communication Skills: Ability to communicate with peers, coworkers, teachers, etc.: NA 1 2 3 4 5 6 7 8 9 Expresses self Average Excellent expression; poorly fluent Integrity: Extent to which this person displays an ethical code: NA 1 2 3 4 5 6 7 Cheats, bluffs, untruthful, Average Blameless

10.

11.

12.

8 9 Always honest, admits error, truthful, trustworthy

13.

Interpersonal Relationships: Ability to cooperate and get along with peers, co-workers, teachers, employers, etc.: NA 1 2 3 4 5 6 7 8 9 Inappropriate behavior; Maintains Outstanding ability to work generally antagonizes satisfactory well with others relationships What would you identify as the person's strengths and weaknesses: (Additional comments may be placed on a separate page.) A. STRENGTHS:

14.

B.

WEAKNESSES:

15.

_____ I highly recommend this person _____I recommend this person ____ I DO NOT recommend this person Signed : ___________________________________Position: __________________________Date:_____

SCHOLARSHIP FOR THE PN PROGRAM

- Attached is the form for admission to Snow College. Please fill this out if you are not already a student at Snow, and mail to the Admissions office in Richfield. This form also serves as a Scholarship application. If you are interested in a Nursing scholarship please fill out the form and return to Amanda Lloyd by April 15th. Must have cumulative GPA of 3.0 to be considered for the nursing scholarship.

PN TO RN PROGRAM

Snow College has a Co-op PN to RN Program through Weber State University. You must be an LPN to apply. Classes are held on the Snow College Richfield Campus. Application deadline for this program is March 1st. In order to apply for the WSU RN program you must have a cumulative GPA of 3.0 or at least five years of work experience as an LPN and a cumulative GPA of 2.5. RN Prerequisites: (All courses must be passed with a C or above) Human Anatomy Human Physiology Intro to Microbiology Chemistry 1110 Pathophysiology Math 1030, 1040, or 1050 English 1010 Psychology Nutrition Additional Requirements for an Applied Associate of Science degree: English 2010 Humanities or Creative Arts elective course (3 credits) RN education consists of two semesters of course/clinical work beginning each August. Classes are held 1-2 days per week on the Richfield Campus with graduation in April or May of each year. Utah RN license granted upon successful completion of NCLEX test. For more detailed information about the PN to RN program, please contact Amanda Lloyd at (435)8932232 or [email protected] for an admissions packet.

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