LVN-T Application Packet

BLINN COLLEGE
ASSOCIATE DEGREE NURSING PROGRAM
LVN-TRANSITION APPLICATION PACKET
Welcome Letter
Application Information for LVN-Transition
Application Requirements
TEAS Information
Required Tests/Immunizations
Contact Information
Application Checklist
Employment History
Student Application
(11-4-14)
A Letter from our Program Director
Dear Licensed Vocational Nurse – Transition Option Candidate:
Thank you for inquiring about the LVN – Transition Option Program. The Blinn College LVN –
Transition Option Program is located on the Texas A&M Health Science Center campus in
Bryan, Texas and also the Blinn College Schulenburg campus. Enclosed you will find program
information, including the admission requirements and an admission application for the LVN-T
Program.
The LVN-T Program starts a new class once a year beginning in the Summer I semester (which
usually begins about the third week in May). The LVN-T program is designed to be completed in
one year.
If you wish to be considered for admission into the program, you must submit evidence of
meeting all of the application/admission requirements. The applicant is responsible to ensure all
application information has been received at the Blinn College ADN Program office, and that
their admission file is complete.
If you have questions once you have reviewed the application packet please call 979-691-2012 or
email [email protected].
Best wishes in the pursuit of a rewarding career in nursing through our Associate Degree
Nursing Program at Blinn College.
Sincerely,
Michael W. Hutton, MSN, RN
Director
Associate Degree Nursing Program
TAMHSC • Clinical Building 1, Suite 2500 • 8441 State Highway 47 • Bryan, Texas 77807
(979) 691-2012 • Fax (979) 691-2410
APPLICATION INFORMATION FOR THE LVN-TRANSITION OPTION
This application is a special option available for LVNs who meet specific admission criteria to
complete the ADN Program requirements in one calendar year at either the Bryan or
Schulenburg Campus.
Students admitted to the LVN Transition Option take six nursing courses (Transition - Theory
and Clinical, Skills, Leadership, and Mental Health – Theory and Clinical) during the summer
then join 2nd year generic nursing students in the Fall Semester.
The program allows the applicant to have classes in progress when applying. All program
prerequisites must be complete by the end of the semester in which you submit your application.
Decisions regarding acceptance are made at the end of the semester in which you apply.
Applicants are notified of acceptance shortly after final grades are received or posted.
All applicants are required to provide proof of current Texas licensure, computer literacy, and
work status when they submit their nursing application. If accepted into the program, then
applicant must complete a drug screen, a health/physical exam, and provide proof of all required
tests/immunizations required, at their own expense.
APPLICATION REQUIREMENTS FOR LVN-TRANSITION OPTION
All of the following requirements must be fulfilled and evidence of their completion must be submitted.
Failure to submit evidence of ALL application requirements will exclude the applicant from consideration for
admission.
•
The LVN must be currently licensed in Texas and must have approximately one year of nursing
experience.
•
All the prerequisites (including RNSG 1301 Pharmacology, RNSG 1300 Health Assessment Across
the Lifespan, and HPRS 2301 Pathophysiology) must be completed prior to admission,(EXCEPT for
the Humanities/Fine Arts Elective, which may be taken during the final year of study).
•
Complete all admission requirements and be admitted to Blinn College (Please note that previous
Blinn students who have not been enrolled in Blinn College for the previous Spring or Fall Semester
must reapply to the college).
•
Submit a completed Associate Degree Nursing Application (LVN-Transition Option) to the ADN
office. (NOTE: Admission to the ADN program is a separate process from admission to Blinn College
and requires a separate application). Acceptance to Blinn College does not guarantee acceptance into
the Associate Degree Nursing Program (LVN-Transition Option).
•
Submit ALL official college/university transcripts with your nursing application to the ADN office.
(NOTE: this includes Blinn College official transcripts). It is the applicant’s responsibility to make
sure official transcripts are also on file in the Admissions and Records Office at Blinn College.
•
Highlight all courses on official transcripts that were listed on the Application Degree Worksheet
(Page 3 of the application). You may open your official transcript in order to highlight courses. All
prerequisite and co-requisite courses must be completed with a “C” or above.
•
Provide proof of computer literacy by attaching copy of high school transcript or college/university
transcript with computer science class highlighted. If you do not have computer science course, then
you may provide a letter from previous/current employer describing recent work history using data
processing and/or management.
•
Take the TEAS V (Test of Essential Academic Skills) administered by the Blinn College Testing
Center. Please see the TEAS information form in this packet for further details. The TEAS must be
completed prior to submitting nursing application and TEAS score sheet must be included in nursing
application packet. Student is ineligible for admission if ATI Academic Preparedness Level is “Basic”
or “Developmental”.
Summer Admission – Application due or postmarked by March 3rd
(ADN Office will accept applications beginning January 6th)
TEAS (Test of Essential Academic Skills) (Version V)
Description
The Test of Essential Academic Skills (TEAS) measures basic essential skills in the academic
content area of reading, mathematics, science and English and language usage. The test is
intended for use primarily with adult nursing program applicants. The objectives assessed on the
TEAS exam are those which nurse educators deemed most appropriate and relevant to measure
entry level academic readiness of nursing program applicants. The time limit for the test is 209
minutes and is broken down as follows: Reading 58 minutes, Math 51 minutes, Science 66
minutes, and English 34 minutes. No calculators are allowed for the test.
Preparing for the TEAS
The following items are available for purchase from Assessment Technologies Institute (ATI) at
www.atitesting.com.
•
•
•
•
Learning Strategies: Your guide to Classroom and Test-Taking Success
TEAS Pre-Test Study Manual
TEAS Online Practice Assessments
TEAS Transcripts
ADN Program Instructions
•
Applicant must take TEAS V prior to submitting your nursing application. Applicant
must include your TEAS score sheet in your application packet.
•
Applicant may take TEAS twice during an application period, but must test at least 4
weeks apart. All TEAS testing must take place before nursing application due date.
•
If applicant has taken the TEAS during a previous application period or for a different
nursing program and wants to use those score results then applicant must make sure the
test date is within one year of the application due date.
•
If applicant resides out of town/state, the TEAS may be taken at another educational
institution or testing facility.
•
Instructions for completing the TEAS at the Blinn College campus in Bryan, Texas are
included in this packet.
TEAS Timed Test
Computer Based Test
The test has 4 individually timed parts:
Reading: 58 minutes (48 questions)
Mathematics: 51 minutes (34 questions)
Science: 66 minutes (54 questions)
English: 34 minutes (34 questions)
Saturday Test Dates
Report Time: 8:00 a.m.
Health Bldg., 2nd Floor
November 1
December 13
Study Guide for the TEAS is available for purchase from the testing company, ATI: www.atitesting.com
Walk-in testing: Monday-Friday, 8:30 a.m. and no later than 11:00 a.m. Testing held in Administration
Building, Room 145
Saturday testing, Report time 8:00 a.m. Testing held in Health Building, Room 225
Cost $55 total: All fees are non-refundable, non-transferable and must be paid before you
begin the exam at Blinn.
•
•
$10 proctoring fee is payable at Enrollment Services in Administration Building prior to testing.
Enrollment Services is open M-F, 8:00 a.m. - 4:00 p.m. and closed Saturdays.
Accept cash, money order/cashier’s check, all major credit cards, debit or cash card, No personal
Checks.
$45 online fee on test day (all major credit cards, debit card, or cash card), No personal checks,
cashier’s checks or money orders. This fee is separate from the proctoring fee.
Saturday test-takers only: If you are an out of town test-taker and cannot prepay before the test
date, bring a $10 money order with you on test day, and make money order payable to Blinn
College. No appointment or registration necessary. Report time is 8:00 a.m. Park in lot nearest
Health Building and enter 2nd floor doors nearest parking lot.
BRING: Picture ID (No Testing without Picture ID)
Receipt and Test Ticket (received from Enrollment Services office)
$45 Payment Card
ATI User Name and Password
DO NOT BRING: Food or drinks, cell phones, or any electronic devices, watches, calculators,
backpacks, large bags, purses, hats or caps. If you bring any of these items they will be
checked and taken up.
Instructions for creating a Username and Password:
1. Log on to www.atitesting.com
2. Click on Create an Account
ATI Customer Service Information:
Phone: 800-667-7531
www.atitesting.com
Retakes: 4 weeks
Check with the ADN Program for start of testing cycle and deadline.
Tests and Immunizations Required by Associate Degree Nursing Program
The following is a list of tests and immunizations required by students who are accepted into the Associate Degree Nursing Program
(LVN-Transition Option). All ADN applicants must provide documented proof of each requirement below in order to receive full
admission into the nursing program. These documents will be required once student has been notified they are accepted into the
program. Tuberculosis skin test should be done within 30 days of program start date. (NOTE: Hepatitis B testing and
immunization can take several months and applicant needs to plan in advance to meet requirement).
All documentation of the requirements below will be uploaded by each student to CertifiedBackground. CertifiedBackground is a
company that serves as a repository for student medical records. Once a student pays a fee and sets up their student profile with
CertifiedBackground they will be able to upload their medical records and then view those records. The program director and
administrative assistant will also be able to view the medical records for each student to verify they have completed the requirements.
 Tuberculosis Skin Test (PPD-TB Test) OR Chest X-Ray (required if skin test is positive) MANDATORY:
(skin test or x-ray must be within 6 months of program start date)
Recommend student gets PPD test within 30 days of program start date. Student is required to receive PPD test annually
while in the nursing program.
 Tetanus, Diphtheria, Pertussis (TDAP) MANDATORY:
One Tdap Booster (within 10 years)
 Measles (Rubeola) MANDATORY: Those born on or after January 1, 1957, must show proof of either:
A. Serologic test positive for measles antibody/immunity
OR if necessary, without serologic evidence of immunity or prior vaccine:
B. Two doses of MMR Vaccine at least 4 weeks apart
 Mumps MANDATORY: Those born on or after January 1, 1957, must show proof of either:
A. Serologic test positive for mumps antibody/immunity
OR if necessary, without serologic evidence of immunity or prior vaccine:
B. Two doses of MMR Vaccine at least 4 weeks apart
 Rubella MANDATORY: Those born on or after January 1, 1957, must show proof of either:
A. Serologic test positive for rubella antibody/immunity
OR if necessary, without serologic evidence of immunity or prior vaccine:
B. Two doses of MMR Vaccine at least 4 weeks apart
 Varicella (Chicken Pox) MANDATORY: must show proof of
A. Serologic test positive for varicella antibody/immunity
OR if necessary, without serologic evidence of immunity or prior vaccine
B. Two doses of varicella at least 4 to 6 weeks apart
 Hepatitis B Immunity MANDATORY:
There is potential of exposure to Hepatitis B during clinical assignments. All students must have had the Hepatitis B series
of vaccinations. The CDC recommends (and we require) serologic testing for all Health Sciences Students, except Vet Tech
students. Specifically, we require a quantitative Hepatitis B surface antibody (anti-HBs) to document immunity. If the test
comes back with a protective concentration of less than 10 mIU/mL, student needs to be revaccinated with 3 doses (over
4-6 months). This is followed by another serologic test for immunity 1-2 months after the third dose.
 Influenza MANDATORY:
All healthcare providers and students in these professions will receive annual vaccination against influenza. One dose of
influenza vaccine annually, live inactivated injectable influenza vaccine IM or live attenuated influenza vaccine (LAIV)
intranasally (ONLY for non-pregnant, healthy HCP aged 49 or younger).
 Meningococcal (Meningitis) Vaccine (MCV4): MANDATORY FOR ALL “NEW” STUDENTS <22 YEARS OF
AGE WHEN THE ACADEMIC TERM BEGINS. VACCINE MUST BE ADMINISTERED AT LEAST 10 DAYS
PRIOR TO THE START OF THE SEMESTER. All students must follow Blinn’s policy regarding the Bacterial
Meningitis requirements. Go to www.blinn.edu/immunization.html for all information.
ASSOCIATE DEGREE NURSING
Contact Information
If you wish to mail your application, the mailing address is:
Blinn College Associate Degree Nursing
Texas A&M Health Science Center
Clinical Building 1, Suite 2500
8441 State Highway 47
Bryan, Texas 77807
If you wish to deliver your application in person the address is:
Blinn College Associate Degree Nursing
Texas A&M Health Science Center
Clinical Building 1, Room 3536
8441 State Highway 47
Bryan, Texas 77807
Contact Information:
Phone: 979-691-2012
Fax: 979-691-2410
Email: [email protected]
ASSOCIATE DEGREE NURSING (LVN-Transition Option)
APPLICATION CHECKLIST
(Must be included with application)
Please initial each item below and submit this checklist with the application packet.
Submit the completed Application packet in the following order.
1. ________ Application Checklist
2. ________ Employment History
3. ________ Completed Associate Degree Nursing Program Application (LVN-Transition Option) (3 pages)
4. ________ TEAS V Score Sheet
5. ________ Official Transcripts from Colleges/Universities with courses highlighted
6. ________ Proof of computer literacy
7. ________ Proof of current Texas licensure
Summer Admission – Application due or postmarked by March 3rd
(ADN Office will accept application beginning January 6th)
I have read and understand all the requirements and pre-requisites for the Associate Degree Nursing
Program (LVN-Transition Option).
_____________________________________
Applicant Printed Name
_____________________________________
Applicant Signature
______________________
Date
Employment History (as an LVN)
(Begin with the most recent years)
Employer Name:
Address:
City:
Phone Number:
Employment Dates: From:
Job Title:
Job Responsibilities:
State:
Zip:
To:
Reason for Leaving:
Address:
City:
Phone Number:
Employment Dates: From:
Job Title:
Job Responsibilities:
State:
Zip:
To:
Reason for Leaving:
Employer Name:
Address:
City:
Phone Number:
Employment Dates: From:
Job Title:
Job Responsibilities:
State:
Zip:
To:
Reason for Leaving:
Employer Name:
Address:
City:
Phone Number:
Employment Dates: From:
Job Title:
Job Responsibilities:
State:
Zip:
To:
Reason for Leaving:
_______________________________________
Printed Name
_______________________________________
Signature
Blinn College
PLEASE PRINT ALL
INFORMATION
REQUESTED EXCEPT
SIGNATURE
Health Sciences Programs
Student Application
NOTE: YOU MUST MAKE APPLICATION TO BLINN COLLEGE FOR CONSIDERATION FOR ANY
OF THE HEALTH SCIENCES PROGRAMS
Select the program of your choice:
○
○
○
○
Associate Degree Nursing
Vocational Nursing
Dental Hygiene
Paramedic Academy
●
○
○
○
Licensed Vocational Nurse – Transition to ADN
Physical Therapist Assistant
Radiologic Technology
Veterinary Technology
○ Bryan Campus
○ Schulenburg Campus
APPLICANTS WILL BE TESTED FOR DRUGS AND A CRIMINAL BACKGROUND CHECK WILL BE
CONDUCTED. SPECIFIC PROGRAM REQUIREMENTS CAN BE ACCESSED FROM EACH PROGRAM’S
WEB-SITE AT www.blinn.edu/twe.
Name_________________________________________________________________________________________
Last
First
Middle
Maiden Name
Previous Name
Mailing Address________________________________________________________________________________
Number
Street
Apt. #
City
State
Zip
E-Mail______________________________________
Social Security No. _________ - ______ - __________
Telephone ( ___ )___________________________
Cell Phone ( ____
)__________________________
Permanent Address_____________________________________________________________________________
Number
Street
Apt. #
City
State
Zip
Blinn ID#__________________
HAVE YOU PREVIOUSLY APPLIED TO A BLINN COLLEGE HEALTH SCIENCE
PROGRAM?
Which one? ____________________ When?________________
PREVIOUS EDUCATION
Provide official transcripts from every College/University you have attended with this application (Including Blinn).
It is your responsibility to also provide Blinn Admissions with an official transcript. You must also be a high school graduate or
have obtained a GED to be admitted to any Health Sciences Program.
Type of School
Name of School
Location (Complete
Mailing Address)
Number of
Years/Hrs.
Completed
Major & Degree
High School or
GED
College
Is your Hepatitis B series complete? ___Yes ____No
In Progress? ___Yes ___No
Must have documentation of immunity for Hepatitis B (>10mIU/mL).
EMPLOYMENT (other than as an LVN)
(Begin with the most recent years or attach a resume.)
Employment Dates
Reason for Leaving
From
Name of employer
Address
City, State, Zip Code
Phone Number
To
Name of employer
Address
City, State, Zip Code
Phone Number
Employment Dates
From
Name of employer
Address
City, State, Zip Code
Phone Number
Name of employer
Address
City, State, Zip Code
Phone Number
Reason for Leaving
To
Employment Dates
From
Reason for Leaving
To
Employment Dates
From
Reason for Leaving
To
MAY WE CONTACT YOUR PRESENT EMPLOYER?
Yes
No
PLEASE LIST TWO CONTACTS IN CASE OF EMERGENCY
Name_____________________________________
Name__________________________________________
Relationship________________________________
Relationship_____________________________________
Telephone: (Home)__________________________
Telephone: (Home)_______________________________
(Cell)__________________(Work)______________
(Cell)___________________(Work)_________________
SIGNATURE
I certify that the information, provided in this application, is correct and complete. I understand that omission or falsification of
information is grounds for exclusion and dismissal. If accepted into the program, I agree to meet all entrance requirements and to
conform and abide by the letter and spirit of the rules, regulations, and procedures of Blinn College and this program.
Signature:__________________________________________________
Date:________________________
Please indicate the manner in which you found out about this program:
Career Fair(s)
Community Contact(s)
Family Member
High School Counselor
Movie Advertisement(s)
Healthcare Workers in Practice
Television Advertisement(s)
Recruiting Presentation @ Your High School
Other
_________________________________________________________________
BLINN COLLEGE ASSOCIATE DEGREE NURSING (LVN-TRANSITION OPTION)
APPLICATION DEGREE WORKSHEET
STUDENT:
______
BLINN ID #
STUDENT PHONE #:
NOTE: Please provide the necessary information in the blanks below. Attach official transcript(s), highlighting courses and grades to
show where each grade was obtained. Indicate classes in progress by placing the current semester and year in the Sem/Yr column. CR
represents the number of credit hours a course is worth.
COURSE #
DESCRIPTION
SEM/YR
COMPLETED
GRADE
CR
COLLEGE/UNIVERSITY
SUBSTITUTED
COURSE #
PREREQUISITES
BIOL 1406
General Biology I
BIOL 2420
Microbiology for NonScience Majors
BIOL 2401
Anatomy & Physiology I
MATH 1314 or
1324
College Algebra or Math
Analysis I
RNSG 1301
Pharmacology
RNSG 1300
Health
Assessment/Lifespan
BIOL 2402
Anatomy & Physiology II
ENGL 1301 or 1302
Composition & Rhetoric
PSYC 2314
Lifespan Development
HPRS 2301
Pathophysiology
Social/Behavioral
Science Elective
History, Political Science,
Sociology, Psychology,
Economics (Select One)
CO-REQUISITE
*Humanities/Fine
Arts Elective
Literature, Philosophy,
Art, Drama, Music,
(Select one from list
below)
____
*Humanities/Fine Arts Elective (choose one from the following): (ENGL 2322, 2323, 2327, 2328, 2332, or 2333; ARTS 1301, 1303, or
1304, PHIL 1301 or 2306, DRAMA 1310, 2361, 2362, or 2366; MUSI 1301, 1306, 1308, or 1310).
NOTE: Must show Computer Literacy through High School or College Computer Science courses or recent work history with data
processing and data management. You must attach transcript (can be unofficial if high school transcript) with computer
class highlighted. If you are using work history to satisfy this requirement you must provide letter from employer.
___________________________________________(Name of Computer Course).
Any proposed course substitutions on this degree worksheet are subject to review and verification by the appropriate
Program Director & Vice President of Health Sciences.
Institutions Attended
_______________________________________
_______________________________________
_______________________________________
FOR OFFICE USE ONLY:
TSI Initiative: Reading _______________________
Writing _______________________
Math _________________________
Transcripts Sent
Yes___________
Yes___________
Yes___________
No_________
No_________
No_________
TOEFL ___________________
(International Students only)

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