Application For LPN to ADN Transition Nursing Program
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1
Application
For
LPN to ADN
Transition
Nursing Program
Application for LPN to ADN Transition Nursing Program2
Application for LPN to ADN Transition Program
Florence Darlington Technical College
Department of Nursing
LPN to ADN Transition Program
Application Requirements & Instructions
This letter contains vital information and instructions that the applicant must implement
completely in order to be eligible for consideration for admission to a Nursing Program.
Pre-Application Requirements:
Complete a Florence-Darlington College Admission Application
Attend a Nursing Career Talk
Have a unencumbered active SC Licensed Practical Nursing License
Name on License ______________________ License Number ____________ Expiration Date ___________
Application for the Nursing Program (may only be submitted on “Business Days” in March
2015):
Limit the Admission application to only one nursing program during a given
application period.
First, please print the Application for Admission to the Nursing Program on standard
white printing paper.
Completely fill out the Application once all of the instructions have been read and all of the
information requested has been provided.
Be sure to keep a copy for your records.
The Application then must be returned in person by the applicant to the Allied Health &
Nursing Administrative Assistant (Ms. Russell), Room 326 in the Health Science Campus
(HSC) at 320 West Cheves Street. Applications are accepted beginning on the first
business day in March, between the hours of 8:00 a.m.-12:45 p.m and 2:15 p.m-4:00
p.m (M-Th) and 8:00 a.m.-11:00 a.m. (F). The Application deadline is the last business
day in March, no later than 4:00 p.m.
High School Diploma/GED/Transcripts:
An official copy of the applicant’s high school transcript/GED and official transcripts from all
colleges or universities previously attended must be received in the Registrar’s Office by the last
business day of the application period deadline. High school credentials are required unless the
applicant has earned 12 college credits or received an Associate in Arts/Science or Bachelor’s
degree or higher from a regionally accredited institution. DO NOT BRING OFFICIAL
TRANSCRIPT(S) TO THE NURSING DEPARTMENT.
***PLEASE NOTE THAT IT IS THE APPLICANT’S RESPONSIBILITY TO ENSURE THAT ALL
DOCUMENTS ARE PROVIDED TO THE SCHOOL BY THE APPLICATION DEADLINE. DOCUMENTS
RECEIVED AFTER THE APPLICATION DEADLINE WILL NOT BE CONSIDERED IN THIS
APPLICATION SELECTION PROCESS.
Application for LPN to ADN Transition Nursing Program3
Previous Nursing School Enrollment:
If you have been enrolled previously at any nursing school taking NUR/PHM courses and were
unsuccessful, there is a 2 year waiting period beginning with the last NUR/PHM course at the
school taken.
Attended a Previous nursing school taking NUR/PHM courses and unsuccessful: Yes____No____
If yes, what Nursing School?______________________________________ Transcript sent? __________________
Weighted Admission Period:
Fall Enrollment – March 1 – March 31 (Business Days Only: Monday-Thursday 8am-12:45pm, 2:15pm-
4:00pm and Friday 8am-11am)
Campus Location: 320 E Cheves Street, Rm. 326, Florence, SC 29502
Nursing Career Talk (Mandatory)
Career Talk must be current (valid 2 years of application Date Attended:
period) to be eligible to apply.
Name:________________________________________________________________________________________
(Last) (First) (Middle)
Any Former Names: _______________________________________________ Student ID Number: _________________
If mailing address is PO Box, you must also provide a home (street) address.
Mailing Address: ______________
Home Address: ___________________________________________________________________
City: County: State: ZIP Code: _______
County of residence: _______________________________________ (*Proof of residence required)
Home Telephone Number: ( ) ___________________ Work or Cell (specify): ( ) ______
E-mail Address: ______________________________________________
*Proof of residence: Electric, water, gas, or telephone bill, bank statement, car registration, real estate tax property
receipt, and rental agreements on business letterhead may be used as proof of residence. Bills must include the home
address of the applicant, parent, or legal guardian. If the bill is in the same name of the legal guardian, it must be
accompanied by guardianship papers signed by a judge. A driver’s license or check will not be accepted as proof of
residence.
The following criteria must be met prior to submitting weighted admission form. Please check all that
apply.
Must complete the application process to FDTC and have received an acceptance letter from admission.
Must have official transcripts from other colleges evaluated by FDTC Registrar office.
Do not attach official transcripts to this form.
Current major coded by college as AS.AS.NUR and verify that course/grades can be viewed in Web Advisor.
Attach a copy of current LPN License.
Application for LPN to ADN Transition Nursing Program4
List the courses taken with the requested information below:
(Count ONLY those courses earned with a grade “C” or better.)
Course Credit College/University Semester/ Letter Course
Taken hours Where Course Was Taken* Year Grade Transferred
Course Taken in
BIO 210 4 Yes No
BIO 211 4 Yes No
BIO 225 4 Yes No
MAT 110 3 Yes No
ENG 101 3 Yes No
PSY 201 3 Yes No
Humanities 3 or 4 Yes No
Elective
*Note: Transfer grades/credits may lower your program GPA.
Background Checks and Drug Screening:
Applicants are to be advised that due to specific contract requirements by the clinical agencies used
for clinical by the Nursing Program, background checks and drug screenings are part of the
admission and retention process. The background check/drug screening will be completed once the
applicant has been accepted to the nursing program.
Applicants with specific conviction histories or positive drug screenings may ultimately not be
accepted into the Associated Degree Nursing Program. Positive background checks will be sent to
the clinical agencies, without identifying information, for their decision whether or not to allow the
applicant to perform patient care in their institution. One agency denial is considered a denial from
all agencies; therefore, the applicant cannot be admitted to the nursing program.
A student with a positive drug screen is not eligible for admission to the nursing program. Specific
convictions or positive drug screens occurring after full admission and matriculation in the
program will be addressed per Nursing Department policy, including dismissal.
Florence-Darlington Technical College is an equal opportunity institution and Florence-Darlington
Technical College does not discriminate on the basis of race, color, religion, national or ethnic
origin, creed, marital status, veteran status, disability, sex, or age in its admission policies,
programs, activities or employment practices.
Return weighted admission form and attachments to: Ms. Athena Russell only.
FDTC/Health Sciences Campus/ Room 326.
**Candidates will be notified by mail of acceptance/denial approximately 8 weeks following
weighted admission period deadline.
Application for LPN to ADN Transition Nursing Program5
Florence-Darlington Technical College
Nursing Department
LPN to ADN Transition Nursing Program
Weighted Admission Form
Area Criteria Points
Program GPA 4.00 = 6 points
(2 decimal places without rounding) 3.60-3.90= 5 points
Must be a 2.5 or higher to qualify for admission. 3.10-3.50= 4 points
2.60-3.00= 3 points
2.50= 2 points
Completion of Co-requisites (BIO 210, MAT 110, 7 Co-requisites= 6 points
ENG 101, PSY 201, BIO 211, BIO 225, and a 6 Co-requisites= 5 points
Humanities course) 5 Co-requisites= 4 points
4 Co-requisites= 3 points
Classes must be completed to receive points.You can also read
