Fall 2016 / Spring 2017
Revised October 7, 2015 Page 1

MANE MISSION AND VISION …………………………………………………………………………….……………….. 3
MANE DUAL ADMISSION TERMs AND CONDITIONS …………………………………….………………..…… 3
MANE PROGRAM PLAN ……………………………………………………………...…………………………..………… 4
APPLICATION CRITERIA ……………………………………………………………………………………………………… 5
TEAS TEST INFORMATION ...…………………….………………………………….……………………………… 5
ENGLISH LANGUAGE PROFICIENCY ...……………………………………………..…………………………… 5
SELECTION CRITERIA ……………………………………………………….……………………………………………….… 6
AFTER ACEPTANCE/ADMISSION ………………………………………….……………………………………..……… 7
APPLICATION/ACCEPTANCE TIMELINES ……………………………………………………………………………… 7
PROCESS FOR DUAL ADMISSION ………………………………………………………………………………………… 8
APPENDIX A (CENTURY COLLEGE MANE NURSING CURRICULUM) …………………………….………… 9
APPENDIX B (CENTURY COLLEGE MANE NURSING PROGRAM APPLICATION FORM) ….….…… 11
Revised October 7, 2015 Page 2

The mission of the Minnesota Alliance for Nursing Education (MANE) is to increase baccalaureate prepared nurses through collaborative, transformative educational strategies.
Through increased access to baccalaureate nursing education MANE will prepare professional nurses to promote health and meet the evolving and complex healthcare needs of an increasingly diverse population in Minnesota.
The purpose of the Minnesota Alliance for Nursing Education is to improve access to baccalaureate education in Minnesota, closely aligning nursing education with emerging health care needs and health care system changes. Students admitted to a MANE collaborating college or university will be enrolled in a four year (eight-semester) baccalaureate program, which will incorporate curriculum designed to facilitate deep, contextually grounded learning which prepares them for the rapidly changing health care environment upon graduation.
The MANE curriculum is transformative, moving away from independent silos of education to collaboration between universities, community colleges and practice. MANE is a collaborative between community college and university nursing programs to provide increased student access to a baccalaureate program and attainment of a Bachelor of Science in nursing (BSN) degree. Students admitted to a community college MANE program will be dually admitted to Metropolitan State
University.
The program was built following a thorough analysis of national standards including AACN, CCNE, NLN,
ACEN (NLNAC), PEW, OCNE, and QSEN from which ten program competencies have been developed.
This 120 credit, eight semester program has collaboratively developed prerequisites, admission processes, grading scales, and a Program Plan across all collaborating colleges and universities. The
MANE Program Plan content is taught within a concept-based curriculum which spirals concepts throughout each semester of the program.
The MANE Program Plan content is taught within a concept-based curriculum which spirals concepts throughout the program. Nursing courses are sequential in nature due to the spiraled teaching/learning methodology.
The MANE Program Plan is a baccalaureate curriculum based on The Essentials of Baccalaureate
Education (AACN, 2008) with Program Student Learning Outcomes (PSLO’s) benchmarked at the fifth and eight semesters of the program. A student enrolled at a MANE community college will receive an
Associate of Science Degree in Nursing at the successful completion of the fifth semester. The student is expected to continue to the completion of the Bachelor of Science in nursing degree.
An applicant admitted to the MANE collaborating college will be considered dually admitted to a collaborating university.
Revised October 7, 2015 Page 3

1.
General admission to Century College. a.
A current general application must be on file. Students who have not previously attended Century College as a credit based student, should submit a Century College application with the $20 application fee prior to or concurrent to submitting a Nursing program application. b.
Applicants to Century College must be in good academic and financial standing at all previously attended MnSCU institutions or college admission will be denied
2.
Completion of the Accuplacer assessment tests in Reading and Writing with scores at college level (Math assessment will be required for CHEM 1020 and optional MATH 1000 unless waived due to transfer equivalent of college-level MATH course-MATH 1025 or above- with a grade of C or higher)
3.
Submission of official transcripts from all institutions attended. a.
ALL vocational/college/university official transcripts must be sent to Century College
Transfer Student Services/DARS office. b.
High school transcripts are also required and must be sent to the Century College
Admissions Office.
4.
A minimum grade point average (GPA) of 2.75 based on the first semester of the MANE curriculum plan. (see Appendix A) a.
Official transcripts will be used to calculate GPA. b.
The most recent course grade will be used for the GPA calculation, whether it is higher or lower than previous grades. c.
Each course of the MANE curriculum plan must have been achieved with a letter grade of C or better. d.
Full acceptance to the MANE collaborating college and university is dependent on successful completion of the second semester of the MANE curriculum plan (see
Appendix A), maintaining a minimum grade point average (GPA) of 2.75, including criteria in numbers 3 and 4 above.
5.
All applicants are required to complete the most current Assessment Technologies Institute
(ATI), standardized Test of Essential Academic Skills (TEAS) prior to application deadlines. a.
The best score achieved of all TEAS tests taken by the applicant may be used. b.
The applicant may specify which testing site and date they achieved their best score and ensure that this official transcript is supplied or available to Century College. If the test was taken at a MANE member site, the transcript will be available to Century College.
TEAS Testing Process: The TEAS exam will be administered via ATI, INC. at specified member MANE colleges/university. Registration and payment of fees will be on-line via ATI. The student may opt to take the TEAS test at any of the listed member sites, and should register as a MANE nursing application candidate. The test will take approximately 3-4 hours and should not be scheduled unless adequate time is available by the tester.
Revised October 7, 2015 Page 4


ATI will send a transcript report of TEAS results to the college/university(s) to which the applicant applied at no charge to the school.

Admissions and advising may also search for a student TEAS scores on the ATI website.

Applicants who opt to take the TEAS test at a non-MANE member site will be required to purchase a transcript from ATI and have it sent to Admissions at Century College. It may be possible to have an official transcript made available to Century College free of charge by obtaining permission from the non-MANE member site. It is the responsibility of the applicant to investigate this possibility.
The fee paid by the student to ATI, INC. is $76.00 (subject to change):
The student may access study materials, if desired, at: http://www.atitesting.com/solutions/prenursingschool/teas/study-guide.aspx
Century College will make reasonable accommodations to all qualified students with disabilities, through
Disability Services. Students requesting accommodations for TEAS testing are directed to test at a campus where they will be submitting an application to MANE.
6.
Advanced standing applicants, Licensed Practical Nurses (Paramedics may be added when the curriculum has been evaluated for appropriate advanced standing credit), must demonstrate: a.
Licensed practical Nurses (LPN) must maintain unencumbered licensure from any state in the United States. b.
If advanced standing credit is determined for paramedics, they must be certified as a
Nationally Registered Emergency Medical Technician-Paramedic (NREMT-P), and/or state certified as an EMT-P (certification may be in any state in the United States, but must be to a level equivalent to a nationally registered EMT-P).
7.
Applicants must demonstrate English language proficiency via examination if (1) English is not their native language; and (2) the applicants have lived in the US fewer than 8 years at the time of application to the program. Applicants are exempt from taking an English proficiency exam if their native language is English or they have been in the US, as a non-native English speaker, for more than 8 years.
*Minimum scores in the following exams are required to demonstrate English language proficiency:
Test Minimum Satisfactory Score
TOEFL iBT
TOEFL PBT
IELTS
84 with a minimum speaking score of 26
560
Overall score of 6.5 with the minimum of
6.0 on all modules
MELAB
Pearson Test of English Academic
Total passing score of 81 and a speaking section score of 3
Overall score of 55 with the minimum of 50 on all sub-scores https://www.ncsbn.org/NCLEX_technicalbrief_PTE_2010.pdf
https://www.ncsbn.org/TOEFL_iBT_Proficiency_Standard_Process.pdf https://www.ncsbn.org/4554.htm
*Scores are valid for the time period specified by each test standards
Revised October 7, 2015 Page 5

Ranking of applicants will be based on the following criteria:
1.
TEAS composite score divided by a factor of 10 (Ex: Composite score of 72% = 7.2
)
2.
First semester GPA of MANE Program Plan (Ex: 2.75
)
3.
The combined total TEAS and GPA score will be utilized to rank applicants for order of acceptance. (Ex: 7.20 + 2.75 = 9.95 ranking score)
4.
In the event of a tied combined total TEAS and GPA score, the applicant with the highest TEAS science sub-score will advance in rank order for acceptance. If a further tie exists, the applicant with the highest TEAS math sub-score will advance in rank order for acceptance.
5.
All applicants, regardless of LPN (or Paramedic/EMT when applicable) status, will be placed into a common applicant pool based on numeric score as identified in criteria 1-3.
6.
Full acceptance to the MANE collaborating college and university is dependent on successful completion of the second semester of the MANE curriculum plan, maintaining a minimum grade point average (GPA) of 2.75, including obtaining a grade of C or greater in all required courses.
Evidence of having completed the following criteria will be required prior to the start of MANE nursing courses and must remain current throughout the program. Requirements include, but may not be limited to:
1.
Documentation of current American Heart Association CPR Healthcare Provider.
2.
Completed health and immunization record, including proof of current immunizations and tuberculosis testing, and/or other requirements as defined by the clinical agency.
3.
Completion of current Minnesota Human Services Background Check
If an applicant has been arrested, charged or convicted of any criminal offense, he or she should investigate the impact that the charge or conviction may have on his or her chances of employment or licensure as a registered nurse and the student’s chances to obtain federal, state and other higher education financial aid (by Minnesota Statute 135A. 157).
If the applicant refuses, or is disqualified as a result of the background study, the applicant will be unable to successfully complete the requirements of the MANE program.
Note: Involuntary termination from a healthcare institution may prohibit an applicant from completing the requirements of the nursing program.
The Nursing Program endeavors to provide students with appropriate clinical training placements, but cannot guarantee placements in all circumstances. Students with personal circumstances that may limit their eligibility for participation in clinical experiences are encouraged to contact the Director of Nursing as soon as possible. The Nursing Program does not guarantee an alternative facility placement. Students with these circumstances may be unable to continue in the program.
Revised October 7, 2015 Page 6

Applications and all required supporting documents must be submitted prior to any application deadline. Applications, transcripts and TEAS exam results may be submitted separately but all must be received by close of business on the deadline date.
1.
Universal application deadlines: a.
Fall semester start: Application deadline is February 1. Mailed applications must be postmark on or before February 1. No exceptions will be made for deadlines that fall on a weekend or holiday. b.
Spring semester start: Application deadline is June 1. Mailed applications must be postmark on or before June 1. No exceptions will be made for deadlines that fall on a weekend or holiday.
2.
Notification to applicants by the college or university applicant applied to: a.
Fall semester start: i.
March 15 - applicant will be mailed notification of accept, deny or reconsider status ii.
April 1 - notification deadline by applicant to respond to the college or university to accept or deny admission to the program b.
Spring semester start: i.
July 15 - applicant will be mailed notification of accept, deny or reconsider status ii.
August 1 - notification deadline by applicant to respond to the college or university to accept or deny admission to the program
3.
Applications of students not accepted to MANE will remain on file through the next admission cycle. If a student chooses to reapply for the next admission cycle, the student must a.
Complete a new application form b.
Update any materials needed to maintain currency of admission requirements c.
Any successive applications will require the student to complete and submit all required information and documents as if applying to MANE for the first time.
Revised October 7, 2015 Page 7

1.
Students who receive confirmation of acceptance to the program will be required to return the following prior to a deadline specified in the acceptance letter: a.
Applicant Agreement Form acknowledging acceptance of seat in the MANE Program b.
Dual Admission Form to complete the BSN Degree
• Dual Admission Form stimulates dual admission with Metropolitan State and gives permission for student data to be shared.
2.
Metropolitan State University will send the student written acknowledgement of participation in the MANE Program and Admit Packet for a future term of enrollment at Metropolitan State
University based on the following criteria: a.
Acceptance to a MANE nursing program b.
Submission of all admission materials c. *Submission of a completed “Dual Admission Form” to complete the BSN degree at
Metropolitan State University
A Metropolitan State University nursing representative will connect with MANE students on the community college campuses in the 4 th and 5 th semesters of the program to advise the student on the dual admission process and continuation of the University NSO program to the Bachelor of Science in nursing degree. Metropolitan State will begin teaching in the 6 th semester of the program.
3.
Continuing at Metropolitan State University after completion of five semesters of the MANE
Program Plan : Students must meet the academic performance criteria of both institutions, and the
MANE program, in order to continue to the baccalaureate degree. Students that do not will be denied continuing to completion of the baccalaureate degree at Metropolitan State University. In addition, students will be reviewed for any other performance criteria that may prohibit continuing at Metropolitan State University (i.e. code of conduct issues, probation status).
Revised October 7, 2015 Page 8

SEMESTER 1 (15 Credits )
(All courses of semester 1 must be completed prior to application for the Nursing program)
BIOL 1020 and CHEM 1020 as required for BIOL 2031
OR MnTC General Education electives
PSYC 1020: General Psychology
Communication elective: choose one of:
COMM 1031: Interpersonal, or
COMM 1041: Small Group or
COMM 1051 Intercultural Communication
8 credits
4 credits
3 credits
(Apply to Nursing program prior to February 1 for August start)
SEMESTER 2 (15 Credits )
(All courses of semester 2 must be completed prior to beginning the
Nursing curriculum)
*NURS 2850: Applied Pathophysiology for
Nursing I 3 credits
BIOL 2035: Microbiology 3 credits
(If BIOL 2035 is already completed course load becomes 12 credits)
NURSING CURRICULUM SEMESTER 3 FALL (15 Credits )
*NURS 2900: Acute & Complex Care
*NURS 2920: Applied Pathophysiology for Nursing II
7 credits
2 credits
*NURS 2950: Nursing Leadership 1
PHIL 1035: Biomedical Ethics
3 credits
3 credits
(If PHIL 1035 is already completed course load becomes 12 credits)
B ENCHMARK : A SSOCIATE IN S CIENCE IN N URSING D EGREE
E LIGIBLE FOR NCLEX-RN AND LICENSURE
(Students may step out of the program at this point if they wish)
BIOL 2031: Anatomy/Physiology I
PSYC 1041: Developmental Psychology
ENGL 1021: Composition I
MnTC General Ed Goal 5 in Sociology or
Anthropology
4 credits
4 credits
4 credits
3 credits
See the MN Transfer Curriculum course list in the Counseling Center, catalog, or website for options in goal areas.
Once admitted to the Nursing program students will have
** (D UAL A DMISSION TO N URSING P ROGRAM AT C ENTURY AND
U PPER D IVISION 4YEAR P ARTNER C OLLEGE ) **
NURSING CURRICULUM SEMESTER 1 FALL (15 Credits)
(* Courses are taken concurrently within the semester)
U PPER D IVISION L EVEL : T AUGHT BY 4YEAR PARTNER ON C ENTURY
C AMPUS :
NURSING CURRICULUM SEMESTER 4 SPRING (15 Credits)
NURS 406: Nursing Care of the Family
NURS 416: Epidemiology for Nursing
MATH 1025: Statistics (Century) OR
STAT 201 (Metro State)
WRIT 331: Writing in your Major
(Metro State, Upper Div. level required)
4 credits
3 credits
4 credits
4 credits
NURSING CURRICULUM SEMESTER 5 FALL (16 Credits)
Traditional Only: *NURS 2700: Foundations of
Nursing-Health Promotion
Mobility Only: *Nurse 2720: Transition to the
Role of the Professional Nurse
(4 credits plus 5 advanced standing credits).
9 credits
*NURS 2750: Nutrition and the Role of the
Professional Nurse 2 credits
BIOL 2032: Anatomy/Physiology II 4 credits
(If BIOL 2032 is already completed course load becomes 9 credits)
NURSING CURRICULUM SEMESTER 2 SPRING (15 Credits)
*NURS 2800: Chronic & Palliative Care
NURS 2820: Pharmacology and the Role of the Professional Nurse
7 credits
2 credits
NURS 459: Population Based Care
NURS 464: Nursing Leadership II
NURS 446: Nursing Informatics
Any Upper Division course Liberal Studies or elective, (Metro State or transfer credit)
7 credits
4 credits
2 credits
3 credits
NURSING CURRICULUM SEMESTER 6 SPRING (14 Credits)
NURS 490: Integrative Seminar & Practicum 7 credits
NURS 485: Global Health Perspectives for Nursing 3 credits
Upper Division Liberal Studies (Metro State or transfer credit) 4 credits
E LIGIBLE FOR B ACHELOR OF S CIENCE IN N URSING
Revised October 7, 2015 Page 9

SEMESTER 1 (15 Credits )
(All courses of semester 1 must be completed prior to application for the Nursing program)
BIOL 1020 and CHEM 1020 as required for BIOL 2031
OR MnTC General Education electives
PSYC 1020: General Psychology
Communication elective: choose one of:
COMM 1031: Interpersonal, or
COMM 1041: Small Group or
COMM 1051 Intercultural Communication
8 credits
4 credits
3 credits
(Apply to Nursing program prior to February 1 for August start)
SEMESTER 2 (15 Credits )
(All courses of semester 2 must be completed prior to beginning the
Nursing curriculum)
*NURS 2850: Applied Pathophysiology for
Nursing I 3 credits
BIOL 2035: Microbiology 3 credits
(If BIOL 2035 is already completed course load becomes 12 credits)
NURSING CURRICULUM SEMESTER 3 SPRING (15 Credits )
*NURS 2900: Acute & Complex Care
*NURS 2920: Applied Pathophysiology for Nursing II
7 credits
2 credits
*NURS 2950: Nursing Leadership 1
PHIL 1035: Biomedical Ethics
3 credits
3 credits
(If PHIL 1035 is already completed course load becomes 12 credits)
B ENCHMARK : A SSOCIATE IN S CIENCE IN N URSING D EGREE
E LIGIBLE FOR NCLEX-RN AND LICENSURE
(Students may step out of the program at this point if they wish)
BIOL 2031: Anatomy/Physiology I
PSYC 1041: Developmental Psychology
ENGL 1021: Composition I
MnTC General Ed Goal 5 in Sociology or
Anthropology
4 credits
4 credits
4 credits
3 credits
See the MN Transfer Curriculum course list in the Counseling Center, catalog, or website for options in goal areas.
Once admitted to the Nursing program students will have
** (D UAL A DMISSION TO N URSING P ROGRAM AT C ENTURY AND
U PPER D IVISION 4YEAR P ARTNER C OLLEGE ) **
NURSING CURRICULUM SEMESTER 1 SPRING (15 Credits)
(* Courses are taken concurrently within the semester)
U PPER D IVISION L EVEL : T AUGHT BY 4YEAR PARTNER ON C ENTURY
C AMPUS :
NURSING CURRICULUM SEMESTER 4 FALL (15 Credits)
NURS 406: Nursing Care of the Family
NURS 416: Epidemiology for Nursing
MATH 1025: Statistics (Century) OR
STAT 201 (Metro State)
WRIT 331: Writing in your Major
(Metro State, Upper Div. level required)
4 credits
3 credits
4 credits
4 credits
NURSING CURRICULUM SEMESTER 5 SPRING (16 Credits)
Traditional Only: *NURS 2700: Foundations of
Nursing-Health Promotion
Mobility Only: *Nurse 2720: Transition to the
Role of the Professional Nurse
(4 credits plus 5 advanced standing credits).
9 credits
*NURS 2750: Nutrition and the Role of the
Professional Nurse 2 credits
BIOL 2032: Anatomy/Physiology II 4 credits
(If BIOL 2032 is already completed course load becomes 9 credits)
NURSING CURRICULUM SEMESTER 2 FALL (15 Credits)
*NURS 2800: Chronic & Palliative Care
NURS 2820: Pharmacology and the Role of the Professional Nurse
7 credits
2 credits
NURS 459: Population Based Care
NURS 464: Nursing Leadership II
NURS 446: Nursing Informatics
Any Upper Division course Liberal Studies or elective, (Metro State or transfer credit)
7 credits
4 credits
2 credits
3 credits
NURSING CURRICULUM SEMESTER 6 FALL (14 Credits)
NURS 490: Integrative Seminar & Practicum 7 credits
NURS 485: Global Health Perspectives for Nursing 3 credits
Upper Division Liberal Studies (Metro State or transfer credit) 4 credits
E LIGIBLE FOR B ACHELOR OF S CIENCE IN N URSING

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The Minnesota Alliance for Nursing Education (MANE) is comprised of member community colleges and Metropolitan State
University who collaboratively offer a Bachelor of Science in Nursing (BSN) degree, with dual admittance to Century College and Metropolitan State University for degree completion. This opportunity provides nursing students flexibility in their educational and career planning.
Completion of this application provides the information necessary to be considered for full admission to the Century College
Nursing program. This Nursing application is not a substitute for the Century College Application form.
Application deadline is February 1 for consideration for admission to the fall cohort of that year, and June 1 for consideration for admission to the spring cohort of the following year. All requirements for application must be completed or submitted by the application deadline.
Last name:____________________________ First name:_______________________________ MI:_______
Previous names used: ____________________________________
Century College Student ID # (required): _____________________ Social Security # (optional) _____________
Street address: ______________________________ City: _________________________ State: ______ Zip: ________
Century College e-mail address or other preferred email:______________________________________________
Home Ph # ( ) Cell Ph # ( )
For your application to be processed, the courses listed below must be completed with a minimum 2.75 GPA. Please indicate the name of the course, where it was taken, the year and semester . NOTE: If Anatomy/Physiology I has been completed and Biology and/or Chemistry has not been completed any MnTC (general ed) course may be used as a substitute. This option does not apply to the
Communication or Psychology requirement. See an Advisor/Counselor for credit and GPA questions.
Communication (3 credit) Interpersonal (COMM 1031), Intercultural (COMM 1051) or Small Group (COMM 1041) or exact transfer equivalent
Grade
General Psychology (PSYC 1020) or exact transfer equivalent
Biology Concepts/General Biology (BIOL 1020 or BIOL 1041) or exact transfer equivalent
Chemistry Concepts/General Chemistry CHEM 1020 or CHEM 1041) or exact equivalent
Grade
Grade
Grade
For your application to be processed, the following is required, if applicable:
1. Admission. Applicants to the Century College MANE Nursing program must first be admitted to Century College.
If you have not previously attended Century College, please submit a Century College application with the $20 application fee. (The $20 application fee is only required for NEW Century College applications.) This Nursing application is not a substitute for the Century College
Application form. NOTE: Applicants to Century College must be in good academic and financial standing at all previously attended
MnSCU institutions or college admission may be denied.

2. All applicants are required to have taken the most current Assessment Technologies Institute (ATI), Standardized Test of Essential
Academic Skills (TEAS) prior to application deadlines. If the test location is a participating MANE institution, TEAS scores will be pulled through ATI’s website and attached to your application. If the exam is taken at a non-MANE location, an e-mail may be sent to sherry.hegstrom@century.edu
authorizing ATI to send your results to Century College. You should include your name at the time of testing, the test date and test location.
Expected Test Date or
Date Taken
Test Location Name at time of testing (if different from above)
3. Applicants must demonstrate English language proficiency via examination if (1) English is not their native language; and (2) the applicants have lived in the US fewer than 8 years at the time of application to the program. Results of one of the following must be submitted to demonstrate English language proficiency via examination :
TOEFL iBT, TOEFL PBT, IELTS, MELAB, Pearson Test of English Academic

Exam completed/results attached : YES ____ NO _____ Does not apply _____
4. Applicants, who are licensed as a Practical Nurse (LPN), must supply proof of current, unencumbered licensure from any state in the
United States.
Educational Institution: License Number: Expiration Date:
5. Education: Applicants must supply official transcripts for all post-secondary institutions at which they previously enrolled (even if no credit or clock hours were earned), and official transcripts for all post-secondary credits (including military, CLEP, and advanced placement). Credits earned must be from a Regionally Accredited institution(s). If you have attended a MnSCU college or university, ask the DARS/Transfer Services Office (DARS@century.edu) to pull an E-transcript. Send official copies of all other non-MnSCU institutions transcripts if not already done. Official copies of non-MnSCU transcripts should be sent to Century College
DARS/Transfer Services Office. All transcripts must be processed (printed) by the application deadline date.
Colleges and/or universities previously attended:
Institution Name
Last
Term
Attended
Institution Name
Last
Term
Attended
6. International college credits must be evaluated by World Education Services, Educational Credential Evaluators ECE or other international evaluator. A copy of the unofficial transcripts must be sent in conjunction with evaluation.
For more information go to www.wes.org
. Or contact our DARS/Transfer Services Office at DARS@century.edu
.
If you are an International Student did you apply for a World Education Services or ECE Educational Credential Evaluators transcript evaluation? YES ______ NO ______ Not Applicable _______
7. Have you submitted/requested a high school transcript verifying graduation or GED Certificate? YES ____ NO ____
8. Have you filed a Century College Academic Petition or Request for Exception to Admission Requirements form?
YES _______ NO _______
Misrepresentation of application information is grounds for canceling application. I certify the information I have provided on this application form and all other admission application materials are complete, accurate and true to the best of my knowledge.
SIGNATURE REQUIRED: ___________________________________________ Date: _____________________
Admission is granted without regard to race, creed, color, sex, age, national origin or handicap. This institution abides by the provisions of
Title IX, federal legislation forbidding discrimination on the basis of sex and by all other federal laws regarding equal opportunity.
Note: Federal and state legislation requires that the contents of student files be open to review by the student. Application forms, high school transcripts, test date, letters, and recommendations that are sent as part of any application for admission will be open to the student's review upon request.
Note: This application is available in alternative formats for people with disabilities by calling 651.779.3354 (voice) or through the Minnesota
Relay Service at 1.800.627.3529.

You are encouraged to make a copy of this application.
SEND COMPLETED APPLICATIONS TO:
Application questions can be directed to Sherry Hegstrom at sherry.hegstrom@century.edu.
Note: If an applicant has been arrested, charged or convicted of any criminal offense, he or she should investigate the impact that the charge or conviction may have on his or her chances of employment or licensure as a registered nurse and the student’s chances to obtain federal, state and other higher education financial aid ( by Minnesota Statute 135A. 157).
If the applicant refuses, or is disqualified as a result of the background study, the applicant will be unable to successfully complete the requirements of the MANE program.
Note: Involuntary termination from a healthcare institution may prohibit you from completing this program.
Note: Application requirements are subject to change.

You are encouraged to make a copy of this application.
SEND COMPLETED APPLICATIONS TO:
Application questions can be directed to Sherry Hegstrom at sherry.hegstrom@century.edu.
Note: If an applicant has been arrested, charged or convicted of any criminal offense, he or she should investigate the impact that the charge or conviction may have on his or her chances of employment or licensure as a registered nurse and the stude nt’s chances to obtain federal, state and other higher education financial aid ( by Minnesota Statute 135A. 157).
If the applicant refuses, or is disqualified as a result of the background study, the applicant will be unable to successfully complete the requirements of the MANE program.
Note: Involuntary termination from a healthcare institution may prohibit you from completing this program.
Note: Application requirements are subject to change.