College of Health and Human Development
School of Nursing
P.O. Box 6868, Fullerton, CA 92834/92831
Email: nursing@fullerton.edu
/
/
T 657-278-3336
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F 657-278-3338
Website: http://nursing.fullerton.edu
Dear ADN Student,
Would you like to get a head start on your BSN? Cal State Fullerton’s School of Nursing offers you
the opportunity to take BSN courses while enrolled in an ADN program at one of our eight partner
community colleges! During summer semesters, we will offer select RN-BSN courses specifically
for ADN students wanting to get started on a BSN. Students are allowed to participate in both
courses as long as they understand that there will be a lot of coursework and a greater time
commitment expected of them.
To be eligible to take a summer BSN course(s), you must meet the following criteria:
 Currently enrolled (in good standing) in the ADN program at one of the following
community colleges: Cerritos, Chaffey, Cypress, Golden West, Mt. SAC, RCC, Saddleback
or Santa Ana.
 Completed at least 1 semester your ADN program at one of the colleges listed above
 Have a cumulative GPA of at least a 3.0 on a 4.0 scale
 Completed the nursing prerequisites for the RN-BSN program at CSUF which include
achieving a C or better in the following college level courses:
o Human Anatomy, with lab
o Human Physiology, with lab
o Microbiology, with lab
o Chemistry (intro or general is acceptable)
o Statistics (CSU B4 certified course or CSUF Nursing approved course)
In Summer 2014, we will be offering two courses: NURS 305 Professional Nursing (4 units), and
NURS 310 Nursing Research/Evidence Based Practice (3 units). In NURS 305, the professional
nursing role is examined including nursing theory and research, ethics theory, communication
theory and principles, and the nursing process. Theories and concepts of health and techniques in
health promotion are presented from a holistic framework. In NURS 310, emphasis is placed on
the development of nursing knowledge for the improvement of nursing outcomes. Research
methods are explored and current issues are analyzed in relation to the implementation of
evidence-based professional nursing practice in selected settings.
Enrollment in summer BSN courses will not guarantee admission into our RN-BSN program, but it
will give you a head start to help you be successful in the RN-BSN program once you have
officially applied, met the admission criteria, and been admitted in a future semester.
We hope you will consider this opportunity to jump start your BSN!
Sincerely,
Stephanie Vaughn PhD, RN, CRRN
Associate Professor, Post-Licensure Nursing Program Coordinator
Summer BSN Course Enrollment
Instructions
Step 1: Complete the 3 included forms
Form 1: Associate Degree Verification Form
Complete top half of the Associate Degree Verification Form and submit form to home campus
Nursing Department. Once your Home Campus Nursing Department has completed the “Home
Campus Verification” box, pick up the form so you can submit it with the other required forms.
Form 2: Open University Registration Form
Complete the top section of the form. Be sure to sign in the “Important Note” box. Please do
NOT fill in any of the course information in the middle boxes. The CSUF School of Nursing will
complete the course information boxes and obtain the necessary CSUF signatures on your
behalf.
Form 3: Open University Enrollment Application
Complete all sections of the form as required. If you are a US Citizen, you will not need to
complete section B. Non-US Citizens will need to complete Section B in addition to the rest of
the form.
Currently, Open University charges $350 per unit and additional fees of $29 (this includes costs
for a CSUF Student ID card).
NURS 305 is a 4 unit course making the total cost to enroll in this summer BSN course, $1429.
NURS 310 is a 3 unit course making the total cost to enroll in this summer BSN course, $1079.
If a student enrolls into both courses, the total cost is: $2,479.
If you would like to pay by credit card, please include your credit card information in the
Payment section. Payment will be processed at the time of registration (mid-May).
If you would prefer to pay by check*, leave the payment box empty. Submit a check or money
order made payable to CSUF for the total amount of fees with your forms to the CSUF School
of Nursing.
Step 2: Submit completed forms to CSUF School of Nursing in one of the following ways:



Email: Scan all three forms and email all as attachments to mschwartz@fullerton.edu
Fax: Fax all forms with a cover sheet indicating “JUMP START” to (657) 278-2096
Mail to:
CSUF School of Nursing
Attn: Nursing Advising Office – Michelle Schwartz
PO Box 6868
Fullerton, CA 92834
*If paying by check/money order, you must mail the three completed forms along with your
check/money order to the address above. Please do not email/fax forms and then send
payment separately.
Associate Degree Verification Form
Complete this form and submit to the Nursing Department at your home campus prior to the CSUF filing period
(April 1 – May 1). Your home campus must verify that you have completed the course prerequisites, your GPA and
your ADN enrollment.
Home Campus_____________________________________________________________________________
If you have previously attended Cal State Fullerton, what was the last term attended? Term______ Year______
First Name____________________________________ Last Name___________________________________
Mailing address: ____________________________________________________________________________
Phone Number (___)_____________ Email address: _______________________________________________
Course planned at California State University, Fullerton:
□ NURS 305 – Professional Nursing (4 units)
□ NURS 310 – Evidence Based Nursing Research (3 units)
I certify the information provided is accurate and that I have read and understand eligibility requirements, enrollment
conditions, and procedures as stated on the back of this form.
Student’s signature_______________________________________________ Date__________________
HOME CAMPUS VERIFICATION
_________________________ certifies that this student has successfully completed the following college level courses with
a C or better. Student is currently enrolled in ___________________ (1st, 2nd, 3rd, 4th) semester of ADN program.
□ Human Anatomy w/Lab
□ Human Physiology w/Lab
□ Microbiology w/Lab
□ Chemistry
□ Statistics
GPA: _______
Signature_____________________________________________________
Cumulative GPA
or
Current GPA at Home Campus
Date_____________________
CSUF SON OFFICE USE ONLY
□ Enrollment Approved
□ Not Approved, Reason:____________________________________________
Signature___________________________________________________________________ Date___________
Rev. 3/15/13
Policies and Procedures
Students enrolled in a Nursing Associate’s Degree Program (ADN) may enroll in designated BSN courses without formal
admission to California State University, Fullerton (CSUF). Course offerings are provided through Cal State Fullerton Extended
Education. Enrollment and completion of course does not guarantee admission to CSUF. To be admitted to CSUF’s RN-BSN
program in the future, students must follow regular application/admission procedures and deadlines which are detailed on the
CSUF School of Nursing website, http://nursing.fullerton.edu.
Enrollment is dependent on the requirements and procedures listed below.
ELIGIBILITY REQUIREMENTS: A student is qualified to enroll if he or she has met all the following requirements:


Currently enrolled and completed at least one semester of the Associate Degree in Nursing (ADN) program at:
 Cerritos College
 Chaffey College
 Cypress College
 Golden West College
 Mt. San Antonio College
 Riverside City College
 Saddleback College
 Santa Ana College
Home campus approval and verification for course prerequisites, Grade Point Average (GPA) and current enrollment.
o Prerequisite college level courses must be completed with a C or better
 Anatomy with Lab
 Physiology with Lab
 Microbiology with Lab
 Chemistry (General or Intro)
 Statistics (CSU B4 certified or a syllabus may be submitted to CSUF School of Nursing for evaluation.)
o Home campus must verify cumulative GPA. If a cumulative GPA is not available, current GPA at home
campus can be specified.
o Home campus must specify the student’s current term of enrollment in the ADN program.
PROCEDURES:
1.
2.
3.
Complete the top portion of the Associate Degree Verification Form.
The completed form should be submitted to the Nursing Department on your home campus. The Nursing Department will
complete the Home Campus Verification Form.
Collect the signed and completed Associate Degree Verification Form from home campus and submit to Cal State
Fullerton along with your CSUF Open University Enrollment Application and Open University Registration Form.
Completed forms will only be accepted at the CSUF School of Nursing April 1 – May 1, 2014
FEES/FINANCIAL AID:
All fee and financial aid related questions for this summer course should be addressed to Cal State Fullerton Extended Education.
Extended Education Contact Information
Email: ueeinfo@fullerton.edu
Phone: 657.278.2611
Website: http://www.ou.fullerton.edu/default.aspx
Rev. 3/28/13
Last Name ____________________First Name ________________Middle ________
Please print clearly
Open University Registration Form
Semester:
Date:________________________
* If you do not have a CWID,
or cannot remember it,
please list the following:
Social Security Number
CWID # (campus wide ID)
/
Male
Female
/
Birthdate (mm/dd/yyyy)
Please check the box of your preferred phone number:
Street Address
State
Zip
CMS _______________
CASHNET _______________
Bio Updated
PIN
Open University Code: ___________________________________
Home Phone #
City
(For office use only)
Univ./College Name: ____________________________________
Mobile Phone #
Male
Email Address
Business Phone #
Female
Extension
Important Note! (Please READ and SIGN for below items)
•
Only the first 24 units of credit taken through Open University enrollment may count toward a bachelor’s degree. Courses taken through Open University cannot be used to fulfill any of the residence requirements (30 semester units) for
a bachelor’s degree. For graduate degrees, normally 6-9 units of approved credits may apply, but for degrees which require more than 30 units, more units of credit may apply. Please consult the department graduate advisor.
•
Student Signature _____________________________________________________________________
I meet the prerequisite(s), if any, for the classes listed below.
Class Number
Credit
Units
Grade
Option (*)
Subject Area & Number
(example: BIOL 101)
(1) UEE Academic Advisor Signature
(2) Instructor’s Signature
(3) Department Stamp
Date
Fee
1
(*) Grade Option: Enter 1 for letter grade; enter 2 for CR/NC; enter 3 for audited classes.
[Signature & Stamp are valid for 7 days only]
Photo identification required for payment by credit card or check (payable to CSUF).
Card number _______________________________________________________________________ Expiration date (Mo./Yr.) ____________________
Check one:
Visa
MasterCard
Discover
American Express
Print name of cardholder _______________________________________________________ Billing Zip Code
Cardholder Signature (Authorization to charge) ______________________________________________________________________________________
Bill my company. (Purchase order or letter of sponsorship must accompany registration form)
Please visit www.parking.fullerton.edu for parking fees and information. Semester parking permits are available for purchase online
or at the Parking and Transportation office, T-1400 only.
Disabled Student Services
If you are a permanently
disabled person or have a
temporary disability and require
assistance from the university
(including parking
arrangements), contact
Disabled Student Services,
University Hall, room 101,
(657) 278-3117.
Total Fees for Above Classes
Consolidated Course Fee
$25.00
Titan Card Activation Fee
$4.00
Late Fees
(Checks not accepted for late registration)
TOTAL FEES
$
Enrollment is on a “space available” basis
and is determined at the time of registration.
Register in person at CSUF University Extended Education ● 2600 Nutwood Ave., Suite 100, Fullerton, CA 92831 ● Questions? Please call (657)278-2611 ● www.ou.fullerton.edu ● Fax # (657)278-2088
09/13
For office use only
Open University Enrollment Application
Received by:
Date:
PLEASE PRINT AND COMPLETE ALL INFORMATION.
____________________________ _________________________ ___________
__________________________________
Last name
CSUF Student ID or Social Security Number
First name
Middle name
A. All students must complete the following section:
Are you currently officially enrolled (matriculated) or authorized to enroll as a Cal State Fullerton student? ……………………… Yes
No
Last Name ______________________________
First Name ______________________________
If yes, you are not eligible to enroll through Open University.
Did you attend, for at least three years, a high school or college in which English was the principal language of instruction? …...Yes
No
If no, did you bring documentation of a TOEFL score over 500 (PBT) or 61 (iBT)? ………………………………………………..Yes
No
All applicants, regardless of citizenship, who have not attended, for a least three years, a school at the secondary level or beyond in which
English was the principal language of instruction, are required to score above the minimums on the Test of English as a Foreign Language
(TOEFL) Verification of the TOEFL score must be presented when registering. See
www.fullerton.edu/admissions/ProspectiveStudent/International.asp for more information.
Have you lived in the U.S. for the preceding three years? ………………………………………………………………………………..Yes
No
If no, did you bring a Tuberculosis test verification? ………………………………………………………………………………….. Yes
No
All applicants who were born after January 1, 1957 must have proof of measles and rubella immunization, regardless of citizenship.
Were you born after January1, 1957? …………………………………………………………………………………………………...Yes
No
If yes, have you been immunized against measles and rubella? ……………………………………………………………………. Yes
No
Citizenship status:
U.S. Citizen
Non-U.S. Citizen (If non-U.S. citizen, complete section B.)
B. Non-U.S. Citizens must complete the following section:
1. Student visa holders: University Extended Education is authorized to enroll F-1 and J-1 visa holders who can establish that they are
maintaining their respective non-immigrant status with their sponsoring universities or institutions. University Extended Education
does not issue form I-20 or form DS-2019; therefore, Open University students are not considered to be full-time matriculated
students for immigration purposes.
2. Documents: be prepared to present the applicable documents when you register.
a) Immigrant status: I-551 Alien Registration Receipt Card No. _______________________________________________________
b) Refugee or asylum applicant status: copy of the I-94 document. Admission No. ________________________________________
c) Other non-immigrant status: Visa type: ________________________________________________________________________
Admission No._____________________________________ Passport No.____________________________________________
d) Student status: F-1 or J-1 visa and your passport. You are required to have the foreign student adviser at your sponsoring
university/college sign your adjunct enrollment registration form.
To be completed by Designated School Official (DSO) for F-1 or J-1 Visa students only
Student status: F-1 Visa, SEVIS ID# ___________________________ or J-1 Visa, SEVIS ID# ____________________________
Passport No. __________________________________________
At what university/college are you enrolled? _________________________________________ Number of Units______________
Authorization by the DSO at that university/college is required:
____________________________________________________
Advisor’s name (print or type)
____________________________________________
Advisor’s signature
_____________________
___________________________
___________________________________________
Date
Phone
Email address
C. Application Certification
I certify that the information in section A and, if appropriate, section B is true and correct.
_______________________________________________________________________
Signature
___________________________
Date
University Extended Education • California State University, Fullerton • 657.278.2611