Mount Marty College Doctor of Nurse Practice Masters to DNAP Application

5001 W. 41ST Street | Sioux Falls, SD | 1-605-362-0100 | www.mtmc.edu ™ MMC Nurse Anesthesia Admission Requirements and Application Procedure

Admission Requirements To be accepted/admitted into the Doctor of Nurse Anesthesia Practice post master’s program, the applicant must meet the following requirements: • Master’s degree in or other appropriate Master’s degree that provided the ability for the graduate to obtain certification as a Certified Anesthetist • Graduation from an accredited (COA) Nurse Anesthesia program • Current licensure as an RN and current certification as a CRNA • Cumulative GPA of 3.00 on a 4.0 scale • Completed health questionnaire, physicial examination, and immunization record prior to the start of the first semester, if admitted to the program. Selection Process The Admissions Committee will carefully review the completed application and supporting material, academic performance, and references. Because class size is limited, not all candidates who meet minimum requirements will be invited for an interview. Invitations to attend a personal interview will be mailed in the Fall. Interviews are generally conducted in November or December. Applicants will be notified of the Admissions Committee decision regarding acceptance into the program within 4 weeks of the personal interview. Applicants receiving a letter of appointment must return the Acceptance Form and a $750.00 non-refundable enrollment fee within the time specified. Incomplete applications, or applications received after the September 15 deadline, will be reviewed only at the discretion of Admissions Committee.

Re-Application Process All application materials being re-submitted must be received no later than August 15 for the class starting the following May. Incomplete applications, or applications received after the August 15 deadline, will be reviewed only at the discretion of Admissions Committee. If reapplying, application materials that MUST be resubmitted include: • STEP 1: Online Application • STEP 2: Application packet contents and checklist (except application fee) The following items DO NOT need to be resubmitted: • Application fee • Transcripts (unless a change has occurred)

International Students International students are asked to follow the additional admissions procedures online at: http://www.mtmc.edu/admissions/app-process/international.aspx/ MMC Nurse Anesthesia Application Instructions and Checklist

All application materials must be received no later than August 15 for the class starting the following August. Incomplete applications, or applications received after the August 15 deadline, will be reviewed only at the discretion of Admissions Committee.

STEP 1: COMPLETE ONLINE NURSE ANESTHESIA APPLICATION Date submitted ______A. Complete the online application before mailing the completed admission packet or forwarding materials. Supporting application materials cannot be processed unless the online application has been completed and your account established.

STEP 2: APPLICATION PACKET CONTENTS AND CHECKLIST Submit the following items together in a 9x13 envelope to the Nurse Anesthesia Program Office in Sioux Falls, SD. ❑❑ Completed Checklist ❑❑ $35 non-refundable application fee made payable to Mount Marty College ❑❑ Supplemental Forms r Educational Data Form ❑❑ Current resume ❑❑ Personal essay which describes your goals for doctoral study, motivations for entering the nurse anesthesia field, what you have to offer the profession, and reasons why you chose Mount Marty College. Essay should be typed and no more than 600 words. ❑❑ Photocopy of your current RN license and CRNA certification B. Three (3) professional references are required: 1 from the applicant’s Immediate Supervisor, and 2 from colleagues who can attest to the applicant’s preparation, initiative, and aptitude for successful completion of doctoral education. All references should be in the form of a reference letter. All references must be sent directly to the program office. It is recommended that the applicant provide each reference with a self-addressed stamped envelope for direct mailing.

Mail materials to: Mount Marty College, Nurse Anesthesia Program Office, 5001 West 41st Street, Sioux Falls, SD 57106

STEP 3: DOCUMENTS SENT DIRECTLY TO ADMISSIONS Please have the following items sent directly to the Nurse Anesthesia Program Office, Sioux Falls, SD. ❑❑ One official transcript from each college/university attended ❑❑ Official transcript verification of classes in which you are currently enrolled MMC Nurse Anesthesia Educational Data Form

Educational Data: Applicants must possess an appropriate Master’s degree from a regionally accredited college or university and have maintained an overall GPA of 3.0 on 4.0 scale. Degrees must be completed with final transcripts submitted prior to enrollment in May. Appropriate degrees include a baccalaureate degree in nursing or an associate/ diploma in nursing plus a baccalaureate degree in another related discipline.

Nursing Education Institution Date Conferred GPA Diploma in Nursing Associate Degree in Nursing Bachelor of Science in Nursing Master’s Degree

Other Degrees Institution Date Conferred GPA

r Yes r No Have you attended another clinical doctorate program? If yes, use a separate sheet to fully explain.

If yes: Name: ______Address:______

Dates of Attendance: ______Reason for Leaving:______

Answer the following questions. If yes, submit a letter of explanation. r Yes r No Have you ever been on probation or suspended from any place of employment? r Yes r No Within the last three years, have you ever experienced a physical, emotional or mental condition that endangered the health or safety of persons entrusted in your care?

CERTIFICATES/PROFESSIONAL ORGANIZATIONS: Please include photocopies of all certifications held.

CRNA Certification r Yes r No Expiration Date:______Other Certifications:______

List the professional organizations you are a member of:______RN PROFESSIONAL LICENSE: Applicants must provide proof of licensure as a professional Registered Nurse (RN). Please complete the requested information below. Include a photocopy of your current nursing license(s).

List all states where you have licensure as a professional Registered Nurse (RN) State Status License # if active Expiration Date

r Active r Inactive

r Active r Inactive

r Active r Inactive

r Active r Inactive

r Active r Inactive

r Yes r No Have you ever had a nursing license suspended or revoke? If so submit a letter of explanation.

r Yes r No Have you ever been the subject of a Nursing Board disciplinary action? If yes, submit a letter of explanation. r Yes r No Have you ever been refused a nursing license? If yes, submit a letter of explanation. r Yes r No Are you aware of any disciplinary action pending on your nursing license?

List the state in which you were originally licensed as an RN:

I attest that the information provided in this application is accurate.

Signature: ______Date: ______