Cincinnati State
-419100-42862500PNC Competitive Admission Application Packet Face SheetName: College ID: College Email:Mailing Address:Phone Number(s):PNC Progression Application PacketThe completed packet must be submitted by the due date and time. Incomplete packets will not be considered.Submit to: PNC Competitive Application Mailbox, Room 312 HPB.Application Packet consists of:Competed Face SheetYour high school transcript must be on file in the Office of pleted Applicant Ranking WorksheetPage 1 checklist (yes responses needed)Page 2 pointsCurrent unofficial transcript or Academic Evaluation (Degree Audit) printed from mySERVICES. If the current Degree Audit does not reflect applicable coursework, a copy of the transcript with coursework documented must be included if possibleVerification of active status on Ohio Nurse Aide Registry (web print-out).If applying for experiential points:For health care experience: Documentation of 1000 hours of experience per calendar year within the past 5 years of employment for positions that provide direct patient care. See Healthcare Verification Form. Military service: Validated by a copy of the honorable discharge papersPrevious Degree or Certificate:Can only earn points if an official copy of college transcript with degree/certificate awarded is on file in Office of Admissions. An additional transcript is NOT needed.STAPLE together. Do NOT use a ring binder or clip folderPRACTICAL NURSE CERTIFICATE WORKSHEET COMPETITIVE ADMISSIONApplicant Name: ___________________________________ Date of Submission:_____________CHECKLIST CRITERIAREQUIREDCurrent listing on Ohio Nurse Aide RegistryYes or NoOverall GPA 2.50 at Cincinnati StateYes or NoAdmitted to Cincinnati State with PNC program majorYes or NoReadiness for Math 105 or completion of bonded Math 105/MAT 098.Yes or NoReadiness for ENG 101 or completion of ENG 101-A.Yes or NoHigh School Biology gradeYes or NoTalked with Financial Aid to clarify assistance left to complete 28 credit hours of PN classes and any remaining curriculum hours. Yes or NoWill be required after acceptance to program:Criminal background check (FBI and Ohio BCII fingerprints)CPR certificationHealth care form with immunization recordsProof of health insuranceDocumentation after acceptance to program*Applicant must have a “Yes” on ALL criteria above, in order to apply.PRACTICAL NURSE CERTIFICATE Progression Scoring GuidelinesName__________________________________________________ Date___________________CRITERIAPOINTS Cumulative Grade Point Average (GPA) Cumulative GPA RangeProgression Points Awarded2.50-2.74152.75-2.99173.00-3.49203.50-3.79233.80-3.89243.90-4.025Cincinnati StateCumulative GPA _____Maximum 25 points II. High School Biology CourseHigh School BIO grade or College BIO grade or BIO 117/151 grade _______ High School Biology GradePointsA12B9C6(Year completed) _____ Receive a 1point deduction for repeated courses. ______Maximum 12 pointsCincinnati State Curriculum Experience Points are awarded for each course completed. A=4, B=3, C=2, D/F=0Maximum of 20 points: ____________________Eligible Cincinnati State Curriculum Courses Grade ReceivedPointsAnatomy & Physiology 1 (BIO 151)?Anatomy & Physiology 2 (BIO 152)ORHuman Body in Health & Disease Lab (BIO 127)Human Body in Health & Disease (BIO 117)ORTerms- Anatomy & Physiology 1 (BIO 4014 and 4015Terms- Anatomy & Physiology 2 (BIO 4015 and 4016)??Healthcare Informatics MCH 100ORHealthcare Informatics MCH 4002ORNUR 101 (MCH 100)English Composition (ENG 101)????ORTerms- English Composition (ENG 1001 & ENG 1002)Introduction to Psychology (PSY 110)??OR??Terms- Introduction to Psychology (PSY 1505 & PSY 1506)Maximum 20 pointsPrior Degree/Certificate Experience Highest Degree ReceivedPoints AwardedCertificate, Less than 30 credit hours1Certificate, Over 30 credit hours2Associates Degree3Bachelors Degree4Masters Degree5Prior Degree of Certificate from Accredited ProgramPlease circle appropriate STNA is not applicable as it is a requirementMilitary Service/honorable discharge*must submit DD214Military 3Health Care Experience, Receive 1 point for documentation of 1000 hours of work experience for every calendar year direct patient care for the past 5 yearsHealth Care Number of YearsPoints (5 maximum)?? * Documentation required-See Employment Verification Form to receive points Maximum 5 pointsMaximum 3 pointsMaximum 5 points TOTAL SCORE:_____ ................
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