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RN AND LVN TO RN APPLICATION INSTRUCTIONS

 

(310) 233-4262

 

Please fill out the Nursing Application form completely.  You must fill in all blanks.  If the question does not pertain to you, indicate N/A.  You must sign the Release of Information and the True and Complete Information statements.  LVN to RN applicants must initial 30-unit Option statement and Route Selected.

 

You must have OFFICIAL SEALED HIGH SCHOOL AND COLLEGE TRANSCRIPTS (if other than LAHCC) and the Nursing Reading Comprehension Assessment Test results.  If you have a GED or High School Equivalency from the United States you must attach the results of the test to your application. If you graduated from high school in a foreign country and are requesting high school equivalency based on a Professional Evaluation you must attach an official high school transcript from your country and an official copy of the evaluation.  If you are seeking credit for courses taken outside the LACCD, which may be equivalent to required requisites, you must attach copy(s) of signed granted LAHC general petitions(s).  If the other school will not give you official transcripts, then you are to have that school mail two (2) official transcripts to LAHC.  One copy is to be sent to the Nursing Department and one to the Admissions Office.   The copy sent to the Nursing Department should be addressed to the Health Science Division. Your official sealed transcripts from high school and any other colleges must arrive prior to deadline date.

 

Read and Sign the front side of one of the two blue (for RN) or pink (for LVN to RN) Application Forms. Complete the back sheet (Admission Eligibility Criteria) forms and submit attached to the application.   You must list all dates, grades and where each class was taken.  If a class is In Progress, write IP on the grade line. Keep the second copy for your records.

 

Nursing Application Deadline for Fall Admission is March 1st and for Spring Admission, September 30th.  No application will be accepted after the deadlines.  No late transcripts or scores will be accepted after the deadline unless requested by the Health Science Department.

 

Return to the Health Science Nursing Department the following by the deadline date:

  1. Completed Nursing Application Form
  2. Completed Information /Eligibility Criteria Form
  3. Official, sealed transcripts from high school and any college other than LAHC.  You must attach an unofficial LAHC transcript if you have any classes taken at Harbor.
  4. Copy of GED/HS Equivalency if applicable.
  5. Official copy of foreign high school and or college transcripts accompanied by official evaluation.
  6. Granted LAHC General Petitions for equivalent courses.  (If needed)
  7. Nursing Reading Assessment Score Sheet, (Minimum passing is 76)
  8. IF YOU HAVE CLASSES IN PROGRESS YOU MUST TURN IN INTERIM GRADE REPORTS ON OR CLOSE TO APRIL 10th OR NOVEMBER 10th.
  9. Attach $1.00 for postage.

 

YOU MUST TURN IN ALL NECESSARY PAPERWORK WITH YOUR APPLICATION AS A PACKET.  INCOMPLETE APPLICATIONS WILL BE RETURNED TO YOU.


 

 

Los Angeles Harbor College 1111 Figueroa Place, Wilmington, CA  90744-2397

REGISTERED NURSING APPLICATION FORM

Please Type or Print Legibly

Name_________________________________________________________________________________________________

              (Last)                                        (First)                         (MI)      (Maiden/Other names used) Social Security Number

 

Address_______________________________________________________________________________________________

              (No. and Street)                                                    (City)                                                             (Zip Code)

 

Telephone(s)___________________________________________________________________________________________

                        (Area code & No.)                                      (Other No.)                                                       (e-mail)

 

Age_______Birthdate___________Sex______*Ethnicity or Race:_______________________________

                                                                                                           (Optional-for statistical-report purposes

 

Graduation from an accredited U.S. high school or equivalent-the General Education Development (GED) examination or equivalency as determined by the Los Angeles Community College District or graduation from an accredited U.S. community college, college or university is required.  OFFICIAL, SEALED TRANSCRIPTS MUST BE ATTACHED.

 

____U.S. High School Graduate: ____ ___________________________________________________

                                                                                                Name of School and City Located

____College Graduate:  AA___BA___BS___ MA___      _____________________________________

                                                                                                          Name of School and City Located

____G.E.D. or Proficiency Exam (Attach copy of letter stating scores and pass status)

 

____Foreign High School Graduate:  OFFICIAL SEALED EVALUATION((Stating foreign high school education is

         equivalent to U.S. high school graduate education.) AND OFFICIAL SEALED FOREIGN HIGH SCHOOL

         TRANSCRIPT MUST BE ATTACHED.     ______________________________________________________________

                                                                                        Name of School                                           Country Located

   List Other Colleges Attended   (Attach OFFICIAL, SEALED TRANSCRIPTS

     ____________________________   ___________________________  ______________________

 

____Petitions granted by Los Angeles Harbor College for course work successfully petitioned

         _____________________  __________________  ___________________  ___________________

                                    (List courses and attach copies of granted petitions)

____Los Angeles Harbor Nursing Reading Assessment Test (Attach test score sheet)

 

____Licensed Vocation Nurse  (Attach Photostat of license)

 

BE ADVISED YOUR APPLICATION CANNOT BE PROCESSED IF ALL ITEMS ABOVE INDICATED AND APPLICABLE ARE NOT ATTACHED.

 

Have you ever attended L.A, Harbor College?  Y____N____If yes, when?__________________________

 

Have you ever been admitted to a Nursing Program?  Y____N_____If yes, When? (years)______________

     Name of Nursing School_____________________________________Location____________________

 

All college courses taken or in progress must be listed on the back of the blue RN Application or pink LVN-RN Application   List what semester courses were taken and grade received.  Show IP for courses in progress.  Leave blank courses not yet taken.

 

LVN to RN APPLICANTS ONLY.  Please initial that you have been informed of the 30 Unit Option__________

     I have selected_____Advanced Placement (Route 4)   ______30 Unit Option

 

If you wish to challenge nursing courses obtain the policy of Transfer and Challenge from the Nursing Division Chairperson.

 

I agree to release of information for statistical required reporting purposes.___________________________________

                                                                                                                                       Signature Required

I agree that all of the above information is true and complete:______________________________________________

                                                                                                  (Signature Required)                                      (Date)

(Rev 5/05)    

 

LOS ANGELES HARBOR COLLEGE GENERIC RN APPLICATION FORM

THE APPLICATION MUST BE SUBMITTED BY MARCH 1ST FOR FALL SEMESTER AND SEPTEMBER 30TH FOR SPRING.  READ, SIGN AND SUBMIT THIS SHEET WITH THE APPLICATION ALONG WITH ALL APPLICABLE INFORMATION.

BASIC ADMISSIONS REQUIREMENTS AND PREREQUISITES

 

1.   Completion of all admission requirements of Los Angeles Harbor College. 

2.   Graduation from an accredited U.S. high school or equivalent i.e. the General Education Development (GED) or equivalent

      as verified by the Los Angeles Community College District or graduation from an accredited U.S. college or university.

3.   Passing the LAHC Math Competency Exam or satisfactory placement on the LAHC Math Placement Test with completion of a

      college course in elementary Algebra (Math 123A/B, CT60 or ET49 or equivalent), or a higher math course with a grade of C  

     or better.  High School Algebra and/or Nursing 302 DO NOT meet college graduation math competency requirement.

4.  Completion of English 101 with a grade of C or better.  Completion of Physiology 1, Anatomy 1 and Microbiology 1 or 20 with 

a grade of C or better.  Overall GPA in the three (3) science courses must be 2.5 or higher with a maximum of two (2) repeated courses in the three core science courses.  Completion of Nursing 301A with a grade of C or higher.  Achievement of a cumulative 2.5 GPA on all work completed at U.S. accredited colleges and universities is required for initial enrollment.  A minimum GPA of 2.0 and a grade of C or higher in all nursing courses is required for continued enrollment in the program...  Note:  Students receiving credit for foreign college or university coursework will receive the equivalent of a grade of C for each course given such credit.

5.  Psychology 1 and Psychology 41 are prerequisites for the 2nd semester and must be completed with a grade of C or higher.

6.  Completion of one year of U.S. high school Chemistry with a lab or one semester of college chemistry with Lab (Chem. 65 or 55 or 

     higher) with a grade of C or higher.  Chemistry is a prerequisite for Physiology and Microbiology.

7.  All nursing applicants must take the L.A.H.C. Nursing Reading Assessment Test before the application deadline.  Test dates and

     And times are scheduled through the Admissions and Counseling Office and the Assessment Center.  The score sheet must be attached to
     your application.

8. Effective Fall 2007 students must pass a diagnostic assessment test (basic math, English, reading, science) prior to program
     admittance. Students who fail to achieve a passing score will be required to complete additional pre-nursing course work before
     admission will be granted. This requirement is due to recently passed legislation.

 

All OFFICIAL sealed transcripts from high school and colleges other than LAHC must be attached to the application or the application will not be accepted.  If the school will not mail official transcripts to the applicant, have them mailed to the Health Sciences Division of LAHC prior to the deadline dates.  Make a note of this on your application.  ALL TRANSCRIPTS FROM OTHER SCHOOLS MUST BE MAILED BY THE SCHOOL TO THE LAHC ADMISSIONS OFFICE.  THE ADMISSIONS OFFICE DOES NOT ACCEPT WALKED IN TRANSCRIPTS.

 

ADDITIONAL ADMISSION INFORMATION

 

Applicants will be free from communicable disease, infection, psychological disorders and other conditions that would prevent successful performance of the nursing programs education requirements.  Upon acceptance to the program, applicant  must submit the following no later than the first school day:  A Cardiopulmonary Resuscitation (C.P.R.) Certificate good for one year (it must be a 1 and 2 person, adult, infant, child C.P.R. Airway Management course B.L.S/C course); A current standard Red Cross First Aid and Personal Safety Certificate or E.M.T. certificate;  The Health Record form must be completed and signed by a Physician/Health Service/Nurse Practitioner; verification of current Malpractice Professional Liability Insurance; a completed background check accompanied by the report and certificate.

 

RANKING OF APPLICANTS

 

When the number of applicants designated as being eligible for admission exceeds the number of available student positions in the program the ranking of the applicants is determined by the order of submission of the application for those who have completed all required prerequisites as stated above.

 

ADDITIONAL INFORMATION

 

Complete the back of this application information form.  Indicate related courses completed, grades and courses in progress.  Indicate any science classes repeated.  Make sure all transcripts, petition, evaluations, etc. are attached.  Make sure you have signed and dated the forms.  All writing must be legible. 

 

In order to graduate with an A.S. in Nursing, be eligible to take the licensure exam as a graduate and obtain the school pin, a student must complete, with a grade of C or better all required courses of the BRN approved curriculum as well as all course requirements of graduation Plan B, meet the math competency requirements and have a cumulative G.P.A. for all college coursework of 2.5 prior to admission to the program and a GPA of 2.0  or better thereafter.  The student is responsible for the graduation check with a counselor, submitting the graduation petition, applying to the BRN for licensure and to the NCLEX-RN test service for a testing date in a timely manner, meeting all required deadlines.

 

It is the students responsibility to make certain that the Nursing Division has her/his current address as well as a current telephone number on file in the Nursing Division secretarys office.  Please contact a counselor in the Counseling Division (310) 233-4229 regarding any questions about the nursing program or the evaluation of transcripts.  Group Counseling meetings are offered once a month in the Nursing Building.  Call the Counseling Division or the Nursing Division for times and dates.  Attendance is encouraged.

 

I HAVE READ THE ABOVE AND UNDERSTAND THAT I AM ACCOUNTABLE FOR ITS CONTENTS.

 

Signature___________________________________________________Date_______________________________________

Rev. 6-06

R.N. ADMISSIONS ARE BASED ON COMPLETION OF REQUISITES AND OTHER PREREQUISITE CRITERIA AS SPECIFIED

1.  PROGRAM PREREQUISITES

1.1      Official verification of graduation from an accredited U.S. high school (or equivalent), or U.S. college.

           Check one of the following:  U.S. High School graduation_____, or GED, EQUIVALENT_____,

           AA, AS, BA, BS U.S. college_____.

1.2      Completion of the following courses with a grade of C (2.0) or better, verified by official transcript

DATE TAKEN     GRADE                 COURSE                                                         WHERE TAKEN

 

 

College elem-intermed. Algebra,( Math 123A & Math 12B, or Math 123C or equivalent) or LAHC math competency test

 

 

 

 

Chemistry with a lab (1 yr. H/S or 1 semester college Chem.  Chem. 55, 65 or 66 or higher is prerequisite for Microbiology and Physiology

 

2. ADMISSION: for those having completed the above prerequisites, ranking is determined by completion of:  1) Prerequisite courses completed with GPA 2.5 or above; 2) Overall college GPA of 2.5 of above; 3) Reading Assessment Test 76 or higher

 

3.  PRE-REQUISITE COURSES:  Grade of C or better, plus overall GPA of 2.5 for the 3 non-nursing courses required for admission.  Completion of English 101 and Nursing 301A with a grade of C or better.

DATE        GRADE                                                                                               TIMES                        WHERE

 TAKEN     A  B  C                               COURSES                                              REPEATED               TAKEN             

 

 

Anatomy 1

 

 

 

 

 

Physiology 1

 

 

 

 

 

Microbiology 20 or 1

 

 

 

 

 

English 101

 

 

 

 

 

Nursing 301A

 

 

 

 

 

PREREQUISITE TO SECOND SEMESTER OF NURSING PROGRAM ARE:

 

 

 

 

Psychology 1

 

 

 

 

Psychology 41

 

 

 

4. CO-REQUISITE COURSES:  Completed courses with a grade of C or better.  (May be taken concurrently with program.

DATE         GRADE                                                                                              TIMES                                                  

TAKEN        A B C                               COURSES                                      REPEATED     WHERE TAKEN

 

 

Speech 121 or Speech 101

 

 

 

 

Sociology 1 (or Anthropology 102)

 

 

 

 

American Institutions

 

 

 

 

Humanities

 

 

 

 

Physical Education

 

 

 

5.  STRONGLY SUGGESTED ELECTIVE COURSES (NOT REQUIRED):  COMPLETEd COURSES WITH GRADE OF C OR BETTER

 

 

Nursing 301 (B, C) Success Strat.

 

 

 

 

Nursing 302- Math. Of Drugs/Solns

 

 

 

 

Nursing 364-Pharmacology

 

 

 

6.  LOS ANGELES HARBOR COLLEGE ORIENTATION/ASSESSMENT TEST SCORES:

     Reading Assessment (76 min. score) Grad Math Competency Test (if needed) Passing min. score 15

                                                                                                                                                                                                                         Rev. 7/06