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,,, batonrougeCOMMUNITY-COU.EGfo:JBaton Rouge Community CollegeTechnical Diploma in Practical NursingPRACTICAL NURSING PROGRAMAPPLICATION PACKETINCOMPLETE ORLATE APPLICATIONSWILL NOT BEACCEPTEDApplicationDeadline for Fall AdmissionJune 28, 2018RETURN COMPLETED APPLICATION IN PERSON TO SELECTED LOCATION:DIVISION OF NURSING AND ALLIED HEAL TH3250 N. Acadian Thruway E, Baton Rouge, LA 70805Applicationsreturned through the mail will not be acceptedFor additional information please contact:PRACTICAL NURSING PROGRAM(225) 359-9233 BRCC Acadian CampusIt is the policy of Baton Rouge Community College not to discriminate on the basis of age, sex, race, color, religion,national origin or disability in its educational programs, activities or employment policies.
PROGRAM INFORMATIONGraduation from Baton Rouge Community College (BRCC) Practical Nursing Program provides eligibility for students seeking licensurethrough the Louisiana State Board of Practical Nurse Examiners (LSBPNE) as a Licensed Practical Nurse (LPN). The LPN is educatedas a generalist who delivers health care to individuals, families and groups and has competencies related to the profession of nursing.The LPN may be employed in a variety of acute, chronic, and community-based health care settings. Licensed Practical Nursesfunctionwithintheir legal scope of practiceand use professionalstandardsof care in illnesscare and healthpromotionactivitiesforclients and families across the life span. The Practical Nursing Degree provides the graduate with an educational foundation forarticulation into an ASN or BSN program to continue your study of nursing.The Louisiana State Board of Practical Nurse Examiners requires all applicants to practical nursing programs to complete an Evaluationfor Admissionto a PracUcalNursingProgramform. Candidatesfor programadmissionmust "not be currentlyserving under any courtimposed order of supervised probation, work-release, school release or parole in conjunction with any felony conviction(s), pleaagreement or any agreement pursuant to the Louisiana Code of Criminal Procedure, Article 893." In addition BRCC reserves the right todeny admission based on information obtained in the criminal background check.In order to be eligible for admission to the practical nursing program, the applicant must be admitted to Baton Rouge CommunityCollege (BRCC). The college application is available from the Office of Enrollment Services, or online at httQ://www.mybrcc.edu. ThePractical Nursing Program application packet and all supporting documents must be received by the designated deadlines. Applicantswill not be considered for admittance to the Practical Nursing Program until all required documents have been submitted andthe applicant's file is complete. A copy of the application and all supporting documents should be retained by the applicant. Allcorrespondence will be sent to the applicant's permanent address and electronically to the email address provided. Admission to thePractical Nursing program is competitive and will be based on the following criteria: 1) Accuplacer/Compass OR ACTplacement test scores 2) GPA obtained in two prerequisite courses required 3) number of required prerequisite coursescompleted at BRCC.It is important to note that simply meeting requirements for admission to the nursing program does not guarantee admission.APPLICATION PROCESSISTEP 11BATON ROUGE COMMUNITY COLLEGE ADMISSION REQUIREMENTS-In order to be considered for admission to thepractical nursing program you must be admitted to Baton Rouge Community College. If you are not already a BRCC studentyou must complete and meet the BRCC admission requirements.ISTEP zjDEPARTMENT OF PRACTICAL NURSING ADMISSION REQUIREMENTS- New Student1. Applicant must have completed and met the BRCC PN admission placement test scores (Accuplacer/Compass or ACT).2. Applicant must have obtained a grade of 80% or higher, or have credit for prior learning scores of 80% or higher or becurrently in the process of taking the prerequisites below:a. HCNA 1215 Nursing Assistingb. HNUR 1300 Anatomy and Physiology for Healthcare3. Transcripts from other colleges must be submitted directly to the Practical Nursing Program Office; applies when applicantwishes to obtain credit for pre-nursing courses taken at another school.DOCUMENTS TO BE SUBMITTED TO WITH APPLICATION1. Sealed copy of high school transcript or GED completion, and Accuplacer/Compass OR ACT placement test scores.2. If an applicant has taken a prerequisite course at another school, official transcripts must be provided. Transcripts shouldbe sent directly to the BRCC Practical Nursing Program.3. Certified copy of birth certificate, U.S. passport, or permanent resident card.4. State criminal background check report "right to review" from the Louisiana State Police. Right to Review Disclosure andAuthorization Forms Attached. Note fees required.5. Complete LSBPNE Evaluation for Admission form and attachments A, D and M as applicable, with certified courtdocuments as needed.6. Health History/Physical Examination form7. Typed, single page explanation about why you have chosen to become a practical nurse.ISTEP 31SELECTION NOTIFICATIONS1. fill.applicants will be notified of admission status (Admitted or Denied).2. Students admitted to the practical nursing program will receive an acceptance letter and additional information regardingthe following required items:a. Two sets of fingerprint cards, Louisiana State Police and FBI Criminal Background Check forms and 38.00 Moneyorder made to LouisianaState Police.b. One 50.00 money order made out to Louisiana State Board of Practical Nurse Examiners (LSBPNE)3. Students who accept the offer for admission must attend a MANDATORY Pre-Admission Practical NursingOrientation Session date, time, and locationto be announced.4. Applicants admitted must submit the above required information by the established deadline (date, time andlocation to be announced).
Louisiana State Board of Practical Nurse ExaminersStudent Statement Form AStudent Name:Last4 SSN---------------------------School:Campus:This detailed explanatory statement is in response to QUESTION NUMBER:Detailed Explanatmy Statement:This is your opportunity to convey ANY AND ALL details you wish for the board to take into consideration when determiningyour eligibility for licensure.Student Signature:Date:
Louisiana State Board of Practical Nurse ExaminersStudent Statement Form MLast 4 SSNstudent Name:School:campus:This informationis in responseto QUESTIONNUMBER:18ConditionStudentSignature:Date DiagnosedMedicationsPrescribedAre you currently beingtreatedfor this condition?Yes No Yes No Yes No Yes No Yes No Date:
Louisiana State Board of Practical Nurse ExaminersStudent Statement Form DDate of Incident:student Name:Schaal:Last4 SSNParish/CountyIncident Occurred:Campus:Violation/Charges:Final Disposition/Current Status:This detailed narrative statement reflects the events that led up lo my arrest/charge/violation and is in response to myanswer of ''YES" to QUESTION NUMBER: 19I understandthat I shall be requiredto submit Original/Certified documentsto the boardwith my FirstTime WritersApplication.further understandthat I will not be madeeligibleto take the NCLEX-PNuntil all mattersare clearedwith the board. For this arrest/charge/summonsflncident/etc.,includethe following: Original/Certified court documents which clearlyreflect1) date of allegedoffense/violation2) allegedoffense/violation3) the order of!he court and/orfines imposed,includingPTI programs,outcomeof the arrest/charge/violation4) documentsreflectingthat you fully complied/completedall order(s)and that allfines/feeshave been paid in full or that the statusof the matteris still pending.o Copiesof documentsare unacceptable.O Forany charge/violationthat was expunged,submita certifiedcopy of the signed ordergrantingexpungement. Any/All policereports(typicallyobtainedfromthe police/sheriffsdepartmentof the parishwhere you were arrested)Certified documentsare typicallyobtainedfrom the clerk of court,districtattorneyor clly prosecutor'soffice in the areawherethe incidentoccurred.Faflure to provide the above documentation in a timely manner wlll result in the delay of processing your application for
