ASSOCIATE DEGREE NURSING PROGRAM
West Hills Community College
Academic Summary Form Information Sheet
APPLICATION PERIOD: (March 2, 2009-April 17, 2009)
PLEASE READ ENTIRE INFORMATION SHEET BEFORE COMPLETING THE ASF
(ACADEMIC SUMMARY FORM).
The Assessment Technologies Institute Test of Essential Academic Skills (ATI-TEAS) will be offered
upon preliminary acceptance into the program and student must pass with a 67% to be eligible for
the WHC nursing program. Testing will be at the expense of WHC. Testing times and dates will be
announced after the applications are evaluated.
The Selection Process will be based on a point value system. The criteria is listed below. In the event of a
point tie for the available seats, a combination of TEAS score and randomized selection will be used for the
final selection of the candidates.
Admissions Criteria
Attempts:
English 1A
Anatomy
Physiology
Microbiology
x1
x2
4
4
4
4
Points- Calculation Table:
Total point/16 X .20 X 100 =
x3
0
0
0
0
Total possible Points: 16
2
2
2
2
Your Points
Possible Points
20
Cumulative GPA/4.0 X .20 X 100 =
20
Pre requisites GPA/4.0 X .30 X 100 =
30
Veteran = 10 points
10
Health care experience = 10
10
All course work completed= 10
10
*There is a 2 point deduction for each course still needed.*
To be eligible for the Selection Process, The ASF (Academic Summary Form) must be completed and
legible. All transcripts and supplemental documents must be included or they will be considered incomplete
and processing will be terminated. All qualified packets received before the stated deadline will be treated
equally regardless of the submission date.
A completed packet should contain the following documents:

Completed ASF form. Please list all colleges attended on the ASF including West Hills
College Lemoore and all affiliated campuses. Please note: failure to list all colleges
previously attended may result in your application being denied.

Proof of current Health Care experience (resume…)

Submit Two (2) official, up to date, sealed transcripts from all colleges attended (including
West Hills College Lemoore and West Hills College Coalinga). Please request that the transcripts
be mailed to you first, then forward the packet as a whole to the Health Careers office. DO NOT
SEND TRANSCRIPTS SEPARATELY. TRANSCRIPTS MUST ACCOMPANY THE ASF
FORM. (When requesting transcripts, please obtain a copy for your records so you will be aware
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of the content.) Please note that it may take 4-6 weeks to obtain transcripts, so do not wait until
the last minute.

One unofficial copy of your high school transcripts or copy of diploma or GED certificate.

Catalog course descriptions – transcripts from colleges other than those affiliated with West
Hills Community College District (specifically, West Hills College Coalinga, West Hills College
Lemoore, North District Center) or CSUF must be accompanied by a catalog course description
for each course completed.

Foreign Records Evaluation – All students who have completed any course outside of the United
States will need to complete a foreign record evaluation if any of the courses will be used towards
graduation. All foreign educational records must be evaluated by an official accredited
educational document service, (see below). Please request that the service provide an official
sealed report to be submitted with the program packet. The report should include U.S. educational
equivalency for terms, degrees, course listings, and semester credit hour. Most agencies classify
this as a “course by course report”.
VERY IMPORTANT! It is advised that students with foreign education meet with a counselor
to determine if courses will be accepted for application requirements.
The following are acceptable agencies for foreign document evaluations:
The Foreign Education Document Service
Gary Hoover, Director
PO Box 4091
Stockton, Ca. 95204
(209) 948-6589
Institute for International Credential Evaluation at California State University, Fresno
5150 N Maple Ave., M/S 56
Joyal Building, Room 211
Fresno, Ca. 93740-0056
(559) 278-7622 FAX (559) 278-7879
World Education Service (WES)
PO Box 5087
Bowling Green Station
New York, NY 10274-5087
(212) 966-6311 FAX (212) 739-6120
ERES – Educational Records Evaluation Service
601 University Avenue, Suite 127
Sacramento, Ca. 95825-06738
(916) 921-0790
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Inclusion in the selection pool is based on the completion of all prerequisite requirements or equivalencies.
Completion of prerequisites with a minimum of C or better in each course and overall GPA of 2.5 and
Prerequisite cumulative GPA of 2.5, as well. “In Progress” courses are not accepted. Grade points and
units will be tallied from all college work attempted. If a course is repeated at another college for a
higher grade please, include an attached note indicating the course that has been repeated and where the
course was taken. Please refer to the Nursing Counselor for any concerns regarding your cumulative
GPA.
COMPLETED APPLICATIONS may be delivered in person or by regular mail; however, receipt
cannot be guaranteed. To ensure receipt of documents, it is strongly recommended that all
documents be sent by certified mail to:
West Hills College Lemoore
Attn: Health Careers
555 College Ave
Lemoore, Ca. 93245
It is your responsibility to keep the office advised of any changes in your name, address and/or telephone
number if changes occur after submission of application. Strict adherence will be paid to the application
deadline. Allow 6-10 weeks after deadline for review of documentation. Please do not call the office
to find out the status of your application – all applicants will be notified of their status by mail. You may
contact our office to inquire about receipt of ASF if submitted by mail.
Students selected to participate in the Associate Degree Nursing Program must attend a mandatory
orientation for the program. It is highly recommended that a family member also attend.
For questions regarding completion of the Academic Summary Form, please contact the Health Careers
Office at (559) 925-3491.
WEST HILLS COLLEGE LEMOORE DOES NOT DISCRIMINTATE ON THE BASIS OF RACE,
SEX, AGE, RELIGION OR HANDICAP.
(APPLICATIONS AND REQUIRED DOCUMENTS MUST BE SUBMITTED NO
LATER THAN 2:00PM APRIL 17, 2009)
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