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ENTRANCE REQUIREMENTS5. Copy of AHA BLS cardFor ALL applicants: Proof of graduation from high school orachievement of GED. Cumulative GPA of 2.5 on all prerequisitecoursework, as verified on official transcript(s). Current BLS certification from the AmericanHeart Association.Certification must bemaintained, at student’s expense, throughoutthe program.6. Copy of Social Security card7. Copy of Drivers LicenseWhen an applicant’s file is complete, ATI TEASassessment exams will be scheduled. After testing iscomplete, the applicant information will be scored.Applicants with the highest total points will bescheduled for panel interviews. It is the applicant’sresponsibility to take tests on scheduled dates.APPLICATION PROCESSSELECTION PROCESSIt is the responsibility of the applicant to providerequired documentation as evidence of meetingentrance requirements.The final selection will be based on points earnedin the following categories: 1. The first step in the admissions process is toobtain and review the application andadmission process packet. The packet may bedownloaded from the SJVC web site atwww.sjvc.edu. ATI TEAS test results (www.atitesting.com)An essay, minimum of 500 words, on the topicof the day chosen by SJVC, typed on site ondate of interview.GPA scores for general educationpre-requisite classes2. The 2nd step is to contact the SJVC RNAdmissions Advisor: (559) 651-2500 forVisalia, (909) 948-7582 for Ontario andschedule an appointment to attend one of theRN information sessions on campus.Only applicants with the highest point totals will bescheduled for panel interviews. You must be selectedfor a panel interview to be considered for enrollment into the RN program at SJVC.3. The 3rd step is to complete the RN applicationfile for admission. The admissions advisor isavailable to provide a tour of the campus andassist the applicant with gathering allinformation needed to complete theapplication file.When the number of qualified applicants exceeds thecapacity of the class, applicants may apply foradmission the following year. It is the applicant’sresponsibility to reapply. No waiting list is maintainedor priority given for previous applicants. Each class isselected of candidates with the highest points.ACCEPTANCEFollow up appointments will be scheduled as needed toanswer questions, assist with financial aid, andschedule required exams and assessments.Applicants will be notified of acceptance or nonacceptance by mail or email.All applicants will be required to submit transcripts ofprevious college coursework. Transcripts must be in anunopened, sealed envelope and have an official stampembossed on the document.NOTE: It is the applicant’s responsibility to notify thecollege of any address or phone number changes.Failure to notify the college with a "Confirmation ofAcceptance" in the prescribed time is assumed to be arequest to withdraw an application for enrollment.An application file must be submitted prior to thestated deadline for each class start.The completed file must include the followingdocuments:The student will complete an enrollment agreementand make arrangements for payment of tuition in orderto secure their space in the class.1. Application for Admission RN Program PLUSsupporting formsUpon acceptance for admission, students will berequired to have a background check, drug screeningand health assessment completed. SJVC will beresponsible for fees associated with these requirementareas. Final clearance to enter the RN Program iscontingent on passing these final requirements.2. Official Transcripts3. Two letters of recommendation4. Copy of High School Diploma/GEDADS3835REV 8.18

Health AssessmentStudents are required to submit a health assessmentby a primary care provider documenting satisfactoryhealth and negative mantoux intradermal tuberculosis(TB) skin test or chest x-ray results.Students are expected to have complete immunizationsand titers including tetanus, measles, rubella, varicella,and hepatitis B. A valid immunization record or alaboratory report showing immunity must be providedprior to the beginning of classes.NOTE: Students with known latex allergy or whodevelop a sensitivity/allergy must report this to theirinstructor/advisor immediately.SJVC will makeavailable latex free products if available and withdocumented sensitivity.Student must meet established physical and emotionalrequirements for safe clinical practice. Any concernsregarding health status issues should be forwarded tothe RN Program Director.CONSIDERATIONSThe demands of the nursing program are many. Moststudents find it difficult to carry the load of the nursingprogram and work more than part time. Clinicalscheduling, assignments, etc. cannot be altered due toan individual’s outside employment.Personal life issues need to be in balance to besuccessful. One must have reliable transportation,reliable childcare (if applicable), and an ability to bepunctual to assigned classes and clinical locations.Clinical labs may be scheduled for day, evening, and/orweekend shifts. Students rotate to various clinicalfacilities and must be able to meet the demands of avariable schedule.CONCLUSIONShould your education and career path lead you to SanJoaquin Valley College, it will be our privilege to workwith you, to contribute to the value of a better future foryou and for those you love and for whom you provide.ADS3836REV 8.18

Supplemental Forms7

Application for AdmissionRN ProgramPlease Print or TypeDate application submitted:Application for Entry in Year:Name:LastFirstMiddleMailing Address:City:State:Phone#:Zip Code:Alt. Ph#:Permanent Legal Address:City:State:Phone#:Zip Code:Alt. Ph#:SSN#:Email:Citizenship status:Sex: United States Male FemaleMarital Status: Single Other (Please specify)Place of birth: MarriedWhich group do you most identify with:Date of birth:# of dependents: American PacificIndianIslander WhiteAsianCan you provide proof of a high school diploma or GED for a four year high School?School and location: Black Hispanic Yes NoDate of diploma:UNDERGRADUATE COLLEGES OR SCHOOLSName of InstitutionADS384City and State8DatesattendedDegree/Certrcvd.REV 8.18

Do you have any chronic or reoccurring illnesses, emotional problems, or physical disabilities that mightrequire special accommodations while in school or in clinical rotations? Yes NoIf yes, please explain:Please list any health care related working experience:Name of EmployerDates of EmploymentDo you have a current BLS card from the American Heart Association?(Proof of current CPR card is required to complete the application process for this program) Yes NoBACKGROUND CHECKA criminal background check is required for enrollment in the RN program. Have you ever beensummoned, arrested, taken into custody, indicted, convicted or tried for a violation of any law or ordinanceor the commission of any felony or misdemeanor (including traffic violations)? Yes NoIf yes, please explain on a separate piece of paper and attach here.The information completed above is true and accurate to the best of my knowledge.Signature of ApplicantADS384Date9REV 8.18

RN ProgramEnrollment OptionsI was given the following options at the time of application to the Registered Nursing Program:1.Regular admission to the Registered Nursing program and completion of the full RN Terms 1 - 4. All prerequisite courses and GE degree requirements have been completed at an accredited college(s) and I amrequesting evaluation of these courses for equivalency and transfer credit.2.Admission to the Registered Nursing program with all pre-requisite courses completed with the exception ofthe Phil 1C course. I am requesting evaluation of all the pre-requisite courses for equivalency and transfercredit, and enrollment for Phil 1 C and the full RN Terms 1-4.I have selectedas the option to pursue.Student SignatureDateRN Program Director SignatureDateADS38510REV 8.18

RN ProgramADA ComplianceIn compliance with the 1990 Americans with Disabilities Act (ADA), the School of Nursing does not discriminateagainst qualified individuals with disabilities.Disability is defined in the Act as a (1) physical or mental impairment that substantially limits one ormore of the major life activities of such individuals; (2) a record of such impairment; or (3) beingregarded as having such an impairment.For the purposes of nursing program compliance, a "qualified individual with a disability" is one who, with or withoutreasonable accommodation or modification, meets the essential requirements for participation in the program.The nursing faculty endorses the recommendations of the Southern Council on Collegiate Education for Nursing(SCCEN) and adopts the "Core Performance Standards" for use by the program (see over). Each standard has anexample of an activity that nursing students are required to perform to successfully complete the program. Eachstandard is reflected in the course objectives.Admission to the program is not based on the core performance standards. Rather, the standards are used to assisteach student in determining whether accommodations or modifications are necessary. The standards provideobjective measures upon which students and faculty based informed decisions regarding whether students are"qualified" to meet requirements. Every applicant and student receives a copy of the standards.If a student believes that he or she cannot meet one or more of the standards without accommodations ormodifications, the nursing program will determine, on an individual basis, whether or not the necessaryaccommodations or modifications can reasonable be made.STATEMENT OF AWARENESSI have read the above ADA Compliance Statement and have received a copy of the Core Performance Standardswhich identify the essential eligibility requirements for participation in the nursing program.Name (Print)SignatureADS386Date11REV 8.18

TECHNICAL STANDARDS*Essential eligibility requirements for participation in the nursing progr

Registered Nursing Program: Application and Admission Process San Joaquin Valley College 8344 West Mineral King Avenue Visalia, CA 93291 559-651-2500 4580 Ontario Mills Parkway Ontario, CA 91764 909-948-7582 www.sjvc.edu RIGHT TO CHANGE REQUIREMENTS: This application, its contents