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Associate of Applied Science in Nursing; PN Exit Option CEP - Concurrent Enrollment Program Application for Admission To what concurrent enrollment program (CEP) are you applying? Select One. If applying to more than one program, a separate packet to be submitted for each program. Bachelor of Science in Nursing (BSN) with Arizona State University (ASU). Bachelor of Science in Nursing (BSN) with Northern Arizona University (NAU). Master of Science in Nursing (MSN) with Grand Canyon University (GCU). Last Name: First Name: PCC Student A Number: Application Date: PCC E-mail Address: Phone Number: INITIAL ADMISSION APPLICATION INSTRUCTIONS: Complete the application and submit packet in one fluid PDF via your PCC student e-mail to [email protected]. No personal or work email submissions will be accepted. Deadline for Spring semester is June1 annually. Deadline for Fall semester is February 1 annually. To complete your application, ensure that all documents are included in the the packet prior to submission and that your name and/or PCC student A# are on all PCC documents when downloaded. It is the responsibility of the student to ensure all documents have been submitted. Packet will not be reviewed until after the deadline date. Documents to attach to this application in the order listed below (check boxes to confirm submitted): Attach documentation of Accuplacer Reading Assessment report. Compass Reading is NOT acceptable. Attach ONE unofficial PCC transcript detailing: MAT142 or MAT151 (or higher) and WRT101 with a grade "C" or higher BIO201IN/BIO201IH and BIO202IN with a grade of "B" or higher AGEC-A certificate (NAU only - apply through Student Services) Required university preparatory requirements (this is different per program of choice) Attach an unofficial university transcript if seeking points for a prior degree (must show degree conferred on transcript. Attach letter of employer verification (192 hours within last two years), if applicable. If seeking points for work in healthcare with a license or certification, attach verification of licensure or certification. Attach letter of volunteer activity (100 hours within last two years), if applicable Do NOT attach any documentation not listed above. If applying to more than one program, a separate application packet must be submitted for each program. DISCLAIMER AND SIGNATURE: I give permission for representatives of Pima Community College (PCC) and the university to review my application to the nursing program (FERPA waiver). I certify that my answers are true and complete to the best of my knowledge. I understand that false or misleading information in my application or relevant documents will result in my denial of consideration for admission and may be subject to Student Code of Conduct review. I understand that if I am not accepted into this program for this semester it will be necessary to reapply for future semesters using a new application packet. I also understand that I must meet the requirements of the Associate of Applied Science (AAS) in Nursing; PN Exit Option program to apply to this program. The Nursing Admission Committee will review my application for PCC requirements while the university of choice will review my application for the university entry requirements. Failure to meet either PCC or the university requirements will result in a denial and will require me to reapply in the next application cycle. Student Signature: Date of Application: Revised 02/2021

Associate of Applied Science in Nursing; PN Exit Option...Associate of Applied Science in Nursing; PN Exit Option CEP - Concurrent Enrollment Program Application for Admission To what

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Page 1: Associate of Applied Science in Nursing; PN Exit Option...Associate of Applied Science in Nursing; PN Exit Option CEP - Concurrent Enrollment Program Application for Admission To what

Associate of Applied Science in Nursing; PN Exit Option CEP - Concurrent Enrollment Program Application for Admission

To what concurrent enrollment program (CEP) are you applying? Select One.If applying to more than one program, a separate packet to be submitted for each program.

Bachelor of Science in Nursing (BSN) with Arizona State University (ASU).

Bachelor of Science in Nursing (BSN) with Northern Arizona University (NAU).

Master of Science in Nursing (MSN) with Grand Canyon University (GCU).

Last Name: First Name:PCC Student A Number:

Application Date:PCC E-mail Address:Phone Number:

INITIAL ADMISSION APPLICATION INSTRUCTIONS:

Complete the application and submit packet in one fluid PDF via your PCC student e-mail to [email protected]. No personal or work email submissions will be accepted. Deadline for Spring semester is June1 annually. Deadline for Fall semester is February 1 annually. To complete your application, ensure that all documents are included in the the packet prior to submission and that your name and/or PCC student A# are on all PCC documents when downloaded. It is the responsibility of the student to ensure all documents have been submitted. Packet will not be reviewed until after the deadline date.Documents to attach to this application in the order listed below (check boxes to confirm submitted):

Attach documentation of Accuplacer Reading Assessment report. Compass Reading is NOT acceptable.

Attach ONE unofficial PCC transcript detailing:

MAT142 or MAT151 (or higher) and WRT101 with a grade "C" or higher

BIO201IN/BIO201IH and BIO202IN with a grade of "B" or higher

AGEC-A certificate (NAU only - apply through Student Services)

Required university preparatory requirements (this is different per program of choice)

Attach an unofficial university transcript if seeking points for a prior degree (must show degree conferred on transcript.

Attach letter of employer verification (192 hours within last two years), if applicable.

If seeking points for work in healthcare with a license or certification, attach verification of licensure or certification.

Attach letter of volunteer activity (100 hours within last two years), if applicable

Do NOT attach any documentation not listed above. If applying to more than one program, a separate application packet must be submitted for each program.

DISCLAIMER AND SIGNATURE:

I give permission for representatives of Pima Community College (PCC) and the university to review my application to the nursing program (FERPA waiver). I certify that my answers are true and complete to the best of my knowledge. I understand that false or misleading information in my application or relevant documents will result in my denial of consideration for admission and may be subject to Student Code of Conduct review. I understand that if I am not accepted into this program for this semester it will be necessary to reapply for future semesters using a new application packet. I also understand that I must meet the requirements of the Associate of Applied Science (AAS) in Nursing; PN Exit Option program to apply to this program. The Nursing Admission Committee will review my application for PCC requirements while the university of choice will review my application for the university entry requirements. Failure to meet either PCC or the university requirements will result in a denial and will require me to reapply in the next application cycle.

Student Signature: Date of Application:

Revised 02/2021

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