Northern Michigan University
Department of Practical Nursing
Application for Admission
DEADLINE FOR APPLYING FOR ADMISSION INTO THE LPN PROGRAM IS
MONDAY, APRIL 6th, 2015
Please complete and return to the Practical Nursing Office, 3711 West Science Building
NMU Identification (IN#) ____________________ Contact Phone _______________________
Name_________________________________________________________________________
Mailing Address (permanent address) _______________________________________________
______________________________________________________________________________
NMU (or Preferred) Email________________________________________________________
**Please update the Department with changes in your mailing address or contact phone
number, especially during the summer as needed.
Please indicate whether you have completed or when you will complete the following:
Course
BI 104 or
Credits
4
Taken Where
Grade
BI201/202
HN 210 or
4
HN301 A& B
HP 200
1
AH 102
3
PN 100 / AH
101
PN 103
2
NU 221
2
1
**Please attach to this application: a copy of your unofficial NMU student transcript
and/or transcripts from all colleges or universities you have attended with an NMU
Transfer Credit Evaluation of your credits received at these colleges or universities.
______________________________________________________________________________
For office use only: Do not write in the spaces below.
Overall NMU
GPA
Pre-requisites
GPA
BI 104
HN 210
HP 200
AH 102
PN 100/
AH 101
PN 103
NE 212
(NU 221)
__________
__________
_____
______
______
______
______
______
______
Admit__________
Revised W2015
Provisional Admit__________
Not Admit__________
Please answer the following questions:
1.
Are you currently enrolled at Northern Michigan University?
_____ Yes
_____ No
2.
If not currently enrolled, have you been informed by letter of your acceptance to
Northern Michigan University?
_____ Yes
_____ No
3.
Please check if applicable:
_____ I am a transfer student.
_____ I have another Degree; Specify _________________________________________
4.
Have you previously applied for admission to the Practical Nursing Program?
_____ Yes
_____ No
If Yes, when?______________________________
5.
Are you currently a certified nursing assistant?
_____ Yes
_____ No
_____ Yes, but certification has expired.
Optional information (for demographical purposes only):
6.
Please indicate your racial/ethnic background:
_____ Caucasian/White
_____ Hispanic/Latino
_____ African-American
_____ Native American
_____ Asian-American
_____ Multiracial: Specify____________________
7.
Indicate citizenship:
8.
Is your home in the Upper Peninsula? _____ Lower Peninsula? _____ Other? _____
9.
_____ Male
10.
Date of Birth____________
_____ U.S.
_____ Other:___________________
_____Female
______________________________________________________________________________
Admission Process:
The Admissions Committee in the Department of Practical Nursing will meet at the conclusion
of winter semester. Each applicant will receive a letter from the School of Nursing informing
him/her of their admission status. Students who are not admitted on the first application may
reapply for the next admission cycle.
Admission to the Practical Nursing clinical sequence of courses is limited. The School of
Nursing’s Practical Nursing Department Admissions Committee reserves the right to select
students to be admitted. Admission into the clinical nursing sequence is based upon a student’s
cumulative GPA in the prerequisite courses. Students who have the highest GPA in the
prerequisite courses will be admitted first until the class is filled. Not all students who have met
the minimum standards will be admitted if the space is not available.
Revised W2015
To be considered for admission into the practical nursing clinical program, students must meet
the following qualifications:
1.
2.
3.
Must have met all NMU admission requirements and be in good standing.
Must have a minimum cumulative grade point average of 2.0 (C) in all the prerequisite
college courses required in the program with no grade below “C”. In addition, students
must have a cumulative NMU GPA of 2.0.
Must have successfully passed all required prerequisite nursing courses after a maximum
of two attempts. This includes: AH 101 (or PN 100), AH 102, PN 103, BI 104 (or BI
201/202), HN 210 (or HN 301A/301B), and HP 200. Also included is NU 221 if taken
prior to admission to the program.
Practical Nursing students will be notified of acceptance or rejection during the summer
semester.
Retention in the LPN Program Nursing Sequence
For a student to remain in the nursing sequence they need to meet the following conditions:
1.
Maintain a minimum overall GPA of a 2.0 in all nursing courses and an overall NMU
GPA of 2.0. Achieve a C in all nursing classes (NU and PN).
2.
Adhere to the University Student Code and Practical Nursing Student Policies.
3.
Demonstrate a pattern of safe clinical practice to commensurate with their educational
experience to date.
______________________________________________________________________________
Do you understand that the faculty reserves the right to select the applicants who shall be
admitted and that action by the Admissions Committee in the Department of Practical
Nursing is provisional pending receipt of evidence that all pre-nursing requirements have
been met? (Please initial)
_____ Yes
_____ No
I UNDERSTAND THE ABOVE AND BELIEVE THAT I HAVE FULFILLED THE
REQUIREMENTS FOR ADMISSION AS SET FORTH BY THE DEPARTMENT OF
PRACTICAL NURSING.
Signature____________________________________________
Date____________________
PLEASE NOTE - TRANSFER STUDENTS: YOU MUST BE ADMITTED INTO
NORTHERN MICHIGAN UNIVERSITY BEFORE YOU MAY APPLY TO THE
PRACTICAL NURSING PROGRAM.
Revised W2015