Application for the Orange County
New Grad RN Transition Program
Funded by the Health Workforce Initiative
CA Community College Workforce and Economic Development Program
Grant #13-156-001
Application Due Date: A u g u s t 8 , 2 0 1 4
Notification of acceptance will occur by the end of August.
Program Dates: September -November (actual start date depends on assigned facility)
College Orientation TBD in the Health Sciences Building at Saddleback College (required attendance
for those accepted)
• Due to state funding, only applicants who graduated from State- supported nursing schools in the
Orange County/Long Beach region will be accepted. Applicants must also live in the Orange
County/Long Beach area.
• Minimum Qualifications: Graduate of RN program from December 2013-May 2014
• Active CA RN License before acceptance to program; Minimum 3.0 GPA for NURSING courses.
• Clinical facilities will require interview before final acceptance.
• If accepted, participant agrees to provide Social Security number and birth date.
• Participants are required to send updated contact information for a minimum of 2 years.
•
•
ONLY EMAILED APPLICATIONS WILL BE ACCEPTED. You will be notified by email when your
application is received. Please SAVE your application as New Grad-Your last name.
Email completed application with scanned attachments of Letter of recommendation (Nursing
Director, FT Faculty, or Preceptor), unofficial transcript, and Right to Work documentation (if
applicable) to: Dalley Wright (dlwright@gwc.cccd.edu)
Name (first and last)
Email Address
Phone number
Mailing Address
Nursing Program School
Graduation Date
Cumulative GPA (Nursing courses)
CA RN License number
Country of birth (if not USA, provide
Right to Work documentation)
Male
Female
Number:
Caucasian
Black
Hispanic
Other
Exp Date:
Asian
Filipino
Multi-ethnic
Interest in Clinical areas: I would be willing to have my Cooperative Work Experience in the following:
(Please RANK TOP 3 preferences with 1 being most desired)
Not all Units will be available
Medical Surgical
Telemetry
Labor-Delivery
Pulmonary/Renal
Mother-Baby
Critical Care
Emergency
Mental Health
Neuro DOU
Step-down/DOU _
NICU
Pediatrics
Personal Information: In each category, please circle the answers that describe you and fill-in
additional information
Are you currently working?
No
Yes
Are you enrolled in a BSN or
MSN program?
Health Care Experience
(employment only)
No
Yes
Multilingual (language
spoken in addition to
English)
Certifications acquired with
expiration date
Facility:
Duties:
Number of hours/week
School:
Years:
Months:
List Languages
(Fluent only)
Short Answer Questions: Your answers will be rated based on clarity, organization, relevance,
motivation and future plans (your answers should be limited to 250 words per question)
•
Briefly explain why you should be selected to participate in the Orange County RN Transition
Program?
•
What skill/attributes do you have that will enhance your success in this program and your
professional role as a nurse?
•
Southern CA is a culturally diverse area to practice nursing. Please briefly describe a few ways
that you have enhanced your own cultural competency.
•
Describe your participation in any volunteer activities over that last 4 years.
•
What are your professional goals?
Thank you for your interest in the RN Transition Program. The Committee reviewing your application
will utilize ranking rubrics to evaluate candidates. The top rated applicants will be notified and will be
interviewed by the clinical facilities before acceptance into the program.
If accepted into the program, you will be required to provide your Social Security number and birth
date. Your Information will not be kept but will be used to generate a unique identifier for you for
data analysis. You will also be required to register for the Cooperative Education program at
Saddleback College and pay the College registration fee. This is a 4 unit course at $46/unit. The
course is not listed in the college catalog. You will be given college registration information when you
are accepted into the program.
The program requires 240 hours in an unpaid clinical externship (approximately two-12 hour
shifts/week), completion of a weekly experience reflection journal, and participation in simulation
experiences at the college. You will also be required to attend the College Orientation and the
Hospital Orientation.
You must provide proof of physical exam, BLS, background check, malpractice insurance,
immunizations and other requirements of clinical agency, prior to the start of the program.
Checklist: Before submitting application via email, please check that all components listed are
included in the email.
Please send ONE EMAIL with all attachments. SUBJECT: New Grad-Last name
D
D
D
D
D
Completed Application attachment (Save as New Grad-Your Last Name doc or docx or rtf or pdf)
Short Answer Questions in Word or Text Document attachment
Unofficial transcript (Scan and attach)
Director/FT Faculty/Preceptor letter of recommendation (Scan and attach)
Right To Work documentation (Scan and attach if applicable)
Failure to follow directions may result in disqualification