2017-2019 Nursing Program Application Last Name: ___________________________ First Name: __________________________ MI: ____ Date: ___________ Please note the following list of items must be submitted in order for the application to be considered complete. Applications missing any of the following items will be considered incomplete and applicant will not be considered for admission into the Nursing program. This IS NOT the application for the CVCC Mobility Program.
Good standing and unconditional admission to Chattahoochee Valley Community College. It is the responsibility of the student to ensure all CVCC admission requirements have been met. This includes ensuring personal CVCC Admissions file is complete. A complete admissions file includes, but is not limited to: application to attend classes at CVCC, official transcripts from EACH college attended and official high school or GED transcripts, copy of photo id, and Residency Form. Admissions file must be complete prior to March 29, 2017, 12:00 p.m. EST, to be considered for acceptance to the Nursing program. Official transcripts from each college attended, as well as official high school or GED transcripts, must be received by the Admissions office prior to March 29, 2017, 12:00 p.m. EST. Transfer credit from other colleges or universities that is listed on the CVCC transcript or any other transcript is not acceptable. It is the responsibility of each student to ensure the Admissions office has received all transcripts before the application deadline. Transcripts may be mailed to the Admissions office at: Chattahoochee Valley Community College ATTN: Admissions, 2602 College Drive, Phenix City, AL 36869 Meet minimum requirements for admission to the CVCC Nursing program. Submit completed application for the Nursing program, prior to March 29, 2017, 12:00 p.m. EST. It is the responsibility of each student to ensure the Health Sciences office has received the completed application. Essential Functions form (See Pages 7 and 8) read and signed by applicant, acknowledging understanding and confirming ability to meet essential functions and technical standards for nursing with or without reasonable accommodations. Unofficial transcripts (may be official copies that have been removed from sealed envelope) from each college attended must be attached to the nursing application, including unofficial CVCC transcript. Transfer credit from other colleges or universities that is listed on the CVCC transcript or any other transcript is NOT acceptable. The Health Sciences Coordinator will not contact the CVCC Admissions department for copies of applicant transcripts or accept official transcripts that are mailed to the Health Sciences department for inclusion in application packet. It is the responsibility of each student to ensure ALL unofficial transcripts are submitted with this application, prior to March 29, 2017, 12:00 p.m. EST. Official ACT score report must be submitted with this application (See page 6). This application will not be complete without official test results. Composite National or Residual results for the test attempt submitted with nursing application will be utilized to calculate each applicants’ ranking score. Minimum of 18 composite required. Note: If ACT is unable to provide you an official score report, it is the responsibility of you, the applicant, to ensure the CVCC Admissions Office receives an official score report from ACT prior to the application deadline. Computer Skills Verification form (See Page 9) read and signed, verifying basic computer skills. Read and sign: I have included all of the above items as required in my application packet. I understand if all items are not submitted before the published deadline, my application will not be considered. I further understand that meeting minimum admission requirements does not guarantee admission to the program. Any omission or falsification of records will result in immediate dismissal from the program. Applicant’s Signature: