Saginaw Valley State University

Saginaw Valley State University

<p> UNIVERSITY OF MICHIGAN-FLINT Bachelor of Science in Nursing Program Application Packet Checklist for Accelerated Second Degree (Year-Round Cohort)</p><p>For fall 2018, complete applications will be accepted between the dates of Friday, December 1, 2017 and 5:00 pm Friday, January 12, 2018 Applications will not be accepted at any other time.</p><p>It is your responsibility to submit your packet complete with the following items to the School of Nursing prior to the deadline. Any applications submitted without all of the information below will be considered incomplete and will therefore not be reviewed by the School of Nursing Admissions Committee. Please use this checklist to make sure you are turning in a complete packet.</p><p>Please verify that you have completed the following requirements prior to submitting your application:</p><p> You must have applied to the University of Michigan-Flint and have a complete application on file in the Undergraduate Admissions office which includes official transcripts. </p><p> Official transcripts from each institution you have attended (with the exception of UM-Flint) must be submitted in an envelope sealed by that institution along with your nursing application. Transcripts that are submitted with the application will become the property of the School of Nursing and will not be returned to you. If you are a transfer student, we understand that official transcripts were submitted to Undergraduate Admissions when you transferred; however, transcripts must also be submitted with your nursing application. If additional coursework has been taken at any institution since initial admission to the University, it will be your responsibility to submit an updated copy of your official transcript to the University of Michigan-Flint Undergraduate Admissions office to obtain an updated transfer evaluation. Do not forward transcripts ahead of your application. Transcripts must be in a sealed envelope from the institution attended and included with your application packet. Some institutions will send only unofficial transcripts to students; these are acceptable, as long as they are in a sealed envelope from the registrar. Please note: This may take some time. Please plan accordingly. </p><p> Required prerequisites:</p><p>Please note: . FOUR prerequisites (at least two must be science courses) must be completed by the deadline date to apply to the Nursing program. The remaining prerequisite courses must be completed winter, spring and/or summer 2018 since all prerequisites must be completed before beginning the Nursing core curriculum in fall. . A minimum grade of C+ is required for prerequisite courses. The exception is chemistry; a grade of C is acceptable in chemistry. . Biology credits must be no more than seven years old (BIO 135, 167, 168). A competency exam may be taken through the School of Nursing if completed more than seven years ago. Cost is $80.00/exam (A&P and Microbiology). . CHM 252 is not required for students admitted to the nursing program fall 2018 or after. Students are required to complete a 3-4 credit chemistry course with a lab. The course can be any chemistry course as long as chemistry is in the title and the course has an associated lab. If a student has completed multiple chemistry courses, the School of Nursing will use the highest chemistry grade for the nursing application. </p><p> Two professional references are required, but no more than three. Please see page 2 for specific requirements. Your letters must be in sealed envelopes with your reference’s signature across the back (forms attached). At least one reference must be from a faculty member/instructor.</p><p> A copy of your winter and/or spring and/or summer class schedule (if applicable)</p><p> Completed Clinical Student Disclosure Statement (page 7)</p><p> Completion of essay requirement </p><p> An English language proficiency exam is required for ALL non U.S. citizens, non-native English speaking applicants, and those not born in the U.S. even if you are a permanent resident and regardless of enrollment in an English educational system. Students are allowed to complete TOEFL (must be internet based), MELAB or IELTS. TOEFL is offered through the University of Michigan-Flint – http://www.umflint.edu/international/elp/testing </p><p> Signed application (page 9) 1 ESSENTIAL INFORMATION We highly recommend that you attend nursing information meetings for answers to all your program and admission questions. Please see the School of Nursing website for a schedule of information meetings – http://umflint.edu/nursing</p><p> Applicants must have applied to the University of Michigan-Flint and have a complete application on file in the Undergraduate Admissions office which includes official transcripts. You may apply online at https://www.umflint.edu/admissions/. You will apply as a transfer student with pre-nursing as your major even though you have a previous degree.</p><p> GRADE POINT: A minimum college grade point average of a 2.75 is required in both your cumulative prerequisite GPA and your last 30 credits to be considered for selection. A minimum C+ (2.3) is required in all prerequisite courses with the exception of chemistry for which a minimum C (2.0) is required. Having the minimum GPA does not guarantee admission. Admission is competitive within the current pool of applicants. Due to the number of qualified applicants within an applicant pool, it is likely that the prerequisite GPA and overall GPA of accepted students may be well above minimum requirements. The School of Nursing may find it necessary to deny admission to a qualified applicant due to enrollment limits. </p><p> REFERENCES: A minimum of two references is required, but no more than three. Forms are included in this application packet. One must be from one of your college or university instructors; the other should be from someone who is in a supervisory role at your place of employment. If this is not possible, a second university professor may be used. Personal references are not accepted.</p><p> PATHOPHYSIOLOGY (NSC 207): If you are enrolled in Pathophysiology (NSC 207) in the winter 2018 semester, your midterm grade will be considered for this application process. Grades for students enrolled at UM-Flint will automatically be reviewed. If you are completing a NSC 207 equivalent course in winter 2018 at another institution, please submit official documentation of your midterm grade by Friday, March 2, 2018 via email to Vickie Jaskiewicz, Nursing Advisor, at [email protected]. Official documentation is either an email from your professor sent directly to Vickie or a screenshot of your current grade in Blackboard or other online teaching tool. The screenshot or email must contain your name and current grade.</p><p> REAPPLICATION: The School of Nursing does not keep a waitlist. If you reapply for admission, a new application packet will need to be signed and submitted to the School of Nursing. Updated transcripts are required only if you have completed additional courses at an institution other than the University of Michigan-Flint since your previous application. You may use references from a previous application. The School of Nursing will hold previous applications for one year. If you do not reapply within that timeframe, your information will be destroyed. If you plan to use transcripts or reference forms from a previous application, please note this on page 4 of your application.</p><p> TUITION: Once admitted to the Nursing program, students follow a fee schedule that is specific to nursing students. This differential is applied to all classes, not just nursing classes. The curriculum is based on a full-time load of fall and winter courses. Nursing tuition is undergraduate–generic nursing- http://www.umflint.edu/tuition#accordion- undergraduate-nursing-tuition.</p><p> EXPENSES/REQUIREMENTS: Once admitted to the Nursing program, you will need to purchase uniforms, equipment, ID badges, and professional textbooks. Expenses will also be incurred for assessment testing and health form requirements throughout the program. Physical examination, immunizations, toxicology testing, HEALTH INSURANCE, and CPR training are required at your expense, and students will NOT BE ALLOWED TO REGISTER FOR THE CLINICAL PROGRAM UNTIL THESE ARE VERIFIED. Please see page 14 for expenses related to beginning the nursing program.</p><p> CRIMINAL BACKGROUND CHECK: A Clinical Student Disclosure Statement must be submitted with the application. Failure to disclose a criminal conviction that has not been expunged or dismissed may be grounds for denial from the nursing program. If you choose not to disclose a conviction, even if it has been expunged or discharged from your record and your background check is returned with a conviction listed, your admission may be delayed or denied. Admission is contingent on successful completion of a Criminal Background Check. This is done after admission to the program. There will be a fee for this service.</p><p>Note: Felony conviction or charges and/or a history of substance abuse may exclude you from clinical placements and/or being eligible to sit for the National Council Licensure Examination (NCLEX). This means you might not be able to complete all of the required clinical placements and/or would not be eligible for a license to practice as a registered nurse.</p><p>2 If you have questions regarding this matter, you may wish to consult independent legal counsel and/or the Michigan Board of Nursing, Discipline Unit. UNIVERSITY OF MICHIGAN-FLINT Bachelor of Science in Nursing Program – Accelerated 2 nd Degree Application Application must be typed. Please type information into this form and print. To avoid delay in processing your application, please complete it in full. Last Name: First Name: MI: Maiden Name: UMID: Last four digits of SSN: Date of Birth: Current Mailing Address: City/State/Zip: Female Male *UM-Flint email address: *Personal email address:</p><p>Cell Phone Number: Alternate Phone Number: *Letters will be sent by email</p><p>Ethnicity/Racial Group: African-American-Black Americ an Indian/ Alaska n Native</p><p>Asian Americ an/Pac ific Islande r</p><p>Caucasian Hispanic/Latino Multi-racial/Multi-ethnic Ethnicity/racial group not included above (please specify) Prefer not to answer ______</p><p>Are you a United States military veteran? Yes No </p><p>Are you a United States citizen? Yes No Were you born in the United States? Yes No </p><p>Is English your native language? Yes No </p><p>If no to any, please provide copies of your English Language Proficiency exam. You may take TOEFL (must be internet-based, proctored exam – which is offered at UM-Flint), MELAB or IELTS. Click on the following link for more information – http://www.umflint.edu/international/elp/testing Please contact Vickie Jaskiewicz, Nursing Advisor, at [email protected] for minimum score requirements. Please list the colleges/universities (including UM-Flint) where you have earned college credit: Number of Degree Name of Institution City State Credits Earned Earned</p><p>3</p><p>Check Box if Applicable: I am currently completing my bachelor’s degree which will be completed in December 2017, May 2018, August 2018 NEW FOR FALL 2018 ADMISSION – If you would like to apply to both the ASD and the traditional nursing programs you do NOT have to complete two separate applications. Please answer the following questions:</p><p>If I am not admitted to the ASD program, I would like to be considered for the traditional program: Yes No (Your application will be considered for the traditional program only if you are not admitted to the ASD program.)</p><p>I would like to be considered for the traditional program even if am accepted to the ASD program: Yes No (Your application will be considered for the traditional program even if you are admitted to the ASD program. You will be able to choose which program if admitted to both.)</p><p>Please complete the following section if you would also like to be considered for the traditional program.</p><p>Traditional Program Prerequisite Course Information: Semester/Year Prerequisite Institution Grade Credits Completed BIO 167 (A&P I) BIO 168 (A&P II) BIO 135 (Microbiology) CHEMISTRY LECTURE*</p><p>Course Title: CHEMISTRY LAB*</p><p>Course Title: ENG 111 (College Rhetoric) ENG 112 (Critical Writing & Reading) NUR 110** (Intro to Professional Nsg) NSC 207 (Pathophysiology) *Students admitted to the nursing program in fall 2018 or after are required to complete a 3-4 credit chemistry course with a lab. The course can be any chemistry course as long as chemistry is in the title. If a student has completed multiple chemistry courses, the School of Nursing will use the highest chemistry grade for the nursing application. </p><p>**Please Note: NUR 110 (Introduction to Professional Nursing) is a prerequisite course for the traditional program. This course is only offered fall and winter terms in a face-to-face or mixed mode format. If you would like to be considered for the traditional program also, you must be enrolled in NUR 110 winter 2018 (or have previously completed). ****************************************************************************************************************************** ** This section is for those who have applied previously or who have been previously admitted to this or another program. 4 ****************************************************************************************************************************** ** Have you previously applied for admission to the UM-Flint Nursing program? Yes No If yes, when? </p><p>Do you plan to use transcripts and/or reference forms submitted with a previous application? Yes No</p><p>Please list which transcripts and/or references previously submitted that you would like to use: ______Have you ever been admitted to this or any other Nursing program? Yes No If yes, program(s) and year(s) attended </p><p>The University of Michigan-Flint School of Nursing reserves the right to contact your previous nursing school to determine your previous academic standing/progression. You are required to sign the waiver below to allow the release of information if you checked a box above. Applications will not be accepted from students who are not eligible to re-enter a previous nursing program or who have failed two nursing courses while in another nursing program. Student Waiver for Release of Information: ______Prerequisite Course Information: Semester/Year Prerequisite Institution Grade Credits Completed BIO 167 (A&P I) BIO 168 (A&P II) BIO 135 (Microbiology) CHEMISTRY LECTURE </p><p>Course Title: CHEMISTRY LAB</p><p>Course Title: NSC 178 (Legal/Moral </p><p>Decisions in Nsg/Health Care) NSC 207 (Pathophysiology) NSC 209 (Nutrition) NSC 233 (Pharmacology) PSY 237/313 (Developmental </p><p>Psychology)</p><p>Prerequisite courses you are enrolled in or will be enrolling in for Winter 2018 (if applicable): Institution Course Number & Title Credits</p><p>Prerequisite courses you will be enrolling in for Spring and/or Summer 2018 (if applicable): Institution Semester Course Number & Title Credits</p><p>5</p><p>UM-Flint Transfer Database - http://www.umflint.edu/admissions/transfer-credit- equivalencies. Your courses must transfer as the equivalent to UM-Flint’s prerequisite courses. Please be sure of this and check the equivalency database or review your transcript analysis report in your Student Information System (SIS) account.</p><p>Essay:</p><p>Please submit a one-page, double-spaced essay (Times New Roman font, size 12 required) on the following question. Include your University ID, not your name, on the response.</p><p>1) A nurse should be caring, committed, and have empathy to be effective. Let’s assume you already have those values. What three additional attributes do you have that will make a positive impact on the profession of nursing if accepted into the University of Michigan-Flint Nursing Program.</p><p>2) Students may experience course failures and/or withdrawals during their academic studies. Please use this opportunity (if applicable) to explain the circumstances and your plan for success in a separate paragraph (200 word limit).</p><p>6 Clinical Student Disclosure Statement To be Retained by the Educational Institution DURING THE ENTIRE COURSE OF ENROLLMENT IN THE UNDERGRADUATE NURSING PROGRAM, STUDENTS ARE REQUIRED TO REPORT ANY FELONY OR MISDEMEANOR CONVICTIONS TO THE DEAN OF THE SCHOOL OF NURSING.</p><p>Name: Date of Birth: </p><p>Educational Institution Name: University of Michigan-Flint</p><p>Training Program: Nursing</p><p>1. I certify that I have not been convicted of a crime or offense that prohibits me from being granted clinical privileges in a long-term care setting as required by P.A. 27, 28, and 29 of 2006 within the applicable time period prescribed by each crime.</p><p>______Signature of Student Date</p><p>2. I certify that I have not been the subject of an order or disposition under the Code of Criminal Procedure dealing with findings of “not guilty by reason of insanity” for any crime.</p><p>______Signature of Student Date</p><p>3. I certify that I have not been the subject of a state or federal agency substantiated finding of patient or resident neglect, abuse, or misappropriation of property or any activity that caused my nurse aide certification to be “flagged.”</p><p>______Signature of Student Date</p><p>4. I have listed below all offenses for which I have been convicted, including all terms and conditions of sentencing, parole, and probation and any substantiated finding of patient or resident neglect, abuse, or misappropriation of property.</p><p>______</p><p>7 Signature of Student Date</p><p>Date of Date of Conviction/Offense City State Sentence Conviction/Finding Discharge</p><p>5. I certify that I have reviewed the list of prohibited offenses as defined in P.A. 27, 28, and 29 and that the above list of my convictions and/or substantiated findings of patient or resident neglect, abuse or misappropriation of property (if any) is true, correct, and complete to the best of my knowledge. I also understand that if the information is not accurate or complete, my clinical privileges will be withdrawn immediately. I understand that the faculty or educational program denying my privileges based on information retained through background check is provided immunity from any action brought by a Student due to the decision to remove clinical privileges.</p><p>______Signature of Student Date</p><p>8 Criminal Background Check – Mandatory Exclusions for Specified Time Period</p><p>In order to be granted clinical privileges at any covered facilities, 15 years must have lapsed since the individual completed all the terms and conditions of sentencing, parole, and probation for conviction of the following offenses:</p><p>Felony that includes the intent to cause death or serious impairment of a bodily function that results in death or serious impairment of the bodily function that involves the use of force or violence, or that involves the threat or the use of force or violence. This includes: - Homicide - Assault and infliction of serious injury - Assault with intent to commit murder - Assault with intent to do great bodily harm less than murder - Assault with intent to maim - Attempt to murder</p><p>Felony involving cruelty or torture.</p><p>Felony of crime committed against “vulnerable adults” who because of age, developmental disability, mental illness, or physical disability, require supervision or personal care or lack the personal and social skills required to live independently.</p><p>Felony involving criminal sexual conduct.</p><p>Felony involving abuse or neglect generally related to vulnerable adults or children which typically results in serious physical or mental harm to the vulnerable adult.</p><p>Felony involving the use of a firearm or dangerous weapon.</p><p>Felony involving the diversion or adulteration of a prescription drug or other medications.</p><p>In order to be granted clinical privileges at any of the covered facilities, 10 years must have lapsed since the individual completed all the terms and conditions of sentencing, parole, and probation for conviction of the following offenses:</p><p>Misdemeanor involving the use of a firearm or dangerous weapon with the intent to injure, the use of a firearm or dangerous weapon that results in a personal injury, or a misdemeanor involving the use of force or violence or the threat of the use of force or violence.</p><p>Misdemeanor crime committed against “vulnerable adults.”</p><p>Misdemeanor involving criminal sexual conduct which involves instances of sexual contact with another person that does not involve sexual penetration and is typically known as “fourth degree criminal sexual conduct.”</p><p>Misdemeanor involving cruelty or torture (usually first conviction regarding animals).</p><p>Misdemeanor involving abuse or neglect in the third or fourth degree if the caregiver intentionally or recklessly causes “physical harm” to a vulnerable adult.</p><p>Third Driving Under the Influence (DUI) conviction.</p><p>In order to be granted clinical privileges at any of the covered facilities, 5 years must have lapsed since the individual completed all the terms and conditions of sentencing, parole, and probation for conviction of the following offenses:</p><p>Misdemeanor involving cruelty if committed by an individual who is less than 16 years of age including cruel treatment of animals.</p><p>Misdemeanor involving home invasion that typically is described as “breaking and entering” into another person’s home.</p><p>Misdemeanor involving embezzlement which is a person who has taken money from another person who had entrusted the money with the wrongdoer, e.g., a store cashier.</p><p>Misdemeanor involving negligent homicide which is committed when a person engages in careless or reckless driving that causes death.</p><p>Misdemeanor involving larceny which is legally described as the act of stealing but does not include shoplifting. An example would be theft from a building of an item that is not offered for sale.</p><p>9 Misdemeanor of retail fraud in the second degree which involves shoplifting property from a store that is offered for sale at a price of $200 or more but less than $1,000 or less than $200 if the person has been previously convicted of any crime or theft.</p><p>Any other misdemeanor involving assault, fraud, theft, or the possession or delivery of a controlled substance unless otherwise provided for under other subsections.</p><p>In order to be granted clinical privileges at any of the covered facilities, 3 years must have lapsed since the individual completed all the terms and conditions of sentencing, parole, and probation for conviction of the following offenses:</p><p>Misdemeanor for assault which is defined as the individual attempting or threatening to hurt another.</p><p>Misdemeanor of retail fraud in the third degree which involved shoplifting property from a store that is offered for sale at a price of less than $200.</p><p>Misdemeanor involving the creation, delivery, or possession with intent to manufacture or deliver a controlled substance.</p><p>An individual cannot be granted clinical privileges at any of the covered facilities if, within the year immediately preceding the date of application for employment or clinical privileges, the individual was convicted of the following offenses:</p><p>Misdemeanor involving the creation, delivery, or possession with intent to manufacture or deliver a controlled substance if the individual, at the time of conviction, is under the age of 18.</p><p>Misdemeanor for larceny or retail fraud in the second or third degree which involved shoplifting property from a store that is offered for sale at a price of less than $200 if the individual, at the time of conviction, is under the age of 16.</p><p>Permanent Exclusions:</p><p>If the individual has ever pleaded “not guilty by reason of insanity” and that plea has been entered in the law enforcement information network (LEIN), the individual cannot work in long-term care.</p><p>If the individual has ever been the subject of a substantiated finding of neglect, abuse, or misappropriation of property by a state or federal agency, the individual cannot work in long-term care. For example, an individual would be excluded if their nurse aide certification was “flagged.”</p><p>Clarifications on Legal Terminology</p><p>1: Criminal Sexual Conduct Misdemeanor: Fourth Degree Criminal Sexual Conduct Felony: First, Second, and Third Degree Criminal Sexual Conduct</p><p>2: Cruelty and Torture to Animals Misdemeanor: First Offense Felony: More than one offense</p><p>3: DUI Convictions Misdemeanor: Does not exclude individual from working in long-term care. Felony: Third DUI conviction. This felony requires 10-year exclusionary period between the Student’s discharge from state supervision to the date of the employment application or granting of clinical privileges.</p><p>PLEASE READ AND SIGN THE APPLICATION BELOW:</p><p>I declare and affirm, under the penalty of committing fraud in the application process, that all the statements made in the foregoing application, including accompanying statements, are true, complete, and correct. I further declare and affirm that any conviction that occurs subsequent to the date of this application but prior to issuance of any certificate will be reported, in writing, to the Dean of the School of Nursing Program at the University of Michigan-Flint. I also affirm that the biographical data is complete, accurate, and truthful to the best of my knowledge.</p><p>Signature: ______Date: ______</p><p>10 The University of Michigan-Flint Bachelor of Science in Nursing Program REFERENCE FORM</p><p>Applicant’s Name Street Address</p><p>Phone UMID City State Zip</p><p>Under the provisions of the Family Education Rights and Privacy Act of 1974, you (if admitted and enrolled) will have access to the information provided unless you have waived such access. Please sign and date below to inform us of your decision. I hereby waive my right of access to the information recorded below. I do not waive my right of access to the information recorded below.</p><p>______OR ______Signature of Applicant Date Signature of Applicant Date</p><p>The above named person is applying to the University of Michigan-Flint BSN program. It will be greatly appreciated if you provide the following information as objectively as possible to assist the School of Nursing Admissions Committee. Please check the box indicating the level of ability that the applicant has in each of the following areas that you can evaluate. Please provide an example, if available, on the line provided below each area. Your comments are extremely important in the student’s quest for selection into the nursing program at UM-Flint. Cannot QUESTION No Ability High Ability Evaluate 1. Ability to work independently. 1 2 3 4 5 6 7</p><p>2. Ability to express self orally. 1 2 3 4 5 6 7</p><p>3. Ability to express self in writing. 1 2 3 4 5 6 7</p><p>4. Ability to exchange and share ideas. 1 2 3 4 5 6 7</p><p>5. Ability to accept criticism and suggestions. 1 2 3 4 5 6 7</p><p>6. Ability to be a considerate and caring 1 2 3 4 5 6 7 individual.</p><p>7. Ability to think critically and ask questions. 1 2 3 4 5 6 7</p><p>8. Ability to problem solve. 1 2 3 4 5 6 7</p><p>9. Ability to handle stressful events. 1 2 3 4 5 6 7</p><p>10. Demonstrates ethical and moral conduct. 1 2 3 4 5 6 7 Comments:</p><p>11 Please add any additional information that you feel will help the School of Nursing Admissions Committee to know and understand more about this student. Include how long you have known this student and in what capacity. (No personal references are accepted.) You may use an extra sheet if necessary. </p><p>Other Information:</p><p>Name (please print) Date</p><p>Title Institution Telephone No.</p><p>Signature: ______</p><p>Please place this reference form in a sealed envelope with your signature across the seal, and return it to the student.</p><p>12 The University of Michigan-Flint Bachelor of Science in Nursing Program REFERENCE FORM</p><p>Applicant’s Name Street Address</p><p>Phone UMID City State Zip</p><p>Under the provisions of the Family Education Rights and Privacy Act of 1974, you (if admitted and enrolled) will have access to the information provided unless you have waived such access. Please sign and date below to inform us of your decision. I hereby waive my right of access to the information recorded below. I do not waive my right of access to the information recorded below.</p><p>______OR ______Signature of Applicant Date Signature of Applicant Date</p><p>The above named person is applying to the University of Michigan-Flint BSN program. It will be greatly appreciated if you provide the following information as objectively as possible to assist the School of Nursing Admissions Committee. Please check the box indicating the level of ability that the applicant has in each of the following areas that you can evaluate. Please provide an example, if available, on the line provided below each area. Your comments are extremely important in the student’s quest for selection into the nursing program at UM-Flint. Cannot QUESTION No Ability High Ability Evaluate 1. Ability to work independently. 1 2 3 4 5 6 7</p><p>2. Ability to express self orally. 1 2 3 4 5 6 7</p><p>3. Ability to express self in writing. 1 2 3 4 5 6 7</p><p>4. Ability to exchange and share ideas. 1 2 3 4 5 6 7</p><p>5. Ability to accept criticism and suggestions. 1 2 3 4 5 6 7</p><p>6. Ability to be a considerate and caring individual. 1 2 3 4 5 6 7</p><p>7. Ability to think critically and ask questions. 1 2 3 4 5 6 7</p><p>8. Ability to problem solve. 1 2 3 4 5 6 7</p><p>9. Ability to handle stressful events. 1 2 3 4 5 6 7</p><p>10. Demonstrates ethical and moral conduct. 1 2 3 4 5 6 7</p><p>Comments: </p><p>13 Please add any additional information that you feel will help the School of Nursing Admissions Committee to know and understand more about this student. Include how long you have known this student and in what capacity. (No personal references are accepted.) You may use an extra sheet if necessary. </p><p>Other Information:</p><p>Name (please print) Date</p><p>Title Institution Telephone No.</p><p>Signature: ______Please place this reference form in a sealed envelope with your signature across the seal, and return it to the student.</p><p>OTHER IMPORTANT INFORMATION</p><p>FALL 2018 REGISTRATION 14 Registration will begin in March 2018 for fall 2018; however, Nursing Orientation will not take place until May 18, 2018. Nursing courses and clinical are assigned throughout the program and course/clinical assignments will be given to you at Nursing Orientation for NUR 202 (Health Assessment) and NUR 240 (Care of the Adult I). Please register for NUR 308, Section 02 (Research in Nursing) during March registration if you have not completed previously. This is the ONLY section that will work with the fall clinical schedule. Semester 1 Nursing Courses: NUR 202 (Health Assessment) – 3 credits (assigned by nursing) NUR 240 (Adult Nursing Care I) – 10 credits (assigned by nursing) NUR 308 (Research in Nursing) – 3 credit (students may register for this course) ORIENTATION Please hold the date of Friday, May 18, 2018 from 9:00 am – 5:00 pm for a mandatory nursing program orientation. All students who are admitted to the nursing program for fall 2018 will be required to attend. ESTIMATED EXPENSES AFTER ADMISSION BEFORE STARTING PROGRAM Background Check and Medical Document Manager - $72.75 (minimum) Toxicology Test - $40.00 Immunizations – Varies depending on what is needed CPR Certification - $75-$125 Required Physical Health Insurance Nursing Supply Kit - $60 Stethoscope, Blood Pressure Kit & Badge Buddy - $110 UM-Flint Nursing Scrubs - $200-$300 First Semester Nursing Books - $1000-$1200 NOTIFICATION LETTERS Notification letters will be sent by email the week of April 2-6, 2018 to the email provided on your nursing application:  UM-Flint Email – students enrolled at UM-Flint in winter 2018  Personal Email – students who applied and/or are admitted to UM-Flint, but are not currently enrolled at UM-Flint for winter 2018</p><p>NURSING APPLICATION SUBMISSION Nursing application and required documents must be submitted in a large envelope with name and student ID on the front. Please do not staple, paperclip or fold any part of the application. You must submit the following pages of your nursing application 3, 4, 5, 7, 8, 9 + references, essay & transcripts. If mailing application, please mail to the following address: University of Michigan-Flint We are not responsible for applications School of Nursing that are lost in the mail. You may want 303 E. Kearsley St., 2180 WSW Building to consider sending your application by Flint, MI 48502-1950 certified mail.</p><p>APPLICATIONS MUST BE POSTMARKED BY FRIDAY, JANUARY 12, 2018</p><p>15 Are you interested in becoming an advanced practice nurse?</p><p>If you have no background in Nursing but are interested in pursuing a career in advanced practice nursing as a Family Nurse Practitioner (FNP), this program is an opportunity for you.</p><p>Do you want to get a job that lets you earn a top salary?</p><p>According to the U.S. Bureau of Labor Statistics, the average annual median salary for nurse practitioners is $96,460. The highest paid 10% of nurse practitioners earn $120,500. In some cities, the average annual income for a nurse practitioner is $125,450. Entry to the Accelerated BSN with early Assurance of Admission to the MSN Family Nurse Practitioner Program: This pathway to a career as a FNP is completed in 3 years! The School of Nursing is offering early assurance of admission to the Master of Science in Nursing (MSN) Family Nurse Practitioner (FNP) program to up to 15 students who are admitted to the accelerated BSN program. Program length of full-time study: 16 months in the accelerated BSN + 20 months in the MSN program.</p><p>INFORMATION Students who are admitted to the ASD program for fall admission (September start) and are accepted in the MSN program, graduate from the ASD program in December, and begin the MSN program right away in January. Students must pass the NCLEX exam during the first semester of the MSN program to continue. </p><p>Students who are admitted to the ASD program for winter admission (January start) and are accepted in the MSN program, graduate from the ASD program in April, and begin the MSN program 9 months later in January. Students have until December to pass the NCLEX exam to start the MSN program in January.</p><p>16 APPLICATIONS  Winter Admission to the ASD Program: August 1 – Second Friday of September by 5:00 pm</p><p> Fall Admission to the ASD program: December 1 – Second Friday of January by 5:00 pm</p><p>CRITERIA FOR ADMISSION </p><p>Admission to the University of Michigan-Flint. </p><p>Application to the accelerated BSN program.</p><p>You must complete the ASD to MSN supplemental application with the School of Nursing to be eligible for this program which may include a HESI exam. The supplemental application is a one page document in the ASD application.</p><p>You must have a strong science background with a bachelor’s or master’s degree in a science or related field with a cumulative GPA of 3.5 or higher. </p><p>You must maintain a minimum 3.2 cumulative GPA in the accelerated second degree BSN program and must successfully pass the NCLEX (Registered Nurse) exam in the first semester of the MSN program to continue in the FNP program to begin clinical courses for those graduating in December from the ASD program. For those graduating in April of the ASD program, the NCLEX (Registered Nurse) exam must be passed by December 1st to begin the FNP program.</p><p>The prerequisite course to the MSN program is a 3 credit college level statistics course with a “C” or better grade. It must be completed prior to starting the MSN program and it is recommended to complete before the ASD program if you are applying for fall admission to the ASD program. If you are applying for winter admission to the ASD program, you have 9 months after graduation to complete before the MSN program begins in January. </p><p>17 Sample Accelerated BSN Curriculum (ASD) for Fall Admission – September Start Fall Semester (16 credits) NUR 202 (3) Health Assessment NUR 240 (10) Adult Nursing Care I NUR 308 (3) Research in Nursing</p><p>Winter Semester (15 credits) NUR 340 (10) Adult Nursing Care II NUR 405 (5) Mental Health Nursing</p><p>Spring Semester (May & July) (7 credits) NUR 336 (4) Parent/Child Nursing for ASD NUR 369 (3) Transcultural Health Care</p><p>Summer Semester (July & August) (10 credits) NUR 331 (4) Maternity Nursing for ASD NUR 401 (4) Population-Centered NUR Theory NUR 402 (2) Population-Centered NUR Clinical</p><p>Fall Semester (10 credits) NUR 436 (4) Synthesis of Knowledge in NUR for ASD NUR 440 (5) Leadership/Mgt in NUR for ASD NUR 362 (1) Professional Nursing for Entry Into Practice</p><p>Sample Accelerated BSN Curriculum (ASD) for Winter Admission – January Start Winter Semester (16 credits) NUR 202 (3) Health Assessment NUR 240 (10) Adult Nursing Care I NUR 308 (3) Research in Nursing</p><p>Spring/Summer (May-August) Semester Semester (15 credits) NUR 340 (10) Adult Nursing Care II NUR 405 (5) Mental Health Nursing</p><p>Fall Semester (17 credits) NUR 331 (4) Maternity Nursing for ASD NUR 336 (4) Parent/Child Nursing for ASD NUR 369 (3) Transcultural Health Care NUR 401 (4) Population-Centered NUR Theory 18 NUR 402 (2) Population-Centered NUR Clinical</p><p>Winter Semester (10 credits) NUR 436 (4) Synthesis of Knowledge in NUR for ASD NUR 440 (5) Leadership/Mgt in NUR for ASD NUR 362 (1) Professional Nursing for Entry Into Practice</p><p>Sample MSN Curriculum (MSN program only starts in Winter Term)</p><p>Winter Semester (11 credits) NSC 503: Graduate Pathophysiology (3) NSC 504: Graduate Pharmacology (3) NUR 520: Physical Diagnosis across the Lifespan - Theory (3) NUR 595: Graduate Research Theory I (2) </p><p>Spring/Summer Terms (7 credits) NSC 502: Epidemiology and Disease Prevention (2) NUR 521: Physical Diagnosis across the Lifespan - Practicum (3) NUR 596: Graduate Research Theory II (2)</p><p>Fall Semester (13 credits) NUR 507: Mental Health for Advanced Practice (3) NUR 524: Management of Acute/Chronic Problems across the Lifespan - Theory (4) NUR 525: Management of Acute/Chronic Problems across the Lifespan - Practicum (4) NUR 597: Graduate Research Theory III (2)</p><p>Year 2 Winter Semester (10 credits) NUR 531: Women's Health (2) NUR 540: Advanced Practice Role Theory (3) NUR 541: Advanced Practice Role Practicum (4) NUR 598: Graduate Research Theory IV (1)</p><p>Spring/ Summer Semester (8 credits) NUR 528: Pediatrics for Advanced Practice - Theory (3) NUR 529: Pediatrics for Advanced Practice - Practicum (2) NUR 532: Leadership, Informatics and Policy for Advanced Practice (3)</p><p>19 SUPPLEMENTAL APPLICATION FOR THE EARLY ASSURANCE MSN PROGRAM</p><p>Please submit this supplemental nursing application if you would like to be considered for the early assurance of admission to the Master of Science in Nursing (MSN) – Family Nurse Practitioner program. </p><p>NAME: </p><p>UMID: </p><p>ADDRESS: </p><p>CITY, STATE & ZIP: </p><p>EMAIL: </p><p>PHONE: </p><p>Bachelor’s Degree: </p><p>GPA: </p><p>Major: </p><p>Institution Received: </p><p>Master’s Degree: </p><p>GPA: </p><p>Concentration: </p><p>Institution Received: </p><p>*I have completed a college level statistics course with a minimum of a C grade: Yes No</p><p>20 Course Number & Title: </p><p>*Adding a Statistics course during the ASD program is not suggested. The course must be completed prior to starting the MSN program in January. Completing this course during spring/summer before entering the ASD program is suggested.</p><p>21</p>

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