WESTERN OKLAHOMA STATE COLLEGE
DEPARTMENT OF NURSING EDUCATION
2012 APPLICATION PACKET
WESTERN OKLAHOMA STATE COLLEGE
DEPARTMENT OF NURSING EDUCATION
Dear Student:
Thank you for your interest in the Associate Degree Nursing Program at Western Oklahoma State College.
It is highly recommended that you review our nursing website at http://wosc.edu/nursing for information
and frequently asked questions about our nursing program (e.g. costs, pre-requisites, admission scoring,
etc…). You may also call the nursing department directly for further information not found on our website
(580) 477-7830.
The Nursing Department at Western Oklahoma State College is looking forward to selecting another
successful nursing class to begin fall 2012. We are excited about the entrance of this class. We currently
have campuses at Altus, Elk City, and Lawton. Classes are taught via ITV with instructors in the
classrooms at each campus and clinical experiences are conducted in area health care facilities.
Applicants will need to indicate on the application which campus they prefer to attend. Students willing to
travel to campus sites other than the one located in their area will need to indicate their choice by priority
such as first, second, etc.
Applications for the program must be turned in to the Nursing office at any of our three (3)
campuses or be mailed to the Altus Campus (see address below) by March 15, 2011. Please review
the following curriculum pre-requisites. Other general education courses required before graduation are
listed on the enclosed Curriculum Plan. Students are selected on a point system basis. This includes points
given for pre-nursing test scores, cumulative GPA, completion of required general education courses and
for the grades received in those courses. Please note that more point value is given for completion of
science courses and the grades received in those courses. Pre-requisites may be taken during the summer
2012 semester as long as courses are completed and grades are turned in to the nursing department office
before fall 2012 classes begin however, classes taken during or after the application deadline will not
be counted for points in the application process.
I look forward to working with you as you begin your journey in nursing education. Please let us know if
we can provide you with any assistance as you proceed with your plans to enter the nursing program.
Sincerely,
Wendi Jakubiak
Wendi Jakubiak RN, MSN, CNE
Director of Nursing Education
Western Oklahoma State College
2012 Application Packet
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WESTERN OKLAHOMA STATE COLLEGE
DEPARTMENT OF NURSING EDUCATION
CONTACT INFORMATION AND MAILING ADDRESS:
Western Oklahoma State College
Department of Nursing Education
2801 North Main Street
Altus, Oklahoma 73521
Melissa Hurst (580) 477-7830
GENERAL STUDENTS
You MUST have the following pre-requisites completed, with appropriate transcripted grades, to enter the
program:
 Human Anatomy with a lab - (must have a grade of “C” or better)
 College Algebra
 General Chemistry with a lab - (must have a grade of “C” or better)
TRANSFER STUDENTS
Procedures for Transfer Student entry to the program varies related to transferability of nursing course
credits, program accreditation, and correspondence with WOSC’s nursing program area of study per
semester. Please be certain to contact the nursing department prior to applying (580) 477-7830.
LPN STUDENTS
Procedures for LPN entry to the program differ because of program accreditations, Cooperative
Agreements, etc. Each LPN applicant MUST contact the department at 580-477-7830 to have LPN
credits assessed for entry purposes, as additional mobility testing may be required. To receive
advance standing credit, LPN applicants must hold a valid, unencumbered LPN license in good standing
and currently practicing as an LPN. LPN students must have completed the following courses with
appropriate grades to be considered for selection:
 Human Anatomy with lab – (must have a grade of “C” or better)
 College Algebra
 General Chemistry with lab - (must have a grade of “C” or better)
 Human Physiology with lab - (must have a grade of “C” or better)
 Microcomputer Applications
 General Psychology
 LPN to RN Transition Course-This course is offered the summer before entry into NURS 2219
(This is mandatory and will be offered during the 2nd 4 week session of the summer semester)
2012 Application Packet
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WESTERN OKLAHOMA STATE COLLEGE
DEPARTMENT OF NURSING EDUCATION
INTERNATIONAL STUDENTS
Applicants classified as an international student using an F-1 Student Visa may attend at one of Western’s
campuses. However, all initial processing & paperwork must be completed with the Office of
Registrar at the Altus campus. Oklahoma law only allows a license to be issued to U.S. citizens, U.S.
nationals, and legal permanent resident aliens. Other qualified aliens may be issued a temporary license
that is valid until the expiration of their visa status, or if there is no expiration date, for one year. For more
information regarding this matter, applicants can contact the Oklahoma Board of Nursing.
ESL – ENGLISH AS SECOND LANGUAGE
Students for whom English is a second language shall be required to present evidence of proficiency in the
English language prior to admission.
Per the 2010-2011 WOSC College Catalog page 18:
“Students seeking enrollment in a state system college or university must meet the
admission standards in the admission policy, the retention policy, and the policy on
admission of transfer students. This policy is adopted to ensure that students will have a
reasonable chance to succeed at a higher education institution based on their ability to
comprehend, read, and write the English language.”
HIGH SCHOOL & COLLEGE TRANSCRIPTS
An official copy of high school transcript/GED AND college transcripts for each college attended
(including WOSC transcripts) must be submitted with the nursing application. Combined college
transcripts will not be accepted. A cumulative GPA of 2.0 out of a possible 4.0 is required. Applicants
with a cumulative GPA less than 2.0 are considered ineligible for acceptance into the nursing program.
Applications submitted without all transcripts will be incomplete and will not be considered for selection.
LPN students must also submit a copy of their LPN Program Transcript of Certificate of Completion
along with a copy of their current LPN license.
DRUG SCREEN
Applicants accepted into the nursing program will undergo a random drug screen prior to entry into the
enrolled course. Licensed practical/vocational nurses with positive drug screens are reported to their state
of licensure per state board nursing rules.
HESI “EXIT EXAM” REQUIREMENT FOR PROGRAM COMPLETION
2012 Application Packet
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WESTERN OKLAHOMA STATE COLLEGE
DEPARTMENT OF NURSING EDUCATION
All students are required to take the HESI “Exit Exam” during their last semester in NURS 2229. All
students will take the test a total of three scheduled times as indicated in the syllabus and the initial cost
is included in the course fees. Western requires a score of 850 on the HESI Exit Exam. If a score of less
than 850 is obtained, a remediation plan must be developed. This must be a written plan that is discussed
with the classroom instructor. Once remediation is complete, a student must re-take the HESI exam until
his/her score is equal to or greater than 850. The HESI Exit Exam can be taken up to one additional time.
The cost for the fourth additional test is NOT included in semester tuition and is the student’s
responsibility.
If a score of 850 is not achieved, a student will receive an Incomplete in the course until it is achieved. If a
score of 850 cannot be achieved by the fourth exam, then the student will not successfully pass the course
or complete the nursing program. At this point the student must apply for re-admission to NURS 2229,
successfully complete comprehensive tests in clinical skills, nursing process, and dosage calculation must
be retaken and successfully completed prior to being enrolled in the Nursing course.
AFFIRMATIVE ACTION COMPLIANCE STATEMENT
Western Oklahoma State College, in compliance with Title VI and Title VII of the Civil Rights Acts of
1964, Title IX of the Education Amendments of 1972, Section 503 of the Rehabilitation Act of
1973Section 402 of the Readjustment Assistance Act of 1974, and other federal laws and regulations, does
not discriminate on the basis of race, color, national origin, sex, age, religion, handicap, or status as veteran
in any of its policies, practices or procedures. This includes, but is not limited to admissions employment,
financial aid, and educational services.
STATEMENT CONCERNING THE AMERICAN WITH DISABILITY ACT
According to the ADA (Americans with Disabilities Act), each student with a disability is responsible for
notifying the College of his/her disability and requesting accommodations. If you think you have a
qualified disability and need classroom accommodations, contact the Counseling Office (C-1E). To
receive services, you must submit appropriate documentation and complete an intake process during which
the existence of a qualified disability is verified and reasonable accommodations are identified. Please call
(580) 477-7710, or email april.dill@wosc.edu for more information.
Please advise the instructor of your disability as soon as possible to ensure timely implementation of
appropriate accommodations. Faculty have an obligation to respond when they receive official notice of a
disability from the Counseling Office but are under no obligation to provide retroactive accommodations.
2012 Application Packet
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WESTERN OKLAHOMA STATE COLLEGE
DEPARTMENT OF NURSING EDUCATION
CRIMINAL BACKGROUND INFORMATION
All applicants (GENERAL, LPN, and TRANSFER STUDENTS) must obtain a CRIMINAL HISTORY
BACKGROUND CHECK from Oklahoma State Bureau of Investigation (OSBI). The original copy must
accompany the application packet.
The college does not deny an applicant entry into the nursing program due to a positive criminal history.
However, various clinical agencies have restrictions regarding individuals with a criminal record. Criminal
background information is reviewed and decisions are made based on the clinical agency’s policies and
guidelines. If an applicant does not meet the standards set by the Oklahoma Board of Nursing or the
clinical agencies, the applicant will not be able to complete the requirements of the program. According to
the Oklahoma Board of Nursing:
“An individual with a felony conviction or who had sentencing terms imposed by the court
related to a deferred sentence for a felony offense cannot apply for licensure for at least five
years after completion of all sentencing terms, including probation and suspended sentences,
unless a presidential or gubernatorial pardon is reviewed [59 O.S. § 567.5 & 567.6].”
OSBI CRIMINAL HISTORY CHECKS:
Background checks can be requested/received by mail or in person. DO NOT request background history
check by fax. FAXED REPORTS WILL NOT BE ACCEPTED.
STEPS TO OBTAINING AN OSBI CRIMINAL HISTORY CHECKS
1. REQUEST BY MAIL
Complete the “Criminal History Information Request Form” off the OSBI website –
http://www.ok.gov/osbi/Criminal_History/
Select: “Criminal History” tab
“OSBI Criminal History Request Form” tab (form can be completed on-line before being printed off)
When completing the form, for “Type of Search Requested” the following must be chosen/selected:
 Name Based - $15.00
 Sex Offender - $2.00
 Mary Rippy Violent Offender - $2.00
Mail completed form, acceptable method of payment and pre-paid self-addressed envelope to:
Criminal History Record Information Request
6600 North Harvey Place
Oklahoma City, OK 73116
You will need to make sure your background check has been processed correctly prior to submitting
it with your application packet. (Background checks do NOT have to be submitted in the sealed
envelope)
2. OSBI REQUEST IN PERSON –
You may obtain a Criminal History Record Check in person by going to the OSBI office located at:
Broadway Executive Office Park
6600 North Harvey, Building 6, Suite 140,
Oklahoma City, OK 73116.
Same form must be completed and same fees apply.
2012 Application Packet
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WESTERN OKLAHOMA STATE COLLEGE
DEPARTMENT OF NURSING EDUCATION
ADMISSION ASSESSMENT EXAM
In January 2010, the WOSC Department of Nursing decided to use a new entrance exam: Evolve Reach
Admission Assessment Exam. As a result of this change no TEAS exam scores will be accepted for
admission. The Evolve Reach Admission Assessment Exam covers five (5) academic areas: Mathematics,
Reading, Biology, Anatomy and Physiology.

All applicants will be required to take a pre-entrance nursing exam. This exam will be given on
several dates and various times in February at all campuses. It may be possible to make
arrangements to test at additional testing sites. Exam dates, times and campuses where the exam
will be given are included in this packet.

The cost of the exam is listed below:
$35.00 if paid on or before February 15, 2012
$40.00 for February 16 through February 21, 2012.
No payments will be accepted after February 21, 2012.
A copy of the paid receipt must be given to Melissa Hurst in the Nursing Department office before the
exam will be scheduled, NO exam will be scheduled without a receipt. Computers are limited therefore
exams will be scheduled on an availability basis.
EXAM GENERAL RULES:
 Applicants may retest ONE (1) time per application period. (Same fees for retesting)
 Applicants must present a current photo ID prior to start of exam
 BASIC calculators only will be allowed during exam, no programmable calculators will be
allowed. No calculators will be provided.
 No cell phones, food, or drinks, are allowed while taking the exam.
PAYMENT OPTIONS:
IN PERSON
 Payments can be made in person at the WOSC Business Office at Altus. Provide cashier with
completed “Admission Exam form”. Bring paid receipt to the Department of Nursing Office.
Exam appointment can be scheduled at this time.
BY CREDIT CARD
 Contact the WOSC Business office at (580) 477-7952 or (580) 477-7731. You will need to provide
them with: exam account number (90112), your social security number and your telephone
number. Please ask that they put a copy of the payment receipt in the Nursing Department
mailbox. Contact Melissa Hurst at (580) 477-7830 to schedule date for exam. You will need to wait
a couple of days after making payment before scheduling an exam date. Do not call the same day
to make your appointment.
2012 Application Packet
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WESTERN OKLAHOMA STATE COLLEGE
DEPARTMENT OF NURSING EDUCATION
BY MAIL
 Applicants can mail payment for exam. Make checks payable to Western Oklahoma State College
and mail to:
Western Oklahoma State College
Department of Nursing Education
2801 N. Main Street
Altus, OK 73521
 Mail completed Admission Exam Form along with check. Please contact Melissa Hurst at
(580) 477-7830 to confirm payment received and schedule exam appointment.
REFUND POLICY
Requests for a refund are only accepted with a notice of at least 24 hours prior to the scheduled exam time.
Requests for refunds should be e-mailed to melissa.hurst@wosc.edu. NO MISSED EXAMS WILL BE
REFUNDED WITHOUT A 24 HOUR NOTIFICATION TO THE ALTUS NURSING
DEPARTMENT (580) 477-7830
2012 Application Packet
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WESTERN OKLAHOMA STATE COLLEGE
DEPARTMENT OF NURSING EDUCATION
2012 NURSING APPLICATION
ADMISSION EXAM FORM
Account # 90112
Provide WOSC Business Office with completed form when making payment.
Today’s Date: __________________________
Name: __________________________________
(Please Print)
SSN: __________ - __________ - ____________
Mailing Address: ____________________________________________
____________________________________________
City
State
Zip Code
Phone Number: _______________________________
THE COST OF THE EXAM:

$35.00 IF PAID BY FEBRUARY 15, 2012

$40.00 IF PAID AFTER FEBRUARY 15, 2012 through FEBRUARY 21, 2012
NO PAYMENTS WILL BE ACCEPTED AFTER FEBRUARY 21, 2012
IT IS HIGHLY RECOMMENDED THAT YOU PAY FOR AND SCHEDULE TWO ADMISSION
TESTS INITIALLY. WE RECOMMEND THAT YOU TAKE THE EXAM EARLY SO YOU
WILL HAVE A CHANCE TO STUDY BEFORE RE-TAKING THE EXAM.
2012 Application Packet
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WESTERN OKLAHOMA STATE COLLEGE
DEPARTMENT OF NURSING EDUCATION
ADMISSION EXAM SCHEDULE
SPRING 2012
DATE
February 1, 2012
DAY
Wednesday
TIME
9:00am-1:00pm
February 7, 2012
Tuesday
9:00am-1:00pm
February 9, 2012
February 13, 2012
February 15, 2012
Thursday
Monday
Wednesday
9:00am-1:00pm
9:00am-1:00pm
9:00am-1:00pm
February 21, 2012
Tuesday
9:00am-1:00pm
February 23, 2012
Thursday
9:00am-1:00pm
February 29, 2012
Wednesday
9:00am-1:00pm
**APPLICANTS:



Please allow 4 hours to complete exam.
Arrive 10 minutes prior to start of exam to complete necessary paperwork.
If NOT present at start of exam, applicants will have to reschedule exam.
STUDY GUIDE
A study guide can be purchased at the WOSC Bookstore Altus Campus or on-line at various
websites (Overstock.com, Amazon.com) or at the following website:
www.us.elsevierhealth.com
Enter ISBN#: 9781416056355 in search field
Estimated cost of the study guide is $36.95 plus shipping and handling.
2012 Application Packet
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WESTERN OKLAHOMA STATE COLLEGE
DEPARTMENT OF NURSING EDUCATION
APPLICANT CHECKLIST
THIS IS FOR THE APPLICANTS INFORMATION ONLY
DO NOT TURN IN WITH APPLICATION
________ OFFICIAL HIGH SCHOOL TRANSCRIPT/GED ATTACHED
________ OFFICIAL COLLEGE TRANSCRIPT(S) ATTACHED FROM ALL COLLEGES
ATTENDED
________ OSBI BACKGROUND CHECK ATTACHED
________ CERTIFIED COURT DOCUMENT(S) RELATED TO CONVICTIONS/CHARGES
(If applicable)
________ LPN TRANSCRIPT ATTACHED (Please make sure you have contacted the Nursing
Department regarding your LPN program’s accreditation status prior to submitting
application)
________ COPY OF LPN LICENSE ATTACHED
________ ADMISSION EXAM PAID FOR
________ RECEIPT TURNED IN TO WOSC NURSING OFFICE AT ALTUS
________ SCHEDULED ADMISSION TEST TIME & DATE: ________________________________
________ APPLICATION TURNED IN
CURRICULUM COMPLETED
**General Students must have completed pre-requisite courses and transcripts turned into the nursing office by
August 1, 2011.
LPN’s must have all shaded courses completed before August 1, 2011, and copy of transcript (s) turned into the
nursing office by August, 1, 2011.
COURSE
COURSE NAME
**BIOL 2104
BIOL 2304
**CHEM 1115
**MATH 1513
COSC 1153
PSY 1113
Human Anatomy with lab
Human Physiology with lab
General Chemistry with lab
College Algebra
Microcomputer Applications
General Psychology
NURS 1123
ENGL 1113
POLS 1113
HIST 1483/93
2012 Application Packet
LPN to RN Transition
Course*
English Comp I
Federal Government
American History
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WESTERN OKLAHOMA STATE COLLEGE
DEPARTMENT OF NURSING EDUCATION
DATE _________________ CAMPUS SITE PREFERRED: (PLEASE RANK CHOICE: 1ST, 2ND & 3RD)
(Month, Day, Year)
ALTUS__________ ELK CITY________LAWTON________
NAME: ______________________________________________________________________
(Last)
(First)
(Middle)
(Maiden)
SOCIAL SECURITY NUMBER ______________
PHONE: _____________________________________________________________________
(Home)
(Cell)
(Work)
EMAIL ADDRESS: ____________________________________________________________
MAILING ADDRESS: __________________________________________________________
(Street)
____________________________________________________________________________
(City)
(State)
(Zip)
(County)
PERMANENT ADDRESS: ______________________________________________________
(Street)
____________________________________________________________________________
(City)
(State)
(Zip)
(County)
EMERGENCY CONTACT: ______________________________________________________
(Name)
(Phone)
____________________________________________________________________________
(City)
2012 Application Packet
(State)
(Zip Code)
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WESTERN OKLAHOMA STATE COLLEGE
DEPARTMENT OF NURSING EDUCATION
ARE YOU A U.S. CITIZEN? _____ YES_____ NO
IF NON-CITIZEN (Please mark the appropriate status)
_____ F-1 Student Visa _____ Permanent Resident
_____ Other immigrant status
The Western Oklahoma Department of Nursing Education is approved by the Oklahoma Board of
Nursing. Graduates of this state-approved program are eligible to apply to write the National Council
Licensure Examination (NCLEX) for registered nurses. Applicants for Oklahoma license to practice
nursing. In addition to completing a state-approved nursing education program that meets educational
requirements and successfully passing the licensure examination, requirements include submission of an
application for licensure, a criminal history records search, and evidence of citizenship or qualified alien
status. To be granted a license, an applicant must have the legal right to be in the United States (United
States code chapter 8, section 1621). In addition, Oklahoma law only allows a license to be issued to U.S.
citizens, U.S. nationals, and legal permanent resident aliens. Other qualified aliens may be issued a
temporary license that is valid until the expiration of their visa status, or if there is no expiration date, for
one year. Applicants who are qualified aliens must present, in person, valid documentary evidence of:
1. A valid, unexpired immigrant or nonimmigrant visa status for admission into the United States;
2. A pending or approved application for asylum in the United States;
3. Admission into the United States in refugee status;
4. A pending or approved application for temporary protected status in the United States;
5. Approved deferred action status; or
6. A pending application for adjustment of status to legal permanent resident status or conditional
resident status.
The Board has the right to deny a license to an individual with a history of criminal background,
disciplinary action on another health-related license or certification, or judicial declaration of mental
incompetence [59 O.S. §567.5 & 567.6].
*HAVE YOU EVER BEEN CONVICTED, ENTERED A PLEA OF GUILTY, NO CONTEST, OR
A SIMILAR PLEA, OR HAD PROSECUTION OR A SENTENCE DEFERRED OR
SUSPENDED AS AN ADULT OR JUVENILE IN ANY STATE OR JURISDICTION?
______YES ______NO
*HAVE YOU EVER BEEN CONVICTED OF OR HAVE PENDING INVESTIGATION
REGARDING THE COMMISION OF A FELONY?
______YES ______NO
If you answered yes to either question above, you must send certified copies of all court documents
related to your criminal history with your application.
According to the Oklahoma Board of Nursing “An individual with a felony conviction or who had
sentencing terms imposed by the court related to a deferred sentence for a felony offense cannot apply
for licensure for at least five years after completion of all sentencing terms, including probation and
suspended sentences, unless a presidential or gubernatorial pardon is reviewed [59 O.S. § 567.5 &
567.6].”
2012 Application Packet
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WESTERN OKLAHOMA STATE COLLEGE
DEPARTMENT OF NURSING EDUCATION
1. HAVE YOU PREVIOUSLY APPLY TO THE NURSING PROGRAM AT WOSC?
___YES
___ NO
1a. IF YES, WHAT YEAR _______________
*TRANSCRIPTS ARE ONLY KEPT ON FILE IN THE NURSING DEPARTMENT FOR ONE YEAR. IF YOU
HAVE TAKEN ANY ADDITIONAL COURSES, YOU WILL NEED NEW TRANSCRIPTS WITH THIS
APPLICATION PACKET.
2. ARE YOU AN LPN / LVN _____ YES _____ NO
(If yes, attach PN school transcript or certificate of completion)
**You must have a valid unencumbered license or pass the NCLEX- LPN before the Fall Semester to be
considered
LPN SCHOOL ATTENDED
CITY, STATE
YEAR GRADUATED
2a. DID YOU ATTEND ONE OF THE TECHNOLOGY CENTERS LISTED BELOW? ___YES___ NO
(if YES answer 2b)
_____ GREAT PLAINS TECHNOLOGY CENTER
_____ SOUTHWEST TECHNOLOGY CENTER
_____ RED RIVER TECHNOLOGY CENTER
_____ WESTERN TECHNOLOGY CENTER
2b. IF YES- DID YOU SIGN A COOPERATIVE AGREEMENT WITH WESTERN OKLAHOMA STATE
COLLEGE BEFORE GRADUATING? ___YES___ NO (if NO answer to 2c)
2c. IF NO- HAVE YOU SPOKEN WITH THE NURSING PROGRAM DIRECTOR PRIOR TO
SUBMITTING THIS APPLICATION? ___YES___ NO (if NO follow directions in 2d)
2d. PLEASE CALL 580-477-7830 TO SPEAK WITH THE PROGRAM DIRECTOR IF YOU HAVE NOT
ALREADY DONE SO.
3. HAVE YOU PREVIOUSLY ATTENDED AN RN NURSING PROGRAM? ___YES ___ NO
IF YES, LIST SCHOOL ATTENDED:
_____________________________________________________________________
School
City, State
Year last semester was successfully completed
REASON FOR LEAVING:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
2012 Application Packet
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WESTERN OKLAHOMA STATE COLLEGE
DEPARTMENT OF NURSING EDUCATION
HIGH SCHOOL ATTENDED
____________________________________________________________________________
Name
YEAR GRADUATED
(CITY)
(STATE)
COLLEGES/UNIVERSITIES ATTENDED
COLLEGES / UNIVERSITIES
ATTENDED
(List in chronological order)
CITY / STATE
ATTENDED
FROM / TO
DEGREE
MAJOR
(ATTACH A PAGE FOR ADDITIONAL COLLEGE INFORMATION)
EMPLOYMENT HISTORY (PAST 5 YRS)
PLACE OF EMPLOYMENT
2012 Application Packet
CITY / STATE
POSITION
DATE STARTED
DATE ENDED
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WESTERN OKLAHOMA STATE COLLEGE
DEPARTMENT OF NURSING EDUCATION
I,
HEREIN, MAKE APPLICATION FOR ADMISSION INTO THE
NURSING PROGRAM AT WESTERN OKLAHOMA STATE COLLEGE. I DECLARE MY
INTENTION TO ENROLL IN THE NURSING PROGRAM FOR THE FOLLOWING SEMESTER:
______ NURSING 1119
GENERAL STUDENTS/FALL SEMESTER
______NURSING 1129
LPN STUDENTS/ SPRING SEMESTER
_____NURSING 2219
LPN / TRANSFER STUDENTS
FALL SEMESTER
I UNDERSTAND THAT THE NURSING PROGRAM OF WESTERN OKLAHOMA STATE
COLLEGE ADMITS A LIMITED NUMBER OF STUDENTS DUE TO AVAILABLE RESOURCES
AND/OR FACULTY, AND ALTHOUGH I MAY MEET OR EXCEED THE MINIMUM
REQUIREMENTS FOR ADMISSION, CIRCUMSTANCES MAY PREVENT THE NURSING
PROGRAM FROM ADMITTING ALL STUDENTS WHO HAVE MET THE ADMISSION
CRITERIA. I ALSO UNDERSTAND THAT I MAY BE OFFERED A CAMPUS OTHER THAN MY
PREFERRED CAMPUS SITE BASED UPON MY ADMISSION SCORES.
I CERTIFY THAT THE INFORMATION IN THIS APPLICATION IS COMPLETE TO THE BEST
OF MY KNOWLEDGE.
ALL INFORMATION IN THIS APPLICATION IS CONFIDENTIAL AND WILL BE USED BY THE
NURSING ADMISSION COMMITTEE AND THE DIRECTOR OF NURSING ONLY.
I UNDERSTAND THAT SUBMISSION OF FALSE INFORMATION IS GROUNDS FOR
DENIAL OF ADMISSION TO OR DISMISSAL FROM THE WESTERN OKLAHOMA STATE
COLLEGE NURSING PROGRAM. I ALSO UNDERSTAND, IF MY APPLICATION PACKET IS
NOT COMPLETE, INCLUDING CERTIFIED COPIES OF TRANSCRIPTS FROM EACH
COLLEGE I HAVE ATTENDED, THAT I WILL NOT BE CONSIDERED FOR ADMISSION IN TO
THE PROGRAM.
PLEASE BE AWARE THAT DUE TO CURRENT ECONOMIC CRISIS & BUDGET
SHORTFALLS, THERE IS THE POSSIBILITY OF AN OFF-SITE CAMPUS CLOSING. IF A
CAMPUS CLOSING DOES OCCUR, APPLICANTS WILL BE NOTIFIED AND MAY BE
RELOCATED TO ANOTHER CAMPUS.
APPLICANT’S SIGNATURE _________________________________ DATE______________
2012 Application Packet
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