NURSING PROGRAM - San Juan College

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NURSING PROGRAM - San Juan College
NURSING PROGRAM
4601 College Boulevard
Farmington, NM 87402
(505)566-3224
harrisjl@sanjuancollege.edu

     APPLICATION INSTRUCTIONS AND INFORMATION PACKET
          FOR THE BSN FALL 2022 NURSING PROGRAM
Thank you for your interest in the San Juan College Nursing program. The current application period is for the Fall 2022 ADN
and BSN program. This application packet includes instructions and information for the BSN program selection for the Fall
2022 class. Please read the information carefully and complete all sections of the application. Incomplete applications will not
be processed. It is your responsibility to be aware of any new prerequisite changes.

PROGRAM DESCRIPTION

BSN PROGRAM: This is a 4-year program leading to a Baccalaureate Degree in Nursing (BSN). This nursing program is
offered in the traditional semester format over the course of 8 semesters. Class and clinical sessions meet mainly during
daytime hours.

In January 2015, San Juan College in partnership with the University of New Mexico (UNM), began admitting BSN students
into the statewide common curriculum through participation in the New Mexico Nursing Education Consortium (NMNEC).
Students in the UNM partnership BSN program of study (POS) will graduate with an associate degree in nursing (ADN) from
San Juan College and with a baccalaureate degree in nursing (BSN) from the University of New Mexico. In preparation for
BSN program application, the prerequisites and general education courses for application, selection and admission to the
baccalaureate degree nursing program are included in this packet. A minimum 30 institutional credit hours are required to be
taken through the University of New Mexico in the degree requirements for graduation. Please review the BSN program
curriculum with this application or contact Jana Harris (harrisjl@sanjuancollege.edu) for more details.

Students who graduate from the San Juan College/University of New Mexico Dual Degree Nursing Program will be eligible to
take the National Council Licensing Examination (NCLEX-RN) for licensure as a Registered Nurse (RN), and may continue on
to enroll in a master’s degree in nursing (MSN) program offered at select four-year institutions.

                      Applications will be accepted no later than February 15, 2022.
Application Process – BSN

The following must be received by the application deadline: Tuesday, February 15, 2022. Application to the NMNEC San
Juan College/University of New Mexico BSN program is a dual application process.
   1. Apply to San Juan College, if not an SJC student, and complete admission enrollment process as an SJC student.
      The college application can be completed in person or online.

   2. Submit official transcripts from all schools attended or currently attending to the San Juan College Enrollment
      Services (Admission and Records Office), 4601 College Blvd., Farmington, NM 87402 or sent electronically to
      transcripts@sanjuancollege.edu. Prior college transcripts will be evaluated for possible transfer credit. If you have
      previously submitted official transcripts to SJC and have not attended school at that location since last sending
      transcripts for evaluation, do not request official transcripts to be sent again to SJC. An updated official transcript will
      need to be requested at the end of the fall 2021 semester if course work is completed at a college other than San Juan
      College. Do not send official transcripts to the SJC Nursing Department. It is student responsibility to confirm that all
      requested official school transcripts have been received by SJC Admissions. If credit from an AP or credit by exam
      course has been received, an official score transcript is required for transcript credit.

   3. All transcripts must be received by the February 15, 2022 deadline. Transcripts received after the application deadline
      may not be processed for prerequisite completion.

   4. Submit a completed San Juan College BSN Nursing Program Application to the San Juan College Nursing
      Department. The application can be submitted in person during business hours (Monday-Friday, 8am-5pm) or by
      postal mail at any time during the current open application period (October 15, 2021-February 15, 2022). Faxed or
      emailed applications submissions will not be accepted.

   5. Apply to the University of New Mexico College of Nursing by submitting a nursing application through the
      NursingCAS online nursing application system. Follow the companion NMNEC SJC/UNM Dual Degree NursingCAS
      instructions provided with this SJC application packet and the online NursingCAS specific instructions. The SJC/UNM
      NursingCAS instructions can also be accessed from the UNM College of Nursing website. You are required to request
      official transcripts from all schools attended or currently attending (including SJC) be sent to NursingCAS including
      score transcripts. It is student responsibility to confirm that all requested official school transcripts have been received
      by NursingCAS. UNM College of NursingCAS application fee is required.

   6. Apply to the University of New Mexico. UNM admission fees apply. UNM application should be made as a transfer
      undergraduate since prior prerequisite college coursework has been completed. You are required to request official
      transcripts from all schools attended or currently attending (including SJC) be sent to UNM admissions. If you are a
      current University of New Mexico student, request any updated official transcripts from other schools to be sent to
      UNM Admissions. It is student responsibility to confirm that all requested official school transcripts have been received
      by UNM Admissions.

   7. If you are reapplying to the SJC/UNM Dual Degree nursing program, any updated official transcripts will need to be
      submitted to SJC Enrollment Services and also requested per UNM and NursingCAS application instructions. A new
      nursing application is required to both SJC Nursing Department and UNM College of Nursing per NursingCAS.

   8. Complete all prerequisite courses (26 credit hours) by the end of the fall 2021 semester. If you have transfer/credit
      courses, verify credits have been posted to your SJC and UNM transcript as applicable.

   9. Level 1 Entry prerequisites must be completed/in process for completion by end of the summer 2022 semester.
      Verification of completion through official transcripts and verification of enrollment through school schedule may be
      submitted.

   10. Complete the enclosed Consent to Disclose Student Education (FERPA) document, sign and submit with the
       nursing application to the SJC nursing department. This allows SJC to communicate with UNM concerning your
       nursing application and courses.
11. Complete the TEAS Exam for the nursing program and submit unofficial score results to the SJC Nursing
        Department. All applicants are required to have current test scores for the application period. Previous scores may
        be eligible if taken during the prior spring application period (June 15, 2021-September 15, 2021) but only the two most
        recent scores will be considered for the current application period. Students re-applying to the program will be required
        to retest if prior spring application score is below the minimum eligibility score. Topics for this exam include reading,
        math, science, English and language usage. Study guides can be ordered on the ATI (Assessment Technologies
        Institute) website: http://www.atitesting.com. Additional preparation resources include practice exams and TEAS online
        study course available through the ATI website and tutoring assistance in the San Juan College Student Achievement
        Center. The exam may be taken once per test period and early scheduling of testing date is strongly recommended.
        Testing seats are limited. Testing dates may be scheduled during:
                   First testing period: Wednesday, October 27, 2021 – Saturday, November 20, 2021
                  Second testing period: Wednesday, January 19, 2022 – Saturday, February 12, 2022
     Verify exam being scheduled and administered on test day is the ATI TEAS for nursing exam.

     Instructions for scheduling the TEAS for nursing exam:
     On-Campus testing: provided in the San Juan College Testing Center. Applicants will need to establish an ATI
     account prior to testing. Review the testing instructions located on the SJC Testing Center “ATI TEAS for Health Science
     Programs” webpage tab. Schedule testing date through the SJC Testing Center website. Contact the SJC Testing Center
     at 505-566-3139 should you have any issues scheduling the test online. Print unofficial score results through the
     student ATI account for submission to the nursing department. Unofficial scores are not printed from the SJC Testing
     Center. Official scores will be obtained by the nursing department if applicant has tested in the SJC testing center and then
     matched with submitted unofficial scores.

     Off-Campus Site testing: provided through the San Juan College Testing Center. Follow SJC Testing Center instructions
     for ATI TEAS off-site testing located on the SJC Testing Center webpage. Additional testing centers can be located through
     the Consortium of College Testing Center: https://www.ncta-testing.org/list-of-certified-centers. If scheduling the exam at
     a testing center that will not be conducted through the San Juan College Testing Center, the applicant will need to request
     an official score result transcript(s) to be submitted to SJC Nursing Department through the ATI online store. Applicants
     will need to establish an ATI account prior to testing. Unofficial score results for all off-campus site testing will also
     need to be submitted to the nursing department and can be printed through the student ATI account. Official
     scores are matched with the unofficial scores.
    12. Activate San Juan College email account through the “Student Resources” tab on the SJC website. Notices,
        important updates and/or questions will only be sent to your official SJC student email account regarding your
        application from the nursing department. If you do not include your SJC email on your nursing application or routinely
        check your SJC email, important information and instructions will be missed that could affect completion of the
        application process and application eligibility.

    13. Indicate your BSN application preference on the nursing application.
            • BSN as first preference but also requesting consideration for ADN program as second preference: choose this
                 option if you would be willing to enter either the BSN or ADN program if selected. If the final selection point
                 total does not place the BSN applicant in the BSN ranking for selection, selection points will be recalculated
                 based on the ADN 17 credit hour prerequisites with all other points and then ranked in the ADN total point
                 selection.
            • BSN preference only: choose this option for consideration for the BSN program only. If final selection point
                 total does not place you in the BSN ranking for selection, points will not be recalculated or BSN applicant
                 ranked in the ADN total points selection.
BSN PROGRAM SELECTION REQUIREMENTS
To be eligible for the nursing program selection process, the following program requirements must be completed by the current
application deadline:
    1. Be enrolled as a San Juan College student.
2. Attend a Fall 2022 Nursing Info Session. Sign-up when you return your completed application to the nursing
   department. Info Session dates will be via Zoom and will be offered TBD. You will be required to attend ONE of the
   sessions. The session will be one-hour in length and attendance is mandatory. If you do not attend a session your
   application will be considered incomplete and you will be ineligible for selection for this application cycle.

3. Completed all BSN prerequisite courses (26 credit hours).
    Application BSN Prerequisite Course Requirements                             Credit Hours
    BIOL 2110       Principles of Biology                                        4
    CHEM 1120       Introductory Chemistry                                       4
    ENGL 1110       Composition I                                                3
    ENGL 1120       Composition II                                               3
    NUTR 2110       Human Nutrition                                              3
    MATH 1220       College of Algebra                                           3
    PSYC 1110       Introduction to Psychology                                   3
    PSYC 2120       Developmental Psychology                                     3
                                       Total Prerequisite Credit Hours           26
4. Achieved a minimum cumulative GPA of 2.75 in the BSN 26 credit hour prerequisite courses. The GPA requirement
   must be fulfilled at the end of the fall 2021 semester prior to the application deadline. All prerequisite courses require a
   minimum grade of ‘C.’

5. Achieved a minimum cumulative GPA of 2.0. The GPA requirement must be fulfilled at the end of the fall 2021
   semester prior to the application deadline.

6. Taken the ATI TEAS for nursing (Test of Essential Academic Skills) for nursing exam and obtained the minimum
   eligible Total Score of 58.7%. All applicants are required to have current test scores for the application period. If an
   applicant has tested during both current testing periods or has two scores within the total eligible time frame, the higher
   of the two most recent scores will be used for calculation. Exam scores submitted that were taken outside of the
   current testing timelines are not eligible.

7. Submitted a current completed BSN nursing program application to San Juan College Nursing Department with the
   Consent to Disclose Student Education Records (FERPA) form. Note: If reapplying for selection, a new application
   and FERPA from are required. Applications received in the nursing department after the application deadline will not
   be eligible for the selection process.

8. Submitted a University of New Mexico College of Nursing application through the NursingCAS online nursing
   application system.

9. Submitted all official school transcripts to San Juan College Enrollment Services, University of New Mexico Admissions
   and NursingCAS as per all application information instructions.

10. Apply to University of New Mexico and complete admission process or reapply/update information requirements as
    indicated if a prior UNM student.

11. Level 1 program entry prerequisites (19 credit hours) must be in process for completion by end of the summer 2022
    semester in anticipation of program entry in fall 2022 if selected. The 19-credit hour BSN program entry prerequisites
    are listed on the BSN curriculum page in this packet.
SELECTION
Selection of students to the San Juan College nursing program is based on a point system. Applicants are ranked according to
total points. Nursing Program slots are filled beginning with the highest-ranking students. Completing all requirements does
not guarantee acceptance to the BSN/ADN program. Selection points are awarded based on the following:
    1. GPA. GPA is calculated from grades achieved in the required 26 credit hour prerequisites. 40% of points will be
       awarded based on the cumulative 26 credit hour prerequisite GPA.
    2. ATI Test of Essential Academic Skills (TEAS) for nursing Total score. 50% of points will be awarded based on the
       highest eligible Total Score.
    3. ATI Test of Essential Academic Skills (TEAS) for nursing Proficiency score. 3% of points will be awarded based on
       achievement of a Total Score of 64% or higher.
    4. Residence Status: 2% of points will be awarded based on San Juan County residence status OR American Indian
       residence status OR completion of minimum on one SJC Health Care Certificate.
    5. San Juan College Student Status. 3% of points will be awarded to San Juan College students who have completed a
       minimum of 12 of the required 26 application prerequisite credit hours at San Juan College.
    6. Science GPA. 2% of points will be awarded for a combined 3.5 GPA or higher based on 8 credits in basic and health
       science courses.
The total points of the aforementioned selection components are calculated as follows:

GPA calculation: GPA – 2.0 = P                   P x 400 = Points for GPA
                   2.0

TEAS for Nursing Pre-Admission Examination: Total Score x 500 = Points for TEAS
                                                   100

TEAS for Nursing Pre-Admission Examination Proficiency: Total score 64% or higher = 30 Points
                                                        Total score 58.7% to 63.9% = 0 Points

San Juan County Residence Status:
In-county residency status or American Indian residence status or Health Care Certificate = 20 Points
Out-of-county residence, non-American Indian residence status, non-completion of Health Care Certificate = 0 Points

San Juan College Student Status: 12 or more prerequisite course credit hours completed at SJC = 30 Points
                                 Less than 12 prerequisite course credit hours completed at SJC = 0 Points

Science GPA: Combined GPA or 3.5 or higher from 8 credits in basic and health science courses = 20 Points
             Less than 3.5 combined GPA from 8 credits in basic and health science courses = 0 Points
                                    SUM OF COMPONENTS = TOTAL POINTS
ACCEPTANCE
Students will be notified of nursing program acceptance status through postal mail in early April 2022 for a fall (August) 2022
program entry. Applicants who have not met the basic program eligibility requirements will also be contacted by mail regarding
their status.

When selected students have confirmed program acceptance, a detailed nursing admission information packet will be provided
with specific instructions and guidelines regarding the requirements (i.e. immunizations, CPR, criminal background
check/fingerprinting, etc.) to be completed prior to starting the Nursing Level 1 semester courses. Selected students are
required to attend a one-day Summer Institute Orientation at San Juan College in early August 2022 prior to the fall semester
start date and the scheduled date will be included in the admission packet.
Students accepted into SJC/UNM BSN Dual Degree Nursing Program maintain selection status by completing all Nursing Level
1 course prerequisites (19 credit hours), post selection program entry requirements and maintain the minimum GPA of 2.0 post
selection for entry into the Nursing Level 1 semester. A grade of “C” or higher must be achieved in every course in the nursing
curriculum.

Nursing Program Clinical Requirement
At the San Juan College Nursing Program, we are committed to the well-being of our community, including our most vulnerable
populations. In order to meet clinical requirements to successfully complete our programs, proof of vaccinations, including the
COVID 19 vaccination may be required.
BSN PROGRAM COSTS (ESTIMATED*) with links to UNM COSTS

Preadmission Testing Fees (ATI TEAS) SJC On-Campus
        Study Manual – ATI website                                                               25.00
        First Testing Period Exam                                                                99.00
        Second Testing Period Exam                                                               99.00
Nursing Program Application Fee – SJC                                                            None
College Application Fee – UNM                                                            Application Fees
Nursing Program Application Fee – UNM                                                    Application Fees

SJC Tuition and Credit Hour Fees:               https://www.sanjuancollege.edu/paymentoptions/
NM resident
       Application Prerequisites (26 Credit Hours)
       Level 1 Prerequisites (19 Credit Hours)
       First Year: Level 1 and 2 Semesters (30 Credit Hours)
       Second Year: Level 3 and 4 Semesters (24 Credit Hours)

UNM Tuition and Course Fees (minimum 30 Credit Hours) **                       Refer to NMNEC SJC/UNM Dual Degree Program
NM Resident ***                                                                              Estimated Cost Sheet

Textbooks/Packets*
        Level 1 and Level 2                                                                        2000.00
        Level 3 and Level 4                                                                        600.00
        Level 5                                                                                    250.00
Physical Examination & Immunizations/Titers****                                                    400.00
Uniforms, Shoes, Instruments*                                                                      250.00
Testing Resources*
        Level 1 and Level 2                                                                      550.00
        Level 3 and Level 4                                                                      410.00
Program Fees*                                                                            250.00 per semester/SJC Levels 1-4
        UNM Program Fees                                                                         Levels 4-5

NCLEX-RN Licensing Exam* (Not administered by SJC)                                                 500.00
*All costs are approximated projected costs and actual costs may vary by date of program entry.

**27 BSN UNM credit hours and one additional 3 credit hour course UNM required course. Differential UNM tuition rates will apply.

***Non-Resident estimated tuition/fee estimated cost form available. Contact SJC Nursing Department.

****Physical Examination & Immunization/Titer costs may range from $250 to $500.00

Additional fees specifically for criminal background checks/fingerprinting ($73.30 annual fee for background checks/fingerprinting throughout program.)

Students accepted into the BSN Program will have additional documentation requirements related to financial aid payment arrangements. Questions
regarding the SJC/UNM NMNEC Partnership and Financial Aid can be addressed to the following resources:
    1.   SJC Financial Aid Contact: Mindi-Kim Schrum schrum_m@sanjuancollege.edu. Phone (505) 566-3261
    2.   UNM Nursing Financial Aid Contact: Kelsey Higgins higginsk@salud.unm.edu. Phone (505) 272-4223
Students are required to have and maintain health insurance for the duration of the program. Health plans vary in costs and are not included in the
estimated cost listed above.
Students are not required to maintain personal liability insurance. Students accepted into the nursing program will be required to complete a criminal
background check/fingerprinting and complete/maintain CPR certification, physical examination, immunizations and travel arrangements to clinical sites.
BSN PROGRAM CURRICULUM

Prerequisites for Program Application                             Prerequisites to NMNC Level 1 Semester

BIOL 2110       Principles of Biology               4             BIOL 2310       Microbiology                       4
CHEM 1120       Intro to Chem or higher             4             BIOL 2210       Human Anatomy & Physiology I       4
PSYC 1110       Intro to Psychology                 3             BIOL 2225       Human Anatomy & Physiology II      4
PSYC 2120       Developmental Psychology            3             _________       Humanities                         3
ENGL 1110       Composition I                       3             MATH 1350       Statistics                         4
ENGL 1120       Composition II                      3
NUTR 2110       Human Nutrition                     3
MATH 1130       Survey of Mathematics or
MATH 1220       College Algebra                     3
                                 Total              26                                                       Total   19

NMNC Level 1 Semester                                             NMNC Level 2 Semester
NMNC 1110       Introduction to Nursing Concepts    3             NMNC 1210      Health & Illness Concepts I         3
NMNC 1135       Principles of Nursing Practice      4             NMNC 1220      Health Care Participant             3
NMNC 3120       Evidence-Based Practice             3             NMNC 1230      Nursing Pharmacology                3
BIOL 2505       Pathophysiology                     4             NMNC 1235      Assessment & Health Promotion       4
                                                                  Second Language                                    3
                                 Total              14                                                       Total   16

NMNC Level 3 Semester                                             NMNC Level 4 Semester
NMNC 2310       Health & Illness Concepts II        3             NMNC 2410       Health & Illness Concepts III      4
NMNC 2320       Professional Nursing Concepts       3             NMNC 2435       Clinical Intensive I               4
NMNC 2335       Care of Patients with Chronic                     NMNC 4445       Clinical Intensive II              4
                Conditions                          4             COMM 1130       Public Speaking                    3
NURS ____       Nursing Elective                    3
                Arts & Design course                3
                                 Total              16                                                       Total   15

NMNC Level 5 Semester
NMNC 4510       Concept Synthesis (Complex)         3
NMNC 4520       Professional Nursing Concepts II    3
NMNC 4535       Clinical Intensive III              4
NMNC 4545       Capstone Practicum                  4
NURS ____       Nursing Elective                    3
                                 Total              17

                        BSN Total                   123

Additional 3 credit hour UNM institutional general education course required for degree if you have not completed a
prior UNM eligible course.

Summer semester externship opportunities may be available for students that successfully complete Level 2.

Note: FYEX 1110 (First-year Seminar) is required within your first 12 credit hours of coursework at San Juan College. If you
have already successfully completed 24 credit hours this course requirement may be waived.
SAN JUAN COLLEGE DEPARTMENT OF NURSING
                                         In Partnership with University of New Mexico

                                                   PROGRAM APPLICATION FOR

                                                            FALL 2022 BSN

Date of Application: _____________________________                            Application Deadline: FEBRUARY 15, 2022
                                                                               TEAS Test Deadline: FEBRUARY 15, 2022
                                                                         UNM Nursing CAS Deadline: FEBRUARY 15, 2022

This application is for the BSN Program. Please refer to the application information and instructions regarding application
requirements. If you are also requesting consideration for the ADN program you must meet eligibility and prerequisite
requirements for both programs as listed in the application information regarding requirements for each program.

 OPTION 1:

    ______ BSN Program Preference #1
 If requesting to also be considered for the ADN program, please indicate below only if you have met the required prerequisites.
 Prerequisites are different for the ADN program.

   ______ ADN Program Preference #2
 I have indicated my BSN application preference above but also request consideration for the ADN program. I meet all eligibility
 requirements for both the ADN and BSN Program.

 OPTION 2:

  ______BSN Program Preference ONLY: I do not want to be considered for the ADN program

Name:
____________________________________________________________________________________________________
       (Legal Last)       (Legal First) (Prefer to be called)     (Middle)            (Maiden)

Other name(s) under which credentials may be filed (for purposes of transcript review). _______________________________

MAILING
ADDRESS ___________________________________________________________________________________________
            Street/P.O. Box                        City          State              Zip

SJC STUDENT ID ________________________________

SJC EMAIL ________________________@my.sanjuancollege.edu                         EMAIL ___________________________________

TELEPHONE NUMBER ____________________________                           CELL/ALTERNATE NUMBER _______________________

PLACE OF EMPLOYMENT ______________________________________________________________________________

PRESENT OCCUPATION _______________________________________________________________________________
HAVE YOU PREVIOUSLY APPLIED TO THE SAN JUAN COLLEGE NURSING PROGRAM?

NO _______        YES _______        Year(s) of previous application _________________________________________________

                                     Name on previous application __________________________________________________

TEAS (Test of Essential Skills) for nursing:

On-Campus Testing at San Juan College Testing Center                      ____ I am testing at the San Juan College Testing Center.

____ I am providing an unofficial printed copy of my scores from my ATI account to the nursing department. (REQUIRED)

Off-Campus Testing at a location other than San Juan College Testing Center:

Location: ____________________________________                            Test Date: _______________________________________

____ I am testing at an approved testing center at a different location but through the off-campus testing process with San Juan College
     Testing Center. (Official TEAS scores will be included in SJC Testing Center official scores and will not be required to be
     requested/purchased through the ATI online store.) However, I am providing an unofficial printed copy of my scores with my
     application.

____ I am testing at an approved testing center at a different location but NOT testing through the off-campus testing process with San
     Juan College Testing Center.

____ I will request/purchase my official TEAS score be sent to San Juan College Nursing Department from the ATI online store.

RESIDENCY STATUS            County of Residence (ex. San Juan, La Plata): ______________________________

____ I have participated in the Dual Credit Program              ____ I have participated in the Early Admission Program

____ I am currently enrolled in one of the Health Certificate Programs at San Juan College:

     ____ Nursing Assistant Health Care                 ____ Fundamental Skills in Health Career

     ____ Patient Care Unit Assistant                   ____ Phlebotomy Health Care

I am enrolled in one or more of the application prerequisite courses at a college other than San Juan College during the fall 2021 semester.
         ____ No ____ Yes            If yes, school(s): ______________________________________________

____ I have submitted my UNM Nursing application through the online UNM NursingCAS system. ____ Application in progress

____ I have applied to UNM           _____ Application in progress

OPTIONAL: (For data reporting purpose)

Date of Birth: ________________________                 ____ Male         ____ Female

Ethnic/Race Origin: Do you consider yourself to be Hispanic/Latino? ____ Yes        ____ No

In addition, select one or more of the following categories to describe yourself:
____ American Indian: Tribe _______________             ____Asian         _____Black          _____Pacific Islander   ____ White
List all schools attended below.
Official transcripts must be received in SJC Enrollment Services no later than February 15, 2022;
UNM and NursingCAS no later than February 15, 2022.
                      NAME AND LOCATION             ENTRANCE       GRADUATION/DEPARTURE
                                                      DATE                 DATE

                                                                             DEGREE
HIGH SCHOOL                                             N/A      HS GRAD
                                                                 Or
                                                                 Departure Date:

                                                                 Or GED Year:
 COLLEGE(S):                                                     Grad/Departure Date:
Please list from
 most recently
    attended.                                                    Degree Obtained:
  Include San
Juan College, if
   applicable.
                                                                 Grad/Departure Date:

                                                                 Degree Obtained:

                                                                 Grad/Departure Date:

                                                                 Degree Obtained:

                                                                 Grad/Departure Date:

                                                                 Degree Obtained:

                                                                 Grad/Departure Date:

                                                                 Degree Obtained:

                                                                 Grad/Departure Date:

                                                                 Degree Obtained:
RELEASE of INFORMATION

I understand with application to the BSN program option, I will sign the required release form to grant permission to San Juan
College to share/provide application and educational information with the University of New Mexico. I will complete the FERPA
release of information (Consent to Disclose Student Educational Records) included in this packet and return with the
application.

______________________________________________                   ___________________________________________
Signature of Applicant                                           Date

CRIMINAL BACKGROUND CHECKS
I understand that if I am accepted to the SJC Nursing Program, I WILL be requested to have a criminal background
check/fingerprinting and provide a copy of the results to the SJC Department of Nursing and UNM College of Nursing. I also
understand that all costs associated with obtaining this background check will be at my own expense.

______________________________________________                   ____________________________________________
Signature of Applicant                                           Date

San Juan College Department of Nursing may access my transcript information through the San Juan College Enrollment
Services Office for nursing department application/selection/program use.

______________________________________________                   _____________________________________________
Signature of Applicant                                           Date

I certify this application is correct and complete. Any false statements knowingly submitted may result in an ineligible
application or dismissal from the program. I understand that taking courses that apply to the nursing curriculum does not
guarantee acceptance to the nursing program. I must complete all of the prerequisite courses with a minimum grade of “C,”
maintain a cumulative 2.0 GPA and complete acceptance requirements in order to start the Nursing Level 1 Program semester.

_______________________________________________                  _____________________________________________
Signature of Applicant                                           Date
Mail or bring application to:    San Juan College
                                 Nursing Department
                                 4601 College Boulevard
                                 Farmington, NM 87402

                                                       Accredited by the
                                Accreditation Commission for Education in Nursing, Inc. (ACEN)
                                             3390 Peachtree Road NE, Suite 1400
                                                      Atlanta, GA 30326
                                                        (404) 975-5000
                                                  http://www.acenursing.org

                                                             And

                                                     Meets full approval of
                                             The New Mexico Board of Nursing
                                             6301 Indian School NE, Suite 710
                                              Albuquerque, New Mexico 87110
                                          Fax: (505) 841-8347 Ph: (505) 841-8340
                                                 http://www.bon.state.nm.us/

                                                     OFFICE USE ONLY

 Date Application Received in Nursing Department:                                                Int:

                                    Document to be returned with SJC BSN Application

         San Juan College FERPA Consent to Disclose Student Educational Records form received    Int:
APPLICATION CHECKLIST

DO NOT RETURN – THIS IS FOR YOUR USE.

HAVE YOU:

____ Submitted application to San Juan College and followed the college admissions guidelines? (You must be admitted to
      San Juan College in order to apply to the nursing program.)

____ Signed up for Fall 2022 Nursing Info Session?

____ Requested all previous and/or updated official transcripts from all schools attended/prior credit be sent to San Juan
      College Enrollment Services for evaluation? (You may want to verify they have been received by San Juan College
      Enrollment Services from the sending school.)

____ Requested all previous and/or updated official transcripts (including SJC) from all schools attended be sent to
      NursingCAS? Have all transcripts been received?

____ Applied to the University of New Mexico and requested all previous and/or updated official transcripts from all schools
      attended (including SJC) be sent to UNM Admissions? Have all transcripts been received?

____ Successfully completed all prerequisite courses with a grade of “C” or higher by the end of the fall 2021 semester?

____ Submitted your nursing program application with the Consent to Disclose Student Educational Records (FERPA) form as
      listed on the nursing application to the San Juan College nursing department either in person or by postal mail?

____ Applied to the University of New Mexico College of Nursing through submission of a nursing application through the
      online NursingCAS system?

____ Completed the TEAS exam for nursing and submitted your printed unofficial results to the SJC nursing department?
       ____ Test #1         ____ Test #2

____ Requested your TEAS exam results be sent to the SJC nursing department if testing at a location other than San Juan
      College Testing Center? (If off-campus testing has been completed through the San Juan College Testing Center,
      separate scores do not need to be requested from ATI.)

____ Requested your TEAS exam results be sent to the SJC nursing department if testing at a location other than San Juan
      College Testing Center? (If off-campus testing has NOT been completed through the San Juan College Testing Center,
      official scores will need to be requested from ATI and a copy of unofficial scores will need to be provided to the SJC
      nursing department.)

____ Review estimated projected costs of program?

Please contact us for further information:        San Juan College Department of Nursing            PH: (505) 566-3224
CONSENT TO DISCLOSE STUDENT EDUCATION RECORDS
If any person other than you needs or will need access to your education records maintained by San
Juan College, complete this form and return it to the Enrollment Services Office. Other College officials
may take this form directly from the student and forward to the Enrollment Services Office.

Family Educational Rights and Privacy Act of 1974 (FERPA)
FERPA defines the requirements for access to and release of student education records. Student
education records are defined as records that are directly related to a student and are maintained by an
educational institution. San Juan College has designated certain parts of a student’s education record as
“Directory Information,” (see below) which may be disclosed to third parties without the student’s
written permission. Student education records include, but are not limited to, course grades, billing
records, and disciplinary records.

In general, education records that are not designated Directory Information may be disclosed only to the
student unless the student provides written consent to disclose those records to other persons.
However, disclosure of non-directory information may be made to (1) an individual who claims the
student as a dependent on the individual’s federal income tax return, as defined in Section 152 of the
Internal Revenue Code, (2) to parents or legal guardians of a student who is under 21 years of age and
has been disciplined by the college for any alcohol or drug policy violations, and (3) to parents or legal
guardians of a student who is in a health and safety crisis.

PLEASE PRINT LEGIBLY
I, ____________________________________Student ID Number _______________________, hereby
give my permission to San Juan College to release my education records to the following person(s). This
release shall remain in effect until I submit a separate written request to the Enrollment services
Office to change or rescind it.
        NAME                                              RELATIONSHIP TO STUDENT
1. University of New Mexico/UNM College of Nursing SJC/UNM Dual Degree-NMNEC

2. _______________________________________                 __________________________________

3. ______________________________________                  __________________________________

Student Signature: ____________________________________________ Date: ___________________

Registrar’s Office Use Only:
Processed by: ______________________ Date: __________________

Directory Information at San Juan College includes:
Student’s Name
Place of Birth/Hometown
Program of Study
Dates of Attendance
Degree Information (includes degree, date conferred, honors, awards, scholarships, and academic awards)
Enrollment Status
Participation in Recognized College Activities
Photographs                                                                            Updated 5/23/2019
NMNEC SJC/UNM Dual Degree Fall 2022
                    NursingCAS Instructions

As a prospective applicant into the NMNEC SJC/UNM Dual Degree Option starting Fall
2022, you are required to submit a completed NursingCAS application by February 15,
2022.
1. Go to https://nursingcas.liaisoncas.com/applicant-ux/#/login. Create an account if
   you have not previously used NursingCAS or login.
2. Search for the NMNEC SJC/UNM Dual Degree Fall 2022 Application under the “Add
   Program” tab.
    Search for University of New Mexico under school
    Select the NMNEC SJC/UNM Dual Degree Option for Fall 2022
3. Complete all fields in the “Personal Information” section.
4. Under the “Supporting Information” section, you will not be required to upload or
   submit any items.
    Achievements- select “I am not adding any Achievements”
    Experiences- select “I am not adding any Experiences”
    Licensure & Certifications- select “I am not adding any Licenses or Certifications”
5. Under the Academic History section,
    High School Attended- Add your high school
    Colleges Attended- Add all institutions attended
    Transcript Entry- you are required to enter in your coursework including W’s and
       F’s
6. Under the Program Materials section,
    Upload a current class schedule if you are in classes.
    Answer questions located under “Questions”.
    Upload an unofficial copy of your TEAS test report in the documents section.
       Please make sure it is either in a .PDF or .JPEG format
7. All sections must be completed and green prior to submission.
8. Submit application and pay application fee.
9. Submit all official transcripts directly to NursingCAS for verification and processing
   by February 15, 2022. This is not a postmark deadline, if sent by mail.
    NursingCAS accepts official transcripts sent electronically from Credentials
       Solutions, Parchment, and National Student Clearinghouse.
    If you prefer to send a physical official transcript by U.S. mail, send directly to:
       NursingCAS Transcript Processing Center, P.O. Box 9201, Watertown, MA
       02471
                                                                          Updated 10/7/21
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