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YOUR NAME, BANNER ID: 900555555 (you can hand write this)
Appalachian State University
College of Health Sciences
Department of Nursing
2016 Application to the Bachelor of Science in Nursing Program
Application to the BSN program must be received by January 15th
Applicants must have been accepted to ASU in order to be considered for
admission
Both the application (downloaded from Department of Nursing website) and all associated application
materials must be received by the deadline for the application to be considered for review. Late receipt of any
element may render the application ineligible for admission consideration. The Department of Nursing does not
keep current ASU transcripts. Therefore, it is necessary for ASU students to make all college course work
transcripts available along with the BSN application for admission.
Contact Information: It is essential to keep the Department of Nursing informed of any changes.
Name: _____Application can be neatly hand written or typed (watch your formatting)_________________
(first)
(middle)
(last)
Current Mailing Address:
_____Mailing address that ASU has on file for you ____________________________________________
Street
City
State
Zip
Current Phone: (____) __________________ Emergency /Alternate Phone: _____________________
(Cannot be the same as Current or Cell phone numbers)
Cell Phone: (____) _____________________ Email Address: ________________________________
Please indicate where mailings are to be sent and if different than above address:
__Where you want your decision letter sent. _________________________________________________
Street
City
State
Zip
Please submit your application packet (BSN application, essay document, and official sealed transcripts) to:
Appalachian State University Department of Nursing
Edwin Duncan Hall, Suite 318
P. O. Box 32151
Boone, NC. 28608-2151
For questions about the submission of your application please contact:
Ms. Donna Whitt
whittdg@appstate.edu
828-262-8005
Applicant Status: Please indicate your status (Check one and provide requested information)
X
Current Appalachian Student Banner ID#: __900123456______________________
Transfer Student
Date you were accepted to ASU_________________
Returning Appalachian Student
Date you were re-admitted to ASU ______________
Are you a Second Degree Student?
Yes/No
Degree/Date______________________
Examples typed in Blue; advice highlighted in yellow is offered by pre-NUR advisors who are not part of the BSN Admission committee.
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YOUR NAME, BANNER ID: 900555555 (you can hand write this)
The following data are for statistical purposes only & will not be used in admission decisions:
Gender:
M
F
Date of Birth _____________________
Ethnic Group/Race: ________________ (fill in letter from Legend below) Please scroll to select correct group
Legend:
I – American Indian or Alaskan Native
O – Asian
B – Black or African American
H – Hispanic or Latino
W – White
Citizenship Status:
U.S. Citizen
N – Native Hawaiian or Other Pacific Islander
M – Multiracial heritage
U – Race/Ethnicity unknown
C – Choose Not to Report
Resident Alien
Non-resident Alien
Name of High School attended & date of graduation________________________________________________
Current & Previous Education: List all colleges or universities attended, with most recent listed first*
City, State of
Start & End Dates Degree or Semester
College/University
(Month/Year)
Hours Completed
Appalachian State University
Boone, NC
8/14 – present
30 hours
Central Piedmont Comm. College Charlotte, NC
6/15-8/14
3 hours
AP Credit
(name of your High School,
8/13 – 5/14
3 hours
Town, State)
South Piedmont Comm. College
Monroe, NC
6/13 – 7/13
6 hours, C.N.A.
* Each applicant (including current ASU students) must submit all college official transcripts to the
Department of Nursing in order to be considered for admission to the Nursing Program. Applicants are
also responsible for submission of an official transcript at the completion of the current semester.
College/University
See example of how to find hours completed on Notes page below.
__________________________________________________________________________________________
Examples typed in Blue; advice highlighted in yellow is offered by pre-NUR advisors who are not part of the BSN Admission committee.
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YOUR NAME, BANNER ID: 900555555 (you can hand write this)
CURRICULUM PLAN 2015-2016
Catalog year__2014-2015_See Notes page on how to
determine your catalog year.
Please indicate the semester and year in which each nursing prerequisite course was completed (or if
currently enrolled), the institution at which the course was completed, and the grade earned. List all
science lecture and lab grades separately, if applicable. If you are currently enrolled in a course, place IP
(in progress) in the GRADE column.
PREREQUISITE COURSES
SEMESTER/ INSTITUTION GRADE
YEAR
CHE 1101 Introductory Chemistry I CHM 151
Fall/2014
ASU
B+
CHE 1110 Introductory Chemistry I Lab CHM 151 A
Fall/2014
ASU
ACHE 1102 Introductory Chemistry II
Summer/
Central
A
CHM 152
CHM 152
2014
Piedmont CC
CHE 1120 Introductory Chemistry II Lab
Summer/
Central
A
CHM 152 A
CHM 152
2014
Piedmont CC
ES 2031 Anatomy and Physiology I
Fall/2015
ASU
B+
BIO 165 or 168
ES 2032 Anatomy and Physiology II
Spring/2016 ASU
IP
BIO 166 or 169
BIO 2200 Introduction to Microbiology
Spring/2016 ASU
IP
BIO 275
STT 1810 Basic Statistics or higher Math MAT 151/155
2013-2014
High School
AP Credit
Write in the Statistics course you took or are taking:
STT 1810, STT 2810, STT 2820, or AP ECO 2100
PSY 1200 Psychology: Historical, Social and Scientific
Summer/
UNCC
C+
Foundations PSY 150
PSYC 1101
2014
PSY 2210 Psychology of Human Growth and
Development PSY 241
SOC 1000 The Sociological Perspective SOC 210
PHL 2000 Philosophy, Society and Ethics or PHL 3015,
Medical Ethics PHI 240
NUT 2202 Nutrition and Health
BIO 155 or NUT 110
CS 1410 Introduction to Computer Applications - this
See CS 1410 on Note Page
below
requirement is only for students from catalog year prior to and
including 2014. CS 110
General Education Requirements
Students are allowed to have no more than (3) outstanding general education courses upon entry
into the BSN program. Please list any general education courses that you will not have yet
completed by the start of the nursing program. (Please do not include UCO 1200 credit or
RC/ENG 1000. These are required minimum course requirements for general education)
Name of Course
Prefix and Course Number
Ex. Intro To Film
1. Intro to Visual Art
2. Page & Stage
ENG 2170
ART 2011
THR 2005
Where (List the school name) do you
plan to complete the course?
ASU
ASU
ASU
3.
Examples typed in Blue; advice highlighted in yellow is offered by pre-NUR advisors who are not part of the BSN Admission committee.
YOUR NAME, BANNER ID: 900555555 (you can hand write this)
Required Essay Instructions
An essay is required to accompany the application to the nursing program at Appalachian State University.
Directions: Please attach to your admission application an essay of approximately 300 words in length, typed,
and double spaced, that addresses the following topic:
“How would you, as a potential member of the profession of nursing, contribute
to the future of healthcare?” Please approach this question by describing your
contribution from a personal, professional, and/or educational experience.
Essays will be judged by the nursing faculty admissions committee on the following:
1. Degree to which the question is addressed
2. Creativity and critical thinking demonstrated
3. Clarity of thoughts
4. Conciseness: staying within the 300 word frame
5. Organization
6. Grammar, form, sentence structure, syntax
Citations are not required for this essay. If you do need to cite a source, please use APA format.
Application Review Verification
I have reviewed the following components of my application to the BSN major, and have checked the box
before each statement to indicate that each component of the application process is complete.
I have been admitted to ASU. Date of acceptance___________ (approximate month/year)
I have included my official transcript(s) to the Department of Nursing. (This applies to all applicants
including the ASU student)
I have included my 300 word essay and am acknowledging that the document is my own work.
I have the minimum grade point average of 3.0 on a 4.0 scale on all undergraduate courses attempted. I
understand that this is the minimum GPA for application but is not a guarantee of admission.
I understand that my application will not be considered by the faculty admissions committee unless all
components of the application are submitted by the deadline. JAN 15, 2016 by 5 pm.
I understand the ASU BSN program admission process and requirements, and if I receive provisional
admission, I will promptly respond to further admission requirements as described in my acceptance letter
and subsequent correspondence.
I have designated my catalog year. Make sure you designate your correct Catalog Year on page 3.
Examples typed in Blue; advice highlighted in yellow is offered by pre-NUR advisors who are not part of the BSN Admission committee.
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YOUR NAME, BANNER ID: 900555555 (you can hand write this)
Certification and Applicant Signature
I hereby certify that all of the information provided by me in my application packet is true and accurate
to the best of my knowledge. I understand that submitting false documents or making false statements
may result in my not being admitted to the ASU nursing program OR my dismissal from the nursing
program.
____________________________________________________
Applicant’s Signature
____________________________
Date
Consistent with Section 504 of the Rehabilitation Act of 1973 (Section 504) and the Americans with Disabilities Act of
1990 (ADA), it is the policy of Appalachian State University that no qualified individual with a disability shall be
excluded from, denied the benefits of, or be subjected to discrimination in any university program, service or activity. In
accordance with Section 504 and the ADA, all applicants for the nursing program must be qualified individuals who are
able to meet the essential competency requirements of the program, with or without reasonable accommodations.
Essential competencies include the ability to meet the cognitive, affective and psychomotor requirements of the
curriculum (i.e., critical thinking, communication, interpersonal skills, mobility, tactile ability, vision, and hearing). The
Department of Nursing is committed to providing access to its programs to qualified individuals with disabilities.
However, the Department of Nursing is unable to make accommodations that impose an undue burden, present a threat to
the health or safety of the individual or others, or fundamentally alter the nature of the curriculum including didactic
components, laboratory sessions, and clinical affiliations.
In order to be admitted to and progress in the Nursing Program, one must possess a functional level of ability to perform
the role required of a registered professional nurse. Upon admission, a student will be asked to certify that he or she is
able to perform all of the technical standards with or without reasonable accommodations. In addition, a student will be
asked to obtain medical clearance from a healthcare provider certifying that the student is able to perform all of the
technical standards. Admission and progression in the program will be denied if a student is unable to demonstrate
proficiency in the technical standards. If a student cannot meet the technical standards with or without reasonable
accommodations, the student will be withdrawn from the Nursing Program/Course and may appeal through the
appropriate process.
Statement of Non-discrimination
Appalachian State University is committed to providing equal opportunity in education and employment to all applicants,
students, and employees. The university does not discriminate in access to its educational programs and activities, or with
respect to hiring or the terms and conditions of employment, on the basis of race, color, national origin, religion, creed,
sex, gender identity and expression, political affiliation, age, disability, veteran status, or sexual orientation. The
university actively promotes diversity among students and employees.
Updated/revised 2012
Updated/revised May 2013
Updated/revised September 2013
Updated/revised September 2014
Updated/revised November 2015
Examples typed in Blue; advice highlighted in yellow is offered by pre-NUR advisors who are not part of the BSN Admission committee.
YOUR NAME, BANNER ID: 900555555 (you can hand write this)
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NOTES FROM PRE-NURSING ADVISORS
Current & Previous Education- How to find your completed hours at ASU (do this after your fall
grades are posted):
Use AppalNet: Student Academic Transcript.
Scroll down to Transcript Totals (view below)
Use your Total Institution Earned Hours to record your ASU total “Semester hours completed.”
Use your unofficial transcript from other institutions to properly document those total “Semester hours
completed.” Please note that your total transfer hours on your ASU transcript could be less than your
completed hours at another institution(s).
How do I get into DegreeWorks:
Log into your AppalNet. On your My AppalNet tab, click on the DegreeWorks Logo:
Find your Catalog Year:
Your Catalog Year determines the requirements that you need to complete to graduate from ASU.
Typically this is the academic year that you started at ASU. (For example: 2014-15.) To confirm your
catalog year, log onto DegreeWorks and look in one of the black bars on your worksheet.
Remember, some of you have changed or are planning to change your catalog year in December. If
you have questions about this, please read your DegreeWorks Notes and contact your advisor if
necessary.
TRANSCRIPTS:
Don’t request ASU Transcripts via AppalNet. Either go in person in December and complete paper form
being sure to indicate “HOLD FOR FINAL GRADES.” Or request/collect in person in January prior to Jan.
15th Application Deadline.
Remember: Double check your grades against your transcripts (unofficial or online).
Examples typed in Blue; advice highlighted in yellow is offered by pre-NUR advisors who are not part of the BSN Admission committee.
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YOUR NAME, BANNER ID: 900555555 (you can hand write this)
Spring 2016 Courses:
If you are currently Waitlisted for a Nursing Pre-requisite course, wait to request your transcript until you
are in the class. Do not submit the application without official record that you are taking that class this
Spring.
If you are currently Waitlisted for a Gen Ed only course, list it on application as a delayed course. You won’t
be penalized if you get a seat this spring and don’t have to delay this course.
CS 1410 Note:
There are 4 different options to complete this section:
If you took the course:
CS 1410 Introduction to Computer Applications - this
requirement is only for students from catalog year prior to and
including 2014. CS 110
If you received a Waiver:
CS 1410 Introduction to Computer Applications - this
requirement is only for students from catalog year prior to and
including 2014.
If you completed the Challenge Test:
CS 1410 Introduction to Computer Applications - this
requirement is only for students from catalog year prior to and
including 2014. CS 110
Fall/2015
ASU
A
Date Waiver ASU
granted
WaivedSee e-mail
attached
Date of
Challenge
Test
ASU
Challenge
Passed
ASU
N/A C.Y.
If you are Catalog Year 2015-2016 (Not Applicable by Catalog Year):
CS 1410 Introduction to Computer Applications – this
requirement is only for students from catalog year prior to and
including 2014. CS 110
Examples typed in Blue; advice highlighted in yellow is offered by pre-NUR advisors who are not part of the BSN Admission committee.