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2020 BSN-ApplicationThe University of Texas Permian BasinNursing Program Admission ProceduresAdmission to The University of Texas Permian Basin and to the Nursing Program involves two separate application processes.Contact the Office of Admissions by writing to the Office of Admissions, UT Permian Basin, 4901 E. University Blvd.,Odessa, Texas 79762 or calling (432) 552-2605 or email Admissions@utpb.edu. Important: Applicants must be formallyadmitted to The University of Texas Permian Basin for the semester they intend to begin upper-division nursing courses,meeting all University deadlines as published in The University of Texas Permian Basin Admission website.How to Apply to the Nursing ProgramApplication submission: Students must be enrolled in the last semester of required prerequisite coursework orhave completed all prerequisite course requirements. (as indicated in the application #9 and 9.1) All prerequisitecourses must be completed prior to the beginning of the first semester in the Nursing Program.All required information and documents must be received by the application deadline, to be considered foradmission. Incomplete applications will not be considered. March 1st deadline for Fall Admission, August 1stdeadline for Spring Admission.To apply for admission to the Nursing Program, submit the following by the appropriate deadline directly to:College of Nursing, UT Permian Basin, 4901 E. University Blvd., Odessa, Texas 79762.1. Completed Nursing application, including personal essay (Essay prompt and directions at end of application).2. SEPARATE and OFFICIAL transcripts from each college/university, including UT Permian Basin, must besubmitted directly to College of Nursing, UT Permian Basin, 4901E. University Blvd., Odessa, Texas79762.3. Official TEAS (Test of Essential Academic Skills, version 5 or higher) test results must be sent by ATI to theUTPB Nursing Program; photocopied test results will not be accepted. You may register to take the TEASTest at the ATI Testing website, www.atitesting.com. Follow the link, "Register for TEAS." Please choose:U of TX of the Permian Basin TEAS to have your scores sent to us.4. Two completed Reference Forms in signed sealed envelopes. (See College of Nursing Application Forms)5. A 25 application fee will be placed on your student account. Once on your account, you may pay onlinethrough your my.UTPB account or with the Accounting Office. A copy of the paid fee receipt is required atthe time of your interview.6. Provide evidence of Immunizations. Please refer to the Admission Criteria for immunization requirements.Application Deadlines:Fall Admission: March 1stSpring Admission: August 1stFor more information contact: Nursing@utpb.eduApplicants will be notified of admission decisions prior to registration.Notice Concerning Your Information The Texas Public Information Act, with a few exceptions, gives you the right to be informed about the information that UTPermian Basin collects about you. It also gives you the right to request a copy of that information and to have the University correct any of that information thatis wrong. You may request to receive and review any of that information, or request corrections to it, by contacting the Office of Public Information Affairs, UTPermian Basin, 4901 E. University Blvd., Odessa, Texas 79762.Page 1
SEMESTER APPLYING:FALL SPRINGUT Permian Basin College of NursingApplication for Entry to BSN ProgramPlease type or print clearly:1.A. UTPB ID:B. Date of Birth (mm/dd/yyyy)//C: Place of Birth:CityCountyStateCountryD: Social Security #:2.Full Legal Name(Last)4.(First)Middle(Maiden)Address:A. Local Address/StreetTelephoneCityStateZip CodeB. Permanent/StreetTelephoneCityStateZip CodeEmail Address:C. Residency Status5.[]Texas Resident[]Non-Resident[]ForeignHave you ever been found responsible for violation of the student conduct policy at this university or any otheruniversity?[ ]6.yes[ ]noHave you ever been arrested, cited, or charged with any violation of the law?[ ]yes[ ]noBSN-Application-04-2020Page 2
7.List all colleges, universities, and professional schools you have attended, including UT Permian Basin. Indicate thedates of attendance and degrees awarded: (Note: The Office of Admissions and the Nursing Program eachrequire a separate official transcript from each college attended.)School or Institution:Dates Attended:Major:Degree Awarded:8.Are you a CNA [9.List any certifications or health care training you have completed. (Include dates and names of programs.)10.List previous employment. Specify dates, type of work, where employed, and approximate number of hours perweek:] yes [ ] no;Place of Employment:LVN/LPN [ ] yes [ ] no;Dates Worked:RN [ ] yes [ ] noType of Work:Hours Worked:11.List volunteer activities in a health care environment (include dates and times) (Attach document if more space isneeded)12.List other community service and extracurricular activities (include dates and times).(Attach document if more space is needed)13.List academic and other honors received: (Attach document if more space is needed)BSN-Application-04-2020Page 3
14.Please indicate Prerequisite courses you have completed. Please list the college or university; the course number, yourgrade, credit hour of each course, and the year completed. Incomplete applications will not be considered.InstitutionCourse #Prerequisite CompletedGradeCreditHoursYearCompleted(Math) College Algebra(BIOL) Biology I(BIOL) Biology I Lab(BIOL) Biology II(BIOL) Biology II Lab(CHEM Chemistry I(CHEM Chemistry I Lab(BIOL) Human Anatomy(BIOL) Human Anatomy Lab(BIOL) Human Physiology(BIOL) Human Physiology Lab(BIOL) Microbiology(BIOL) Microbiology Lab(PSYC) Introductory PsychologyStatistics (2300 Level or Higher)(PSYC) Lifespan Growth & Development(ENGL) English I(ENGL) English II(ENGL) Literature 2300 LevelOral Communication(HIST) History I(HIST) History II(PLSC) Political Science I(PLSC) Political Science IIVisual & Performing Arts(NURS) Pathophysiology(Must be taken at UTPB)All Science courses must be less than five years old at time of application.BSN-Application-04-2020Page 4
15.I understand that at this time my records show that I lack the following course prerequisites necessary for enrollmentin Upper Division Courses in Nursing. I plan to complete these courses during:Summer [ ] 202;Fall [ ] 202;Spring [ ] 202;Please list the college or university at which you will complete these prerequisites.InstitutionPrerequisite Needed (Course 3 & Name)Spring/Summer/Fall SessionSpring [ ] Summer [ ] Fall [ ]Spring [ ] Summer [ ] Fall [ ]Spring [ ] Summer [ ] Fall [ ]Spring [ ] Summer [ ] Fall [ ]Spring [ ] Summer [ ] Fall [ ]Spring [ ] Summer [ ] Fall [ ]16.Most male students must register with the Selective Service System to receive federal aid. If you are a male, age 18-25, are youregistered with the Selective Service System?Personal EssayDirections:Describe how your personal strengths, experiences and aptitudes will contribute to your success innursing school and a career in nursing; include community service, leadership experience and healthcare experience. Write no more than two typed double-spaced pages with 1-inch margins in standard12-point, Times New Roman font. This essay will be used to evaluate your ability to communicateyour ideas clearly, the completeness of your response and your motivation for applying to the UTPermian Basin College of Nursing.Required Items for complete Application File:ApplicationPersonal EssayOfficial TranscriptsImmunization RecordsOfficial TEAS ScoresTwo completed Recommendation Forms in signed, sealed envelopesA 25 application fee will be placed on your student account. Once on your account, youmay pay online through your my.UTPB account or with the Accounting Office. A copy ofthe paid fee receipt is required at the time of your interview.BSN-Application-04-2020Page 5
To apply for admission to the Nursing Program, submit the following by the appropriate deadline directly to: College of Nursing, UT Permian Basin, 4901 E. University Blvd., Odessa, Texas 79762. 1. Completed
