dear students, the application and all other documentation ... · dear students, the application...

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Dear Students,

The application and all other documentation are required to be mailed to the address below:

Allan Hancock CollegeATTN: Health Sciences, M132800 S. College DriveSanta Maria, CA 93454

Notification letters will go out by the end of the day, August 28, 2020.

It is recommended that you send your packet certified and registered so you can track it and know when it was delivered. Please do not contact the office regarding your application being received. Mail will need to be post marked by the last day of application period to be accepted.

Thank you,

The Health Sciences Team

Registered Nursing Program 2021Application Period – June 1 – July 31, 2020

Program Information - New Applicants

This application is for NEW applicants who are not currently on our RN waitlistand NOT in our current LVN program

A completed application packet needs to be mailed to the address on the first page of the application no later than July 31st, 2020 by 4:00pm. Applications will need to be post-marked by July 31 in order to accept it after the deadline. Incomplete applications or applications received after the deadline will not be considered. Please no phone calls/emails regarding status or if application was received. It is recommended you send your packet with a tracking number for you to verify delivery.

Dear Prospective Registered Nursing Student,

Thank you for your interest in our registered nursing program commencing in January. In order to be

considered for the RN program waitlist, you must meet the following requirements by July 31, 2020:

1. Mail a completed RN program application to the health sciences office along with any other

application requirements mentioned in this packet.

2. Must have a current, valid and unencumbered license through the Board of Vocational Nursing

and Psychiatric Technicians as a California Licensed Vocational Nurse. You must turn in a copy of

your California LVN license with this application.

3. Candidates must sign up, pay for and take the merit based admission test (info in this packet).

4. Academic prerequisites (All prerequisites must be completed with a grade of “C” or better to be

considered):

– English 101 - Freshman Composition

– Math 331 – Algebra 2 or higher

– Psychology 101 – Introduction to Psychology

– Biology 124 - Anatomy with lab

– Biology 125 - Physiology with lab

– Biology 128 – Microbiology with lab

5. You must have one of the following:

– U.S. high school official transcripts

– GED (General Educational Development) - official

– CHSPE (California High School Proficiency Examination) or the equivalent - official

First time applicants must turn in with this application an Official U.S. high school transcript, GED or

CHSPE. Copies WILL NOT be accepted. It may take a month or more for your transcript(s) to

arrive, do not wait. Please request that your transcripts be annotated with the last four digits of your

social security number if it is not already a part of the record. A degree of AA or higher will sufficein

place of the #5 above requirement.2



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6. U.S. College/University/Military Transcripts

– First time applicants will need to turn in official transcripts from all colleges/universities

attended to Admissions & Records when applying for admission to the college, even if you

withdrew prior to application process.

– If you list another college, you must turn in a transcript to both the Admissions and Records

Department.

– If you list another college, you must ALSO turn in an official transcript(s) with this completed

application packet.

– All college coursework must show completion at time of application; no “in progress”

courses will be accepted. Failure to submit all transcripts to both the Admissions Dept and

with this application will result in applicant disqualification.

7. Foreign High School/College/University Transcripts

– If you graduated from a high school in a foreign country, check with the counseling office

to see if it is considered equivalent to graduation from high school in the United States. If

the high school is not equivalent, you will need to submit proof of passing the GED.

– College/University transcripts will be accepted if evaluation reports have been certified

by NACES® (National Association of Credential Evaluation Services) & AICE® (Association

of International Credential Evaluators). Completed coursework will be considered for lower-

division unit credit ONLY if the foreign institution is listed in the American Council on

Education (ACE) Book.

– If you are submitting COLLEGE/UNIVERSITY transcripts, make sure that the evaluation is

“Detailed or Comprehensive” and that it includes the following items:

– Name of the Institution, dates attended, degrees earned, and graduation dates

– Course/Subject Level Identification (lower and upper division, etc.)

– Overall Grade Point Average

– List the semester unit value and grade equivalencies

The official transcript(s) for the Admissions Dept. must be mailed to:

Allan Hancock College, Attn: Transcript Evaluator, 800 S. College Drive, Santa Maria, CA 93454.



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8. Merit Based Admission criteria:

– All New Registered Nursing applicants must pass the merit based admission test, in addition to

completing all prerequisite courses. Calculations for the test will include looking at overall GPA

and the number of science repetitions (Anatomy, Physiology and Microbiology).

– Any student with more than 4 attempts in any of the three science pre-requisite courses

combined will not be eligible to apply for the Allan Hancock College ADN program.

– For your convenience, the merit based admission criteria table is available on the nursing

webpage

– Each new applicant has two attempts to successfully meet the admission criteria for the Allan

Hancock College RN program. The first attempt is at the initial application. If the new applicant

does not meet the criteria (cut score) on their first attempt for admission, the new applicant must

meet with the Program Director (or designee) to develop an individualized remediation plan no

sooner than October 1st. The remediation plan will need to be completed prior to the following

year application period.

– Complete the merit based admissions form and payment (attached). You will need to follow the

instructions on the exam and payment form. You must mail in your forms in time to have it

processed, the cashiers office will send the office the forms and receipt once they have been

processed.

9. Merit Based Admissions test:

– The cost of the entrance exam is currently $60.00 (price is subject to change).

– Test Date and Time (No other test dates will be scheduled)

• Monday August 3, 2020; 12:30pm - 3:30pm

– Day of Test:

• You will be given 180 minutes (3 hour) to complete the test. The test will be held in the

computer lab at AHC (Building M100), Room M-116.

• You will need to bring:

• Valid picture ID (Driver’s license, Passport, Military ID)

• Scratch paper and pencil (if you desire) – Paper will be turned in at the end of the test.

(NO calculators)

It is recommended you show up early to the test to pay for your parking permit and find the building.



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10. Seating Procedure and RN Priority Seating

– Students seated in the current LVN program at Allan Hancock College who have completed the following

requirements by July 31, 2020 will be given priority seating for the 2021 RN class:

– All RN pre-requisites

– ADN & BRN degree Requirements (speak with a counselor for specifics x3285)

– All Registered Nursing applicants need to meet merit based admission requirements in addition to

prerequisite courses.

– Applicants with military education and experience related to the practice of nursing may have priority into

the RN program (limited spots per year). Refer to the website for more information and requirements.

– Qualified new candidates completing other VN programs and qualified LVN applicants from the community

will be considered for the remaining seats in the program via the waitlist. Subsequent classes will be filled

as indicated above from the AHC LVN class and then from the wait list. New applicants waitlist numbers

are assigned through a computerized random selection (lottery) process and placed at the end of the

current waitlist.

Once you have been accepted into the program, students will be required to have a physical (forms will be

emailed in November prior to the start of the RN program), immunization records (up-to-date), current CPR

certification that must be maintained by the student throughout the nursing program. Only Healthcare

Provider, BLS or Professional Rescuer cards will be accepted.

Documentation will be required for the following immunizations:

• Tuberculin skin test (expires annually on date given). Positive PPD requires a standard negative chest film

with medical consultation. (expires every 2 years)

• Diphtheria, Pertussis, and Tetanus Toxoid (DPT)

• Measles, Mumps, Rubella (MMR)

• Hepatitis B Vaccine

• Varicella (chicken pox)

• Flu (Fall season prior to starting the program)

Allan Hancock College Health Sciences office is NOT responsible for lost or misdirected applications. Please

photocopy your entire packet before mailing certified and registered via U.S. Postal Service or courier or a

tracking company to:Allan Hancock College

ATTN: Health Sciences Office, M 132

800 South College Drive

Santa Maria, CA 93454

It is the responsibility of the applicant to notify the Health Sciences office via email of any changes to their address

and/or telephone number during notification periods. If the information changes after the notification period the

student will make any changes during the next application period the following year. Copies of mailed paperwork

should be kept in case proof of completion by the filing deadline is needed. No applications received after date

stamped July 31st will be considered.



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IMPLICATIONS FOR NURSING LICENSURE BY A STATE REGULATORY BODY

Please note that fingerprinting is required for licensure as a California Registered Nurse. Persons who

have been convicted of a felony are subject to close scrutiny by the Board of Registered Nursing on an

individual basis. The board may refuse to issue a license even after successful completion of the

NCLEX-RN if a background check reveals a significant infraction.

Specific policies regarding procedures of the Board of Registered Nursing is available on the BRN

webpage. www.rn.ca.gov

DRESS CODE

Your appearance will reflect the hospital and college standards and indicates to patients and co-

workers your pride and interest in your profession. These standards are maintained by personal

neatness and cleanliness, by wearing only the authorized uniform and by avoiding the use of elaborate

jewelry and cosmetics. Details will be included in the information packet once you are accepted.

FINANCIAL AID: It is the responsibility of all applicants to check with the Financial Aid Office

regarding loans, scholarships, state and federal grants.

(Note: VN licensure must be current, valid and unencumbered at the time of application and remain current, valid and unencumbered throughout the entire program, meaning no

probationary licenses will be accepted.)



http://www.rn.ca.gov/

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REGISTERED NURSING PROGRAM ESTIMATED STUDENT FEES

TOTAL ESTIMATED COSTS TO ACHIEVE REGISTERED NURSING LICENSE$3,800.00 (excluding variable costs) Prices are subject to change

Pre-Enrollment ExpensesPHYSICAL EXAM – private physician Variable CostIMMUNIZATIONS – Hep B Series, Varicella, DPT, MMR, Flu Vaccine, TB Variable CostBACKGROUND CHECK – Corporate Screening $48.00DRUG SCREENING – Central Coast Med Plus $45.00AHC STUDENT ID CARD WITH PICTURE $2.00CPR CARD – CPR for healthcare providers EMS 306 (½ unit) + $4 material fee + $15 textbook (AHC) $42.00 (AHC)Merit based admissions test—New applicants from outside our LVN program $60.00SKILLS KIT $85.00 (est.)IDENTIFICATION NAME PIN $6.00UNIFORM (One Set (Patch, Pants, Shirt, Shoes) $250.00 (est.)WATCH (Not digital, must have seconds hand) $30.00STETHOSCOPE (Prestige Medical/Littman’s recommended) $30.00ANEROID SPHYGMOMANOMETER (Prestige Medical/Littman’s recommended) $30.00COMPUTER INTERNET (Mandatory)/PRINTING SUPPLIES $150.00 (est.)

Total is estimated excluding variable costs $670.00Spring SemesterTUITION (13.5 units @ $46/unit) $575.00PARKING $20.00HEALTH FEE ($21), STUDENT CENTER FEES ($1), STUDENT REPRESENTATION FEE ($2) $30.00REQUIRED SPRING TEXTBOOKS $500.00 (est.)MISCELLANEOUS SUPPLIES – flash drive, notebooks, pens, paper, scissors, etc $200.00

Total is estimated $1325.00Fall SemesterTUITION (12.5 units @ $46/unit) $621.00

PARKING $20.00HEALTH FEE ($21), STUDENT CENTER FEES ($1), STUDENT REPRESENTATION FEE ($2) $30.00REQUIRED FALL TEXTBOOKS $400.00 (est.)PRECEPTORSHIP COSTS (estimated transportation / gas costs) $200.00MISCELLANEOUS SUPPLIES – flash drive, notebooks, pens, paper, etc $100.00

Total is estimated $1370.00State Licensure FeesAPPLICATION FOR LICENSURE $300.00FINGERPRINTING $70.00

Total is estimated $370.00



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Closing date for this application is July 31, 2020. Applications are reviewed after closing date. Status notification will be mailed by the end of the day August 28 2020. Please type or print clearly. This application will only be

used for the 2021 RN application pool.

Personal Information

Full Name:Last First M.I.

Other first or last names that you may have or go by

Mailing Address:

Street Address Apartment/Unit #

City State ZIP Code

Primary Phone: Secondary Phone:

SS# / TIN# Date of Birth:AHC Student #:

H

Email Address (Mandatory):

Admission Information

Applying for - ADN or 30 Unit Option

Please refer to the California Board of Registered Nursing and AHC website for details(if you are interested, you must meet with the Director of the nursing program prior to turning in an application)

Name of High School / GED and Graduation Date (Must turn an official transcript with this application or have a degree of an AA or higher) -

LVN License # and Expiration

Military education and experience related to the practice of nursing? (Please refer to the website for requirements)

Degrees Earned?

Mail all paperwork to:Allan Hancock College, Attn: Health Sciences Department (M132), 800 S. College Drive, Santa Maria, CA 93454 by the end of

the application period. No phone calls regarding application status. It is recommended to send certified and registered.


Program Application - New Applicants

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Nursing Prerequisite Courses

Prerequisites Grade Course Name Semester/YrComplete College Name

BIOLOGY 124 (Human Anatomy)

BIOLOGY 125 (Human Physiology)

BIOLOGY 128(Microbiology)

ENGLISH 101(Freshman Comp. Exp)

Math 331 (Algebra 2 or higher)

PSYCHOLOGY 101(General Psychology)

Vocational Nursing Program N/A N/A

THE AHC TRANSCRIBER WILL DETERMINE EQUIVALENCY OF ALL COURSES IF TAKEN ELSEWHERE



I acknowledge and understand the following: All of my pre-requisite courses are completed or my application will be excluded. I understand notifications of status to the RN applicants will be mailed by the end of the day August 28,

2020. Please do not contact AHC for application status as information will not be released. I understand that I must meet the Merit Based Admission Criteria in order to be considered for the RN

program waitlist. I will turn in the MBA test form and payment as described in this packet. I understand that it is my responsibility to show up for the test on the date indicated. I will be required to

show a valid picture ID. I also understand that my application is not complete until all requirements have been completed.

I understand that I will be on a waitlist and will reapply every application period in order to keep my waitlist number until I receive notification that I have been accepted into the program.

I will mail in my application and all paperwork to the address on the first page of this packet and mail it with a tracking number to verify delivery.

It is my responsibility to make copies before mailing in my application. I must notify the Health Sciences office via email of any changes to my address and/or telephone number

until notification date. Any changes after notification date I will make during the next application period the following year.

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List All Colleges/Universities Attended After High School

College/University City & State Dates Attended List Degree

Current Enrollment

College/University Course



If you list a college or university, you must turn in an official transcript to the Admissions and Records Department AND an official set with this application. You must print your AHC unofficial transcripts so the office can see what the transcriber determined for equivalency. If the courses have not been transcribed, you may not turn in an application until it has been completed. Your

transcribed courses will be in your unofficial transcripts page of your portal.

Confidential Applicant Survey

Federal and state mandates require that we compile summary data on the gender and ethnicity of applicants. To assist us in complying with this requirement we are requesting that you complete and return this form.

It should be emphasized that it is the policy of Allan Hancock Joint Community College District that no person shall be discriminated against on the basis of race, color, ancestry, religion, gender, national origin, age, physical/mental disability, medical condition, marital status, or sexual orientation, information regarding the gender and ethnicity as applicants is not supplied to any other agency and is kept in a confidential file.

Supplying the following information is optional and will not affect the status of your application.

Name:____________________________________________________Date:_____________________

Program Applying For: 2021 Registered Nursing Program

I identify my ethnicity as:

Asian

Black/African

Caucasian

Hispanic/Latino

Native American

Pacific Islander

Prefer not to answer

Other: __________________________________

Gender:

Female

Male

Prefer not to answer

____________________________

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I hereby affirm, under penalty of dismissal, that all information supplied on this application is accurate and complete.

SIGNATURE: _______ DATE:



MERIT BASED ADMISSION TEST PAYMENT

Payment for the Merit Based Admissions test is REQUIRED for your application to be considered. The cost of the test is currently $60.00. This process will go through the cashier’s office and once payment has been applied, the payment receipt and forms are electronically sent to the Health Sciences Office and the office will attach to your packet. You should not wait until the last day of the application period to send in payment and forms.

No phone verifications will be given.

WAYS TO ORDER:

• Order by fax (credit card payment only): (805) 922-3682 - Receipt and form will be e-mailed to the health sciences office and given to the student on the day of the test.

• Order by mail: Please return the entire order form with a money order or check or credit card information. (NO CASH ACCEPTED) Please make them out to Allan Hancock College.

• Allan Hancock College, Attention: Cashier Services, 800 South College Drive, Santa Maria, CA 93454,

• No phone orders will be accepted

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Merit Based Admissions Exam Form

All new applicants are required to take the admission exam as part of the application process for the Allan Hancock College Registered Nursing Program. Students will only need to take the exam once. Students will only be allowed to retest one time if they fail. The cost of the entrance exam is currently $60.00.

Test Date and Time (No other test date will be scheduled) • Monday, August 3, 2020; 12:30pm-3:30pm

Registration Instructions and Payment Information 1. Fill out form below2. Payment can be on the attached credit card form or a check or money order.3. Mail this forms and payment to the address on previous page. (If you are not paying by credit

card, you will not need to send the credit card form in.)4. Make a copy of the forms for your records.

Day of Test - The PN Predictor is a 180 minutes (3 hour) test that will be held in the computer lab(M-116). You will need to bring:o Valid picture ID (Driver’s license, Passport, Military ID)o Scratch paper and pencil (if you desire) – Paper will be turned in at the end of the test. NO

calculator will be allowed.

_________________________________________________________________________________Name

H____________________________ ___________________________________AHC Student ID Number Phone

______________________________________ ___________________________________Signature Date

You must have an account with ATI in order to take this test. If you already have an account with ATI, you will not need to create a new account but it would be best to update your information.https://www.atitesting.com/Home.aspx

Cashier’s Instructions:1. Please process and send both forms and receipt to [email protected] or inter-

office to Health Sciences office, M132, Mailbag 33.2. Budget account code (FOAP) related to this sheet is: 1-110001-BHS-431100-123010

Any questions, please contact the Health Sciences office at ext. 3384.

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https://www.atitesting.com/Home.aspx

mailto:[email protected]

Credit Card Authorization Form

Credit card payments may be made directly online through your myHancock student portal, Student tab, Pay Fees link. If you are unable to submit your payment online and cannot come to one of our campus locations, you may fax in your credit card payment by completing this form.

I, give Allan Hancock College (Cardholder’s name – please print)

permission to charge up to $ on my credit card to pay fees for

, _H (Student First and Last Name – please print) (Student I.D. Number)

Authorizing Signature: Date: (Cardholder Signature)

All fields must be complete in order to process your credit card transaction. Fax your authorization form to 805.922.3682 Monday – Friday, 8am -4pm.

Questions regarding your payment may be directed to the Santa Maria cashier office, 805.922.6966 ext. 3270 or 3626.

Fax Authorization Disclaimer – You assume full responsibility for using fax credit card authorizations. The fax transaction is not guaranteed and you understand and agree that Allan Hancock College is neither responsible nor liable for any claim, loss or damage resulting from your use of fax credit card authorizations.

Security Code: (3 or 4 digits)

Expiration Date (MM/YY)

Credit card/Debit card Type Visa MasterCard Discover American Express

Credit Card Number

Card Street Address (number only) Zip Code (Example 123 Maple, you would enter 123)

If you will be making a credit card payment for the MBA test, you must fill out and mail or fax this form and the exam form on the previous page.

FOR OFFICE USE ONLY. STUDENTS MUST TURN IN ALL PAPERWORK AS DESCRIBED ABOVE15

For Office Use Only

Last Name ______________________________________ AHC Student # H___________________

Application and Prerequisites:

Completed Program Application and Confidential Applicant Survey

Official Sealed High School Transcript or GED certificate

Official College Transcripts from all other colleges

Copy of current LVN License – Exp Date:____________________________

MBA Test Payment__________________________________________________

AHC unofficial transcripts

Office notes

Semester/ Yr complete Course If higher, list course Grade College name

Biology 124(Anatomy w/lab)

Biology 125(Physiology w/lab)

Biology 128(Microbiology w/lab)

English 101(Freshman Comp)

Math 331(Algebra II)

Psychology 101(Intro to Psychology)

Vocational Nursing Program



dear students, the application and all other documentation ... · dear students, the application...

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