Practical Nursing Application And Information Packet

Transcription

Practical NursingApplication and InformationPacket2020-2021ONLINE REGISTRATION FORM now available@ otec.osceolaschools.netFor additional information please contact theProgram AdvisorRoger Franquelorogelio.franguelo@osceolaschools.net501 SIMPSON ROAD, KISSIMMEE, FL 34744407-344-50801

Dear Practical Nursing Applicant:Thank you for your interest in oTECH’s Practical Nursing Program. Attached you will find the nursing application, estimatedcosts, and additional forms necessary to complete the application process. In order to be considered as a prospectivepractical nursing student, you must provide the following. NOTE: BE ADVISED APPLYING FOR OUR PROGRAM DOESNOT GUARANTEE YOU A SEAT IN THE NURSING CLASS.1.2.3.4.FIRST STEP REGISTER ONLINE AT OTEC.OSCEOLASCHOOLS.NETBRING IN TWO PROOFS OF RESIDENCY DOCUMENTS, FOR A LIST OF DOCUMENTS PLEASE SEEATTACHEDBRING IN COLLEGE TRANSCRIPT OR HIGH SCHOOL TRANSCRIPT (Standard H.S. Diploma) FORFURTHER INFORMATION ON TRANSCRIPT SEE NUMBER 6.PRE-ADMISSION TESTINGTABE and HESI exams are to be scheduled using the link ABE A (Basic Skills Test) test fee is 25.00. Required scores are 11.0 in Reading, Math, and Language.Please bring your ID and 25 and be here 15 minutes prior to testing.HESI (Health Education System, Inc.) fee is 55.00, each retake is 50. Required scores are70-80% in Reading70-80% in Vocabulary, 70-80% in the Grammar65-75% in Math40-50% in BiologyYOU WILL NOT BE TESTED ON CHEMISTRY, A&P OR PHYSICSStudy guide for HESI can be purchased at https://www.us.elsevierhealth.com, click on student site,then click on Buy Books on Evolve, name of book is Admission Assessment Exam Review 4TH Edition.ISBN:9780323353786You can also check with Barnes and Noble and Amazon.com for the book.After the first HESI test administration a prospective student must wait 14 days before the secondadministration. After the second test administration, a prospective student can retake the exam withinanother 30 days before the third administration. After the third test administration, a prospectivestudent must wait 6 months before the fourth administration.5.APPLICATIONPrint clearly in black ink or type, mark N/A if a section does not apply to you. Use a separate sheet of 8-1/2 x 11if the space available is insufficient and answer all sections accurately and completely. If you are not selected2

for this class, you will be able to reapply and update your original application. Additional fees for reapplicationmay be incurred.6.COLLEGE TRANSCRIPTS It is your responsibility to ensure that oTECH receives official transcripts from the colleges or nursingschools you have attended. They have to be mailed from these educational institutions directly to oTECH’sHealth Science Department. When you request transcripts, provide your social security number, FloridaStudent ID number (if you graduated from a Florida Public School after July 1, 1988) and the name(s) you usedwhile attending that institution. Some institutions require a fee for this service. Contact the individualinstitutions to determine how to obtain a transcript.HIGH SCHOOL TRANSCRIPTS REQUIREDFor out of the country high school diplomas, they will need to be translated and evaluated, we usewww.wes.org for translation and evaluation.Out of state high school transcripts/diplomas will be reviewed and approved on an individual basis.7.REFERENCES References (3) can be hand carried into the school, but it must be in a sealed envelope and the envelopemust be signed by the person completing the reference. Reference letter can also be mailed. References mustbe from a supervisor, co-workers, or from a teacher that you have known for at least one year. Please no familyor friends.Once the above requirements are met, and the Practical Nursing Interview has been conducted,the accepted students with the top HESI scores will continue the enrollment process following thesteps below.8.DRUG SCREENINGYou must have a full drug screening done at Anylabtestnow! The results of the drug screen must be in prior tothe interview being scheduled. The fee is approximately 30 and all results must be negative. Drugscreenings from other locations will not be accepted. It may take 3-5 days to obtain the results. You don’tneed a form to go there, just let the facility know that you are taking a drug screen for the OTECH nursingprogram.FOR DRUG SCREEN AND TITERS ONLY!AnyLabTestNow!1325 East Vine Street, Kissimmee, Fl 34744(407) 344-8378 (fax) 407-343-0561Monday-Friday from 8:30am –5:00pmSaturday 9:00 am-2:00 pm9.PHYSICAL EXAMattached.)a physical exam will be required PRIOR TO ACCEPTANCE (form is3

10. TITERS- This is a blood test that assesses the presence of antibodies in the immune system that are fromprevious vaccinations. Please have this test done for VARICELLA, MEASLES, MUMPS, RUBELLA, ANDHEPTATIS B. This can be done wherever offered, ANYLABTESTNOW! or at your doctor’s office.11. BACKGROUND CHECKS- MUST BE DONE PRIOR TO FINALACCEPTANCE- Any student who has been arrested, convicted or found guilty of a crimeregardless of adjudication should consult with the Director of Nursing. There is a possibility theoffense may prevent admission into the program. (Form is attached in this packet).12. FINANCIAL AID- If you will you be seeking financial assistance, please see our Financial Aid Department hereat oTECH.4

PRACTICAL NURSING APPLICATION CHECKLISTIt is the Applicants’ responsibility to make sure that everything is turned in, in a timely manner!ALL THESE DOCUMENTS MUST BE SUBMITTED PRIOR TO THE NURSING INTERVIEW.TABE A HESI Entrance Essay Nursing Application 3 References SealedHigh School Transcript College Transcript(s)Upload your Proof of Residency documents and a copy of your driver’s License to the online registrationPLEASE DO AFTER YOU TAKE THE HESI EXAMDrug Screen Background CheckPhysical form Titers for Measles, Mumps, Rubella, Varicella and Hep *********Estimated Class Costs(All costs are approximate and subject to change)TuitionLab/Clinical FeesRegistration Fee (2 @ 30.00)Liability InsuranceBackground CheckGraduation FeePhotographsParking Fee 3942.00 986.36 60.00 19.00 57.00 34.19 12.00 10.00PhysicalBooks (estimated)StethoscopeBlood Pressure Cuff (estimated)TitersUniform, shoes, watch, penlight (estimated)CertificationsTotal Estimated Cost of Program: (Including pre-entrance costs, and additional items)NOTE: 60.00 941.62 50.00 35.00 200.00 155.00 416.20 7058.371. HepB, PPD, Tetanus, and MMR TITERS are required.2. Cost of textbooks, uniforms, equipment, and supplies may vary and change without notice.5

Practical Nursing Hours of AttendanceOTECH Main CampusFull time – January 2021 and August 2021Class time per morning- Monday, Tuesday, Thursday and Friday from 7:10am2:10pm. Wednesdays from 7:10am-1:10pmClinicals are from 6:30am-3:30pmNo more than 60 hours can be missed through out the entire program.CLINICAL DAYS VARY DEPENDING ON CLINICAL SITESPlease note: OB/PEDS clinicals for all programs will vary.However, students will be given at least one month’s notice where possible.We have to adjust our schedule to accommodate other schools of nursing.ESSENTIAL TASKSHealth related occupations are both physically and emotionally demanding. Before entering aprogram in the health field, it is important to review the following “tasks” which have been establishedand their performance is essential for success in the Health Science Education Programs.PHYSICAL REQUIREMENTSCandidates must be able to do the following:Perform repetitive tasksWalk the equivalent of five miles per dayReach above shoulder levelInterpret audible sounds of distressDistinguish colorsAdapt to shift workPossess a high degree of manual dexterityWork with chemicals and detergentsTolerate exposure to dust and/or odorsGripBend at the kneesSit or stand for long periods of timeLift 40 poundsPerform CPRProject audible verbal communications at adistance of 4 feetMENTAL AND EMOTIONALREQUIREMENTSCandidates must be able to do the following:Cope with a high level of stressMake fast decisions under high pressureCope with the anger/fear/hostility of others in a calm mannerManage altercationsConcentrateCope with confrontationHandle multiple priorities in a stressful situationAssist with problem resolutionWork alone and in a group settingDemonstrate a high degree of patienceAdapt to shift workWork in areas that are close and crowded6

THE SCHOOL DISTRICT OF OSCEOLA COUNTY, FLORIDAOSCEOLA TECHNICAL COLLEGEHEALTH SCIENCE EDUCATION DEPARTMENT501 Simpson Road, Kissimmee, Florida 34744APPLICANT REFERENCETO BE COMPLETED BY APPLICANTName of ApplicantS.S. #//LastFirstM.I have applied for admission to the Practical Nursing Program at Osceola Technical College (oTECH). I authorize you to provide OTECH withinformation regarding my suitability for admission. I further agree that the information will not be disclosed to me, and I hereby waive myright to review this reference./Applicant’s SignatureTO BE COMPLETED BY REFERENCE1.How long have you known the applicant?3.How well does the applicant work with people?2.4.In what capacity have you known the applicant? Teacher SupervisorDate Co-Worker OtherDo you have any reservations regarding the applicant’s potential for this career? No YesPlease consider this applicant in relation to the Personal Qualities below. Indicate your rating by checking the appropriate box.ABOVEBELOWNOTPERSONAL ility to handle stressAbility to work under pressureAccepts criticismAdaptability/accepts changeAppearance & groomingAttitudeDependability/ReliabilityEmotional maturityFriendlinessInitiativeInterpersonal communicationJudgmentLoyaltyMental danceSafety awarenessSincerity/HonestySocial skillsNOTE: Please return this form to the oTECH Health Science Education Department as quickly as possible. Applicant cannot beconsidered until this reference is returned. We ask for your further comments and observations. Attach a separate sheet of paperif necessary.Reference SignatureYour Occupation/Position//Company NameDatePlease print name()Phone Number for Verification7

THE SCHOOL DISTRICT OF OSCEOLA COUNTY, FLORIDAOSCEOLA TECHNICAL COLLEGEHEALTH SCIENCE EDUCATION DEPARTMENT501 Simpson Road, Kissimmee, Florida 34744APPLICANT REFERENCETO BE COMPLETED BY APPLICANTName of ApplicantS.S. #//LastFirstM.I have applied for admission to the Practical Nursing Program at Osceola Technical College (oTECH). I authorize you to provide OTECH withinformation regarding my suitability for admission. I further agree that the information will not be disclosed to me, and I hereby waive myright to review this reference./Applicant’s SignatureTO BE COMPLETED BY REFERENCE2.How long have you known the applicant?3.How well does the applicant work with people?2.4.In what capacity have you known the applicant? Teacher SupervisorDate Co-Worker OtherDo you have any reservations regarding the applicant’s potential for this career? No YesPlease consider this applicant in relation to the Personal Qualities below. Indicate your rating by checking the appropriate box.ABOVEBELOWNOTPERSONAL ility to handle stressAbility to work under pressureAccepts criticismAdaptability/accepts changeAppearance & groomingAttitudeDependability/ReliabilityEmotional maturityFriendlinessInitiativeInterpersonal communicationJudgmentLoyaltyMental danceSafety awarenessSincerity/HonestySocial skillsNOTE: Please return this form to the oTECH Health Science Education Department as quickly as possible. Applicant cannot beconsidered until this reference is returned. We ask for your further comments and observations. Attach a separate sheet of paperif necessary.Reference SignatureYour Occupation/Position//Company NameDatePlease print name()Phone Number for Verification8

THE SCHOOL DISTRICT OF OSCEOLA COUNTY, FLORIDAOSCEOLA TECHNICAL COLLEGEHEALTH SCIENCE EDUCATION DEPARTMENT501 Simpson Road, Kissimmee, Florida 34744APPLICANT REFERENCETO BE COMPLETED BY APPLICANTName of ApplicantS.S. #//LastFirstM.I have applied for admission to the Practical Nursing Program at Osceola Technical College (oTECH) I authorize you to provide OTECH withinformation regarding my suitability for admission. I further agree that the information will not be disclosed to me, and I hereby waive myright to review this reference./Applicant’s SignatureTO BE COMPLETED BY REFERENCE3.How long have you known the applicant?3.How well does the applicant work with people?2.4.In what capacity have you known the applicant? Teacher SupervisorDate Co-Worker OtherDo you have any reservations regarding the applicant’s potential for this career? No YesPlease consider this applicant in relation to the Personal Qualities below. Indicate your rating by checking the appropriate box.ABOVEBELOWNOTPERSONAL ility to handle stressAbility to work under pressureAccepts criticismAdaptability/accepts changeAppearance & groomingAttitudeDependability/ReliabilityEmotional maturityFriendlinessInitiativeInterpersonal communicationJudgmentLoyaltyMental danceSafety awarenessSincerity/HonestySocial skillsNOTE: Please return this form to the oTECH Health Science Education Department as quickly as possible. Applicant cannot beconsidered until this reference is returned. We ask for your further comments and observations. Attach a separate sheet of paperif necessary.Reference SignatureYour Occupation/Position//Company NameDatePlease print name()Phone Number for Verification9

THE SCHOOL DISTRICT OF OSCEOLA COUNTY, FLORIDAOSCEOLA TECHNICAL COLLEGE- OTECHHEALTH SCIENCE EDUCATION DEPARTMENTPlease NURSINGDay Program(full-time)501 Simpson Road * Kissimmee, Florida 34744-4495 * (407) 344-5080Evening Program(part-time)PRACTICAL NURSING STUDENT APPLICATIONPERSONAL HISTORYLast NameFirstStreet AddressCityStateHome Phone (Area Code)()Cell Phone (Area Code)()Middle (initial)Maiden NameApt. #Social Security NumberZip CodeCountyDate of BirthPlace of BirthEmail address:Civil Rights Category:Sex:MaleFemaleRace:The Federal Government requires the School District of Osceola County to collect statistical data toshow applicant flow by race and sex. Completing this portion of the application is voluntary. Yourresponses will be kept confidential and will not be used to evaluate your application.White (Non-Hispanic)Black (Non-Hispanic)Asian or Pacific IslanderHispanicAmerican Indian or Native AlaskanMulti-RacialEDUCATIONAL HISTORYHave official transcripts been requested?YesNo* All transcripts must be sent directly to OTECH Health Science Department.List all general and all professional education in chronological order. ALL students must have a High School Diploma or G.E.D.Name of SchoolHigh School/GEDLocationDate(s) AttendedMajor FieldDiploma or DegreeCollege/Voc. Tech./UniversityLIST ALL THE HEALTH AND NURSING PROGRAMS THAT YOU HAVE ATTENDEDNAME OF SCHOOLPHONE CONTACTDATE ATTENDEDREASON FOR LEAVING10

HEALTH CARE LICENSE HISTORYHave you ever been denied or is there now any proceeding to deny your application for anyhealth care license to practice in Florida or any other state, jurisdiction or country?YesNoHave you ever had disciplinary action taken against your license to practice any health care relatedprofession by the licensing authority in Florida or any other state, jurisdiction or country?YesNoHave you ever surrendered a license to practice any health care related profession in Florida or inany other state, jurisdiction or country while any such disciplinary charges were pending against you?YesNoIf you answered YES to any of the above questions, indicate all states, jurisdictions or countries involved in, and the circumstances surrounding, thedenial or disciplinary action or the surrendering of a license.EMPLOYMENT HISTORYList below all employment you have held within the last five (5) years, beginning with the most recent.Name & Address of EmployerPhone NumberPosition TitleDates of(Area Code)EmploymentReason for Leaving11

CRIMINAL HISTORYTHIS QUESTION MUST BE ANSWERED BY ALL APPLICANTS:Have you ever been convicted, pled nolo contendere (no contest), been placed on probation, enrolled in a pretrial diversion program or hadadjudication withheld in a criminal offense, felony, misdemeanor or otherwise, or are there any criminal charges now pending against you other thanYesNoa non-criminal or minor traffic violation?If yes, give details below. If you have any doubt that an offense you were convicted of is not a minor traffic violation, record the offense. Forexample, DUI (Driving Under the Influence) is NOT a minor traffic violation and must be recorded. NOTE: Having a criminal or drug/alcoholabuse history DOES NOT necessarily exclude you from the program or licensure. The program director is available to assist you in contacting theCompliance Division of the Florida Board of Nursing to check eligibility for licensure.Location of OffenseDate(s)Nature of Charge(s)Disposition(s)When you graduate from the Practical Nursing Program, you will be required to petition the State of Florida Board of Nursing (BON) prior to beinggranted permission to sit for the licensing examination. Official court documentation of these charges and resolution must be submitted to the BONtwo months before completion of the program. Review of each case is conducted by the BON on an individual basis and the BON reserves the rightto refuse licensure. Any applicant whose name has ever been submitted to the HRS Abuse Registry may have limited employment opportunities.ADDITIONAL INFORMATIONWill you be seeking financial assistance?YesNoIf yes, you will need to contact oTECH Financial Aid Officer.Once you have been interviewed and selected for the program, you will need a health examination by a physician and you will need to show proof ofimmunizations on the Physical Examination form, provided through the Health Science Education Department.Prior to your interview, please provide two references (1 must be from a supervisor, teacher or other official) using the reference form provided.STATEMENT OF AFFIRMATIONI affirm by my signature below that all information on this application is true and complete and I agree to have all transcripts and test scores releasedto OTECH. I understand that by signing below, while attending OTECH, I have given consent to and agree to uphold the policies of OTECH and theHealth Science Education Program. I further understand that it is fraudulent to misrepresent any information on this application or on anyaccompanying documentation. Discovery of misrepresentation will result in denial of admission to the Licensed Practical Nursing Program.Applicant Signature/Date12

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THE SCHOOL DISTRICT OF OSCEOLA COUNTY, FLORIDAOSCEOLA TECHNICAL COLLEGE- OTECHHEALTH SCIENCE EDUCATION DEPARTMENT501 Simpson Road * Kissimmee, Florida 34744-4495 * (407) 344-5080PHYSICAL EXAMINATIONTO BE COMPLETED BY APPLICANT BEFORE EXAMINATIONLast NameFirst NameM.Street AddressApt.CityEmergency Contact:Name(Area Code) Home PhoneState(Area Code) Home PhoneBirthdateZipRelationshipI understand that I may be asked to submit additional data./DateApplicant’s SignatureTO BE COMPLETED BY EXAMINERBlood PressureTPRHeightWeightHair ColorVision: Right eye withwith corrective lensWithout correctivelensLeft eye withwith corrective lensWithout correctivelensHearing:Right earReview of Systems:( ) Positive FindingsEye ColorLeft ear(-) Negative FindingsENTGU/ReproductiveRespiratoryNeur

Practical Nursing . Application and Information Packet . 2020-2021 . ONLINE REGISTRATION FORM now available @ otec.osceolaschools.net . For additional information please contact the Program Advisor . Roger Franquelo . rogelio.franguelo@osceolaschools.net . 501 SIMPSON ROAD, KISSIMMEE, FL 34744 . 407-344-5080