Health Science Application User Manual
Contents
1. Health Science Programs Page 6 ADN Application Step 3 Verify Contact Information SAN TOAOUIN DELTA COLLEGE NUKSING AND HEALTH SCIENCE APPLICATION CONTACT INFORMATION This 15 the contact information we have on file for you Please review the information to make sure we have the most current information If you need to change anything please click in the field and make the appropnate changes DELTA ID DELTA EMAIL ADDRESS FIRST LAST NAME MIDDLE NAME STREET ADDRESS CITY STATE ZIP CODE PHONE NUMBER After logging into the database the contact information we have on file for you will appear in this page Please be sure that the contact information is correct and current If there is missing or incorrect information please update this form Health Science Programs Page 7 ADN Application Step 4 Personal Information 1 SAN TOAOQUIN DEITA COLLEGE Please verify the NUKSING AND HEALTH SCIENCE APPLICATION information we have on file for you and make changes as appropriate Bl L E s m m PERSONAL INFORMATION Once verified click NEXT This is the demographic informati2. SUPPORTING DOCS NEEDED IF 1 RR RE INVITED TO SUBMIT a CRITERION 1A ACADEMIC DEGREES DOCUMENTATION Maximum paints 5 JUPE sey be awarded Official transcript from regionally accredited Picasa Check all dexress that wai have U S colleges or universities with degree posted u If you do not have a college degree please check NONE OR students with a deg ree from a school s outside the United States must have transcripts 8 evaluated by a National Association of Creden Where When Month Year tial Evaluation Services NACES approved inde ee ie LK A Pendent agency evaluation must be in a sealed ap B h E envelope from the agency demonstrating SURRPRERERERIRERERERERERERERERENE equivalency to a BA BS degree or higher from x a U S regionally accredited college The NACES evaluation will be used ONLY to award points as part of ADN admission criteria m Health Science Programs Page 10 ADN Criterion 1B Step 7 Licensed Health Care and Work Experience There are two parts to Criterion 1B JOAQUIN DELTA COLLEGE NURSING AND HEALTH SCIENCE APPLICATION Delta ID Application for Term Part 1 The following are approved licenses that applicants can earn points for CRITERION 1B LICENSED HEALTH CARE AND WORK EXPERIENCE Maximum points 10 If you have a license in any of the listed
3. OLLEGE UNIVERSITY NAME COURSE NAME NUMBER TERM YRvvvv UNITS GRADE ww ADN Science Course Type C micro NOTE NOTE The system is sensitive to data entry errors If you are unable to move on check each entered field to make sure there are not extra lines spaces If there is delete the lines spaces so that when you click in the field only the entered text is present E Course Name Number Year and Type information must be entered for all science prerequisite courses you earned a letter grade in information you entered in the College Attendance section Pull down lists are available for all other fields The College University Name field is based on the Course ID should be entered the way the college publishes its courses on the class schedule For example Delta College s Human Anatomy Course ID is BIOL 31 BIOL 31 is what is entered in the Course ID field Page 13 Health Science Programs Page 14 ADN Criterion 2A C Step 10b Science Prerequisite All other attempts CRITERIA 2A C SCIENCE PREREQUISITES All other attempts The following are the ADN Science Prerequisites for the program Human Anatomy Science course type below AP Human Physiology Science course type below AP Microbiology Science course type below Micro Please list ADN Science prerequisites that WERE NOT REPORTED IN THE PREVIOUS PAGE Additional science attempts will be reported in the next page
4. copy of current license or a a certificate m n Volunteer Letter from organization verifying volunteer service s The letter must be on organization a letterhead with an original signature and must include applicant s name start and end date total hours E Health Science Programs ADN Criterion 2A Step 10a Science Prerequisite Course Information CRITERIA 2A SCIENCE PREREQUISITES Science GPA The following are the ADM Science Prerequisites for the program Human Anatomy Science course type below AP Human Physiology Science course type below AP Microbiology Science course type below Micro Please list ADN Science prerequisites you WANT INCLUDED IN YOUR SCIENCE GPA CALCULATION Only the first passing attempt of the courses listed above will be accepted for calculation in the Science GPA Please note that you MUST HAVE A MINIMUM 2 50 Science GPA Additional science attempts will be reported in the next page Courses in progress WILL NOT BE ACCEPTED ENTER YOUR COURSE INFORMATION EXACTLY AS SHOWN OM YOUR TRANSCRIPT EX BIOL 031 Use pull down lists to record your information when possible Do not enter or signs in grades UNLESS it appears on your OFFICIAL TRANSCRIPTS Errors in entering grades will result in disqualification HUMAN ANATOMY DELTA COURSE EQUIVALENT BIOL 031 PRIOR TO FALL 99 ANAT 001
5. Courses in pr ss WILL NOT BE ACCEPTED ENTER YOUR COURSE INFORMATION EXACTLY AS SHOWN ON YOUR TRANSCRIPT EX BIOL O31 Use pull down lists to record your information when possible add more courses click on the Add a row link Do not enter 4 or signs in grades UNLESS it appears on your OFFICIAL TRANSCRIPTS NOTE The system is sensitive Errors in entering grades will result in disqualification to data entry errors If you are unable to move on check each entered field to make sure there are not extra HUMAN ANATOMY DELTA COURSE EQUIVALENT BIOL 031 PRIOR TO FALL 99 ANAT 001 lines spaces ICOLLEGE UNIVERSITY NAME COURSE NAME NUMBER TERM UNITS GRADE if there is delete the lines spaces so that when you x click in the field only the Add a row entered text is present Health Science Programs Page 15 ADN Criterion 2B Step 11a Non Science Prerequisite Course Information HHRBRHRHEHBRHEHR HEHEHE HERR Ree eee eee 2 2 a Unlike the Science Prerequisite A SAN JOAQUIN DELTA COLLEGE c NURSING AND HEALTH SCIENCE APPLICATION Detai Application for Term courses enter the FIRST PASSING grade you received sin Nutrition and ANY passing grade in the approved CRITERIA 2A NON SCIENCE PREREQUISITES Please list your Nutrition and English course information Please record your FIRST passing grade A passing grade is any lett
6. Paints will only be awarded for one current license areas complete license and expiration 1 Do you have any of the following current licenses below OYes O No date information for that license s If Yes please enter information for the license s you have LV Liuaaere enia ont ra Psychiatric Technician Radiologic Technologist Respiratory Therapist Paramedic unie Part 2 If you answered YES to part 1 you may receive additional points for any work experience related to the li cense you possess 2 If you answered Yes above do you have 1000 hours of experience ar work experience for your license sii O Yes QQN A HE Besse NEE EE If you have previous work experience in license s you currently possess you may enter that information here To receive points you must possess a CURRENT license Pending licenses will not be accepted EN H H H H H H H HERR H H EH H H H H H H H H H H H H H H H NH RRR RRR RRR RRR RRR RRR RRR RRR RRR RRR RR RR eRe eR eR eee eee ee 2 SUPPORTING DOCS NEEDED IF INVITED TO SUBMIT DOCUMENTATION Part 1 Licensed Vocational Nursing Psychiatric Technician Radiologic Technician Respiratory Therapist or Paramedic requires a copy of current license with license number issue date and expiration date Part 2 Work Letter from your current former employer verifying employment The letter must be on organizat
7. Applicants who are eligible for transfer will be accepted on a space available basis and Must meet all minimum ADN requirements to be considered BHRHRHBRHERHERHE RHR HER RRR RRR RE RRR RE RRR RRR RRR RRR RRR RRR RRR RRR RRR RE RRR RRR RE RRR RRR eR RRR eR RR eR eR eR eR eR eee eee eee Ge Health Science Programs Page 23 HEALTH SCIENCE APPLICATIONS ONCE APPLICATION IS SUBMITTED Upon submitting your application you will receive a confirmation email with information on how to access information concerning the status of your application APPLICATION STATUS INFORMATION Associate Degree in Nursing Spring 2014 Psychiatric Technician _ 1 The Application Status Information page DELTAID APPLICATION PERIOD will display the status of your application NAME for the program s you applied for ADN Completed Application pdf PT Completed Application pdf On this page you will be able to down PT Supporting Documentation Checklist pdf ADN Disqualification Letter pdf load a copy of ASSOCIATE DEGREE IN NURSING Thank you for applying to the Associated Degree in Nursing ADN Program at San Joaquin Delta College Unfortunately based on your application you have been disqualified your completed application supporting documentation checklist if Click on the pdf link to obtain a copy of your DISQUALIFICATION LETTER you are invited to submit documentation PSYCHIATRIC TECHNICIAN Based on your online application to
8. Health Science Applications User Manual San Joaquin Delta College Health Sciences Division Health Science The San Joaquin Delta College s Health Science Program applications are now available as online forms This user guide contains screen shots of the online application and information related to how to fill P rograms out the online applications IMPORTANT NOTES REGARDING THE ONLINE APPLICATIONS INSIDE THIS GUIDE 1 All health science program applications require that you login using your Delta College student ID TOPIC number and date of birth 2 You must be a currently registered student at the College and must have a Delta College student CSGanatal email address on file Login 3 All applicants must be in good standing with the College e g no academic holds on file 4 All applicants must have a valid social security card required for background clearance Criteria 5 Before you begin the application have copies of your transcripts available so that you can correctly enter your prerequisite course information Application 6 The online application saves the information on your application every time you click on the NEXT button 7 f you are unable to finish your application you may click on the SAVE AND FINISH LATER button Advanced T 7 t to come back to your application at a later time acemen 8 Before you submit your application please make sure to review all the information
9. Health Sciences Division http www deltacollege edu div hs adnhome html CONTACT INFORMATION Health Sciences Division 209 954 5454 For questions about the application please send an email to healthscienceapps deltacollege edu Dean of Health Sciences Division Julie Kay M S N R N Director of Health Sciences Lisa Lucchesi M S N R N
10. Students with a degree from a college university outside the United States must have transcripts eval uated by a National Association of Credential Evaluation Services NACES approved independent agency the evaluation must be in a sealed envelope from the agency demonstrating equivalency to a BA BS de gree or higher from a U S regionally accredited college The NACES evaluation will be used ONLY to award points as part of ADN admission criteria 1 Health Science Programs Page 9 ADN Criterion 1A Step 6 Previous Academic and Work Experiences Y NURSING AND HEALTH SCIENCE APPLICATION Celta ID Application for Term Criterion 1A f you have earned a degree s please indicate where and when you earned the degree Criteria 1 Academic degrees relevant health care license or certificates held by an applicant health care work experience in direct patient care health care volunteer experience in direct patient care Maximum points 15 If you have not earned a college degree check NONE and click NEXT to continue AND HEALTH SQ ENCE APPLICATION 1 AphtsnonforTema a
11. an the Nursing webpage 6 1 understand that it is my responsibility to review my application information before submit this application REVIEW MY APPLICATION 7 1 understand that once SUBMIT this application for processing that no changes be made 8 1 verify that my application is accurate and complete to the best of my knowledge 9 further understand that the submission of inaccurate information may will result in dizqualification of my application for the filing period BACK SUBMIT FA c AN fa ATIN DETTA CAT EGE NURSING AND HEALTH SCIENCE APPLICATION APPLICATION COMPLETE Thank you for applying Your application is now complete In a few days you will receive an email confirming receipt of your application and a copy of your completed application Please remember to check your Delta College Student email address for a copy of your application and notifications about the program Page 20 4HHRHRHRHBRHEHEHEHRHEHR HERR RE RRR eR eRe eee eee ee 2 eG Prior to submitting this application applicants will need to read and initial each of the statements indicating their agreement and their understanding to each of the terms stated IT IS THE APPLICANT S RESPONSIBILITY TO REVIEW ALL INFORMATION PRIOR TO SUBMISSION APPLICANTS WILL HAVE AN OPPORTUNITY TO REVIEW THEIR APPLICATION BY CLICKING ON THE REVIEW MY APPLICATION BUTTON After the application is reviewed
12. completed at other regionally accredited United States colleges or universities must be equivalent to San Joaquin Delta College courses For determination of course equivalency official transcripts AND course descriptions for prerequisite courses will be required Course descriptions for prerequisite courses only must accompany the official transcript for the purpose of de termining course equivalency Course descriptions must come from the specific catalog year in which the course was taken and may be obtained from the college catalog where courses were taken or may be available at s http www collegesource org San Joaquin Delta College does not evaluate foreign transcripts nor is credit granted for foreign coursework ENHENENEEEEENENH Health Science Programs Page 16 ADN Criterion 2B Step 11 Non Science Prerequisite Course Information HBR BREBEBRHBR ERR BERBER ERR RR eeeeeeee g SAN TOAQUIN DELTA COLLEGE Effective 2011 12 completion e NURSING AND HEALTH SCIENCE APPLICATION of Math 82 Intermediate a Delta i lication for Term H n Algebra or higher is a MATH PREREQUISITE COURSEWORK n pre requisite course Completion of Math 82 Intermediate Algebra or higher with a grade of C or better is a prerequisite E for breed to the program Please note that this grade is not used to calculate your GPA or your req UI rement for consi d e red application score NOTE The sys
13. page in the application and wish to complete the application later just click on the SAVE AND FINISH LATER button You will be able to return and finish the application at a later time Some application information may be auto populated if you previously submitted an application to the ADN Program Please review this information to ensure that it is correct and current If you had errors in the past that disqualified you be sure you correct the information before you submit your completed application BEFORE you SUBMIT your completed application please review your application Once the application has been submitted you will not be able to make changes to your application information Upon completion you will receive an e mail confirming receipt of your application It is imperative that you follow all directions on the application and ensure all the information submitted is correct Please be aware that incorrect informatian ar infarmation that can nat be verified will result in disqualification PLEASE MAKE SURE TO READ THE INFORMATION ON THIS PAGE Click NEXT once you have read the information on the Welcome Page Page 4 Health Science Programs Page 5 ADN Application Step 2 Log into the application SAN TOAOUIN DELTA COLLEGE NURSING AND HEALTH SCIENCE APPLICATION To apply to the following programs Associate Degree in Nursing Vocational Nursing Psychiatric Technician please login here ERROR invali
14. part time while completing prerequisite courses Disadvantaged social or educational environment icipation or eligibility for Extended Qoportunity Programs amp Services EPS Difficult personal and family situation circumstances Complete ADH Criterion 3 Supporting Documentation form explaining situation or circumstances The farm can be found at http www deltacollege edu adnhame html urs Program Refuges status Documentation or letter fram United States Citizens and Immigration Services USCIS Veteran status 0 Copy of Defense Deparment Form DD 214 Honorable Discharge required Health Science Programs Page 18 ADN Criterion 4 Step 13 Foreign Language Proficiency le Ej Applicants can earn up to 2 5 points for being proficient in a language other than English Delta ID Delta ID amp Application Pe Education Code Section 2 8261 5 E f you select an option other CRITERIA 4 FOREIGN LANGUAGE PROFICIENCY Maximum Points 2 5 than None of the above you will only earn 2 5 points re TW y p If you are proficient in more than one of the following languages check all that is apply m gardless of how many El e o If the language you are proficient in is not listed below check Other and enter languages QT MIS proficient the language If you ARE NOT proficientin ANY of the following languages please check None of the above E
15. the PT Program we are inviting you to submit all required documentation in support of your application information Please be advised that failure to submit ALL required documentation at one time will result in a disqualification from considered e disqualification letter if you are dis admission into the program for Spring 2014 Mailed documentation must be postmarked no later than 9 26 2013 documentation submitted in person must be submitted no later than the deadline of 4 00 P M on 9 26 2013 After all documentation has been verified and evaluated a final ranking will be prepared qualified from considered admission be cause you did not meet the minimum quali fications based on the information you Please DO NOT CALL the Health Science Office regarding the status of your application submitted in your a pplication webpage We expect to have the final rankings available 10 30 2013 Click on the pdf link to obtain your SUPPORTING DOCUMENTATION CHECKLIST GO TO EVALUATION STATUS If you are selected for admission into any of the programs IT IS YOUR RESPONSIBILITY TO SUBMIT THE APPROPRIATE FORMS OF SUPPORTING DOCUMENTATION AND MEET ANY ADDITIONAL REQUIREMENTS STATED BY THE PROGRAM BY THE DEADLINES POSTED ON THE WEBSITE 2 If you were invited to submit documentation you can access the status of your evaluation by clicking on the EVALUATION STATUS link Health Science Applications User Guide San Joaquin Delta College
16. EHEEEEHEEHEEEHEEEEEHEEHEEHEEHHN NURSING AND HEALTH SCIENCE APPLICATION ERROR According to our records you have a completed application on file We are not able to log you back in at this time Health Science Programs Page 8 ADN Application Step 5 College Attendance TOAOUIN DELTA COLLEGE BNURSING AND HEALTH SCIENCE APPLICATION Delta ID Application far Term Ee a Please list ALL regionally accred COLLEGE UNIVERSITY ATTENDANCE ited United States colleges Please List all the regionally accredited United States colleges universities you have s Universities you have attended enrolled in courses where you received a letter grade Use pull down lists to record WEIL POSI DIG DO NOT ABBREVIATE THE PLEASE DO NOT ABBREVIATE THE MAME OF THE INSTITUTION type out the entire NAME OF COLLEGE name a You must also complete the To add more colleges universities just press the TAB key on your keyboard past the m OU P TERM TYPE column following information for all Previously used colleges universities you First and Last Mames a nuno attended College City State OLLEGE UMIVERSITY MAME COLLEGE CIT STATI TERA s AND the College s term type e g semester or quarter system me _ SUPPORTING DOCS NEEDED IF INVITED TO SUBMIT DOCUMENTATION Official transcripts from all colleges universities listed above m Note
17. NGLISH does not qualify as another language American Sign Language Arabic C Chinese including its various dialects Other Please Specify None of the above SUPPORTING DOCS NEEDED IF INVITED TO SUBMIT DOCUMENTATION Official transcript from a U S regionally accredited college or university verifying four 4 semesters of the same foreign language with a C or better for each semester Official transcript from U S high school verifying four 4 years of the same foreign language completed with a C or better Complete ADN Criterion 4 Supporting Documentation Form Foreign Language Certification The form can be found at http www deltacollege edu div hs adnhome html Health Science Programs Page 19 ADN Criterion 5 Step 14 TEAS se ee ee San Joaquin Delta College uses the Test of Essential Aca demic Skills TEAS ffective Spring 201 2 nly TEAS Version 5 test cores will be accepted CRITERIA 5 Test of Essential Academic Skills TEAS Score Maximum Points 30 o All students applying for the 5JDC ADM program must meet the minimum passing score on the Test of Essential Academic S
18. S Maximum Points 2 5 Please check ALL life expenences special circumstances that apply for which you can provide supporting documentation for NONE OF THESE APPLY TO YOU PLEASE CHECK None of the above Disability L Low Family income C First generation of family to attend college C Need to work at least part time Disadvantaged social or educational environment Difficult personal or family situations or circumstances veteran ar Refugee Status Ll None of the above Documented disability from college Learning Disability Program or Disability support Programs amp Services root of eligibility or proot af receipt a Cal Grant Pell Grantor other federal grant CalWORKs front the Board of Governors He Cal Grant Program te federa Pell Grant oro gran or Col WORK First generation to attend college Firs generation college dedens are defined by the HS Department of Education as Neither parent had more than g hi eh school edecatian Meed to work Need to work means degen is working ot least nant Hime while completing academic work tat is prerequisite for the Mors Complete the ADH Criterion 3 5upporhing Documentation form explaining situation or circumstances The form can be faund at http www deltacallege sedu div hs adnhame html Paycheck stub during period of time enrolled in prerequisite courses or letter from employer must be on organization letterhead verifying employment was at least
19. ble If a space becomes available are you interested in Yi M being considered as an advanced placement ee TU HS 43 NURSING SYNTHESIS OLLEGE UNIVERSITY NAME COURSE ID TERM YR UNITS GRADE Sciences Division website http www deltacollege edu div hs ApplicationProcess and Must meet all minimum ADN requirements to be considered iEENENHEHEHENHEHEENHEHEHEENENHEEHEHENHEEEHENHEHENEEHEHEHEENHEEHEEEHENHEEENHEHEENHENHEHEEHENHEHEHEEHEEHEHEEHENHEHEEHENHEEHEHEEHENHEHEHENHEEHEHEEHENHEHEHEEHEHEHEEHENHEHEHEEHEHEHEEHEEHEEHEHEHEEHEHEHEHEHNH Applicants who are eligible for advanced placement will be accepted on a space available basis Page 21 Advanced Placement Option Vocational Nurses VN and Psychiatric Technicians PT may elect to apply to the ADN Program for Advanced Place ment and waive some courses based upon their prior education VNs and PTs who ap ply for advanced placement must 1 Complete all ADN prerequisite courses prior to application and 2 Comply with online application directions found on the Health Health Science Programs Page 22 ADN Transfer Option fo Dr TA Cort Transfer credit shall be given for related or previous nursing NURSING AND HEALTH SCIENCE APPUCATION education completed within the last five years and found to be This application is available from equivalent to current course September 10 2010 8 00 a m
20. d login due ta ane ar mare of the following reasons 1 Enter your Delta ID Invalid Delta 0 1 4 Invalid date of birth Your Delta ID is a nine digit number EX SEAR AK eae Please make sure you enter all the information correctly and in the correct starting with 98 It is assigned to you by format the college when you submit your admission if you are still having trouble please send an email to haslthieieneenppizdaltazallaga application If you do not know your Delta ID you can retrieve your ID information by clicking http register deltacollege edu student login index ctm 2 Enter Your Date of Birth RU a aa aE aN BEB BRB RP RPP RRR Ree ee eee eee Please enter your date of birth 1 PLEASE NOTE in the following way EE UH HD i a MMDD YYYY On each page if information is E 3 Click Login missing or invalid you will be im directed to a screen like the one above a B MBRERBEEESEEEEHEEEEHEEHEESEESERERENA After you login into the server you will be required to log into the application itself Log into the application using your Delta College Student ID number and date of birth Enter your birth date in the following format MM DD YYYY If you are not currently a registered student or if you entered your Delta ID or date of birth incorrectly a you will get an error message E
21. entered for Transfer accuracy 9 Once you submit your application you will NOT be able to access it again Submitting 10 If you have any questions related to the application please send an email to Application healthscienceapps deltacollege edu Contact APPLICATION PERIODS FOR HEALTH SCIENCE PROGRAMS Information Please note that the following dates are typical timeframes when the applications are available For PROGRAM SUMMER Admission FALL Admission SPRING Admission Associated Degree in Nursing Jan Feb R N INFORMATION IN THIS GUIDE IS SUBJECT TO CHANGE AT ANY TIME ALL INFORMATION ON THE HEALTH SCIENCES WEBSITE SUPERSEDES ANY INFORMATION LISTED HERE LAST UPDATED SEPTEMBER 01 2015 ofl Page 2 HEALTH SCIENCE APPLICATIONS USER GUIDE GENERAL LOGIN INFORMATION Once you login into the server you will see links to the online application s available Q Instant Web Publishing Click on the online application you wish to complete Y NURS Health Science Applications Logout of FileMaker Server ol Page 3 HEALTH SCIENCE APPLICATIONS USER GUIDE ASSOCIATE DEGREE IN NURSING ADN ADMISSION REQUIREMENTS Admission to the ADN program is based on a multi criteria screening process The following are the criteria used to determine eligibility for ADN admission 1 Previous experience related to academic degrees relevant licenses or certificates held by applicant and heal
22. er grade A B C You are not required to list all attempts for Nutrition or English Courses in progress WILL NOT BE ACCEPTED English Composition courses Eng 1A 1B 1D or equivalent Use pull down lists to record your information when possible Passing grades are letter Any prerequisite courses taken at San Joaquin Delta College will be shown below grades B or C If the courses below were not the EARLIEST passed courses you took in the area please update pol the information to reflect the EARLIEST PASSED course you enrolled in TEER RRR RRR RRR RRR eee eee SUPPORTING DOCS to move on check each NEEDED IF INVITED entered field to make sure there are not extra TO SU BMIT lines spaces NUTRITION DELTA COURSE EQUIVALENT FCS 006 niri ionini 2 j errors If you are unable ENGLISH COMPOSITION DELTA COURSE EQUIVALENT ENG 001A or 001B or 001D OLLEGE UNIVERSITY NAME COURSE ID TERM UNITS GRADE If there is deletethe DOCUMENTATION ivi ivi H ivi lines spaces so that when MEE M you click in the field only Sho inkprad ko E te For ALL PREREQUISITE COURSES present Official transcripts for ALL lower and upper division courses complet ed at any and all regionally ac credited U S institutions regardless of applicability to nursing requirements are required Official transcripts will not be required for courses completed at San Joaquin Delta College Prerequisite courses
23. for accuracy click the SUBMIT button to submit the application PLEASE REMEMBER Once the application is x submitted you will be not be able to access the application again E m L L Health Science Programs ADN Advanced Placement Option Delta ID Application for Term ADVANCED PLACEMENT OPTION Based on your previous response you may be eligible to also apply as an advanced placement into the ADN Program This option is available for qualified applicants who have a current license as LVN or a Psychiatric Technician AND who have successfully passed HS 43 Nursing Synthesis This option gives a qualified applicant the opportunity to waive one semester of the ADN program should a space become available Applicants are admitted IF space becomes available in the program Space becomes available if a current student in the program withdraws or fails during the first year of the program PLEASE NOTE If you select YES you will only be considered for this option under 2 circumstances 1 You are selected in the regular pool and decline your space If you get selected in the regular pool you are forgoing your opportunity to waive one semester in the ADM program 2 You were not selected in the regular pool but meet all the minimum requirements AMD there are spaces available Choosing this option does not guarantee that there will be advanced placement spaces availa
24. ion letterhead with an original signature and must include applicant s name start date and end date employee status full time part time total number of hours worked job title department if appli cable and examples of duties including direct patient care B a EH H H HEN EN ENEENMEMENENMNENEENENNESNENENNESNENSNESNSNSSNSNESSNSSNS SNSN SNNSIESSNSNSNSNSNSNSNSIENHNENSNSNSNSNSNSNSNENNENENHNENNSN SN NSINESNSNENSNENENHNEHNHEHNHEH Health Science Programs Page 11 ADN Criterion 1C Step 8 Certificated HealthCare and Work Experience OAQUIN DELTA COLLEGE There are two parts to NURSING AND HEALTH SCIENCE APPLICATIONI Criterion 1 Delta ID Application for Term i4 tar a gs gaa il or gt aan a Part 1 The following are approved certificates that CRITERION 1C CERTIFIED HEALTH CARE AND WORK EXPERIENCE Maximum points 5 Points will only be awarded to one current certificate If you have a certificate in any of 1 Do you have any of the following current certificates below iO Yes No applicants can earn points for the listed areas enter your eee eee eee Ej If Yes please enter information for the certificate s you have certificate number and expiration Certificate Expiration Date wuwnpzm date information that certificate Part 2 If you answered YES to Part 1 you may receive additional points for any work experience related to the certificate you possess If y
25. kills TEAS If you have taken the TEAS test more than once please report the HIGHEST of the first three 3 passing When reporting your score scores BHHHEHHEHEHEHHEHEHESE do not round scores Enter the Attention Spring 2012 Applicants Only TEAS Version 5 scores will be accepted exact score you received on the TEAS test TEAS Version V Students without TEAS scores or scores below 625 will be automatically disqualified from the current application period ENHNENHNENENHENENENHEHENEENHENHENHENHEHENHENHENHENHEHENHEHEEHEEHEEHEEHEHENH NE BERR RHR RRR eee eee ee eee eee Have you successfully passed the TEAS V test SUPPORTING DOCS NEEDED IF INVITED k the TEAS te sow test TO SUBMIT DOCUMENTATION For the TEAS Score please list your exact adjusted Individual Total Score do not round up scores TEAS taken at San Joaquin Delta Col lege Applicants do not need to sub mit any documentation your results will be on file SAVE AND FINISH LATER TEAS taken at any other location Do NOT send your official TEAS results unless you are invited to submit documentation in support of your application If documentation is required you must go to www atitesting com online store and request that your official TEAS results be sent to the college Please make sure you request the scores to be sent to San Joaquin Delta College ADN there is another Delta College on the list There is a fee fo
26. on how to complete PLEASE NOTE f you have submitted an application to the program in the prior application period some of the information you previously submitted may be populated in the application for the current period Please keep in mind that it is YOUR RESPONSIBILITY to review the information you previously and or recently submitted for completeness and accuracy To update your information simply click in the field BHRHRHRHRHR HEHEHE HERR RRR RRR RRR RRR RRR RRR RR RRR RRR RRR RR RRR RRR RRR RE RRR RRR eR RRR eR eR eR eR eee eee ee 2 Ge Health Science Programs ADN Application Step 1 Read Welcome Page Information SAN JOAQUIN DEITA COTLEGCE Welcome Before you start the application 1 tall 4 You must have your Delta College student 1 0 number and your Delta College student e mail address All correspondence from the college regarding this application will be sent to your DELTA COLLEGE STUDENT E MAIL ADDRESS This online application requires that you enter detailed information related to your academic history Please have copies of academic transcript s available before you start this application The information you provide will be used to determine your eligibility for the program failure to provide accurate information will result in disqualification This online application automatically saves your information whenever you finish a page If you are in the middle of completing a
27. on we have on file for you Please review the information m This information is required for reporting to the Program s governing agencies and PLEASE NOTE The gt will notin any way be used to determine your eligibility information on this page is a If you need to correct anything please dick in the field and make the appropriate not used to determine changes 1 5 your eligibility into the program but is used for 2 ore __ __ DELTA ID FIRST NAME LAST NAME reporting purposes only m GENDER OF OM GR TT ee Te aT TT ETHNICITY MmBBHHHEHEHEHEHEHREHE eR eRe ee eee eee eee 2 j j i a i i a m O American Indian Alaskan Native raotian IMPORTANT INFORMATION O Asian Indian O Mexican O Black African American O Other Asian Cambodian Q Other Hispanic s Once you click NEXT on this Central American Other Pacific Islander page the system will do a O Chinese O Other Unknown C Filipino Ci s search for your application for L Guamanian O South American the application period If you O Hawaiian 2 Vietnamese Japanese Q White have completed an application Ci Korean for the CURRENT application L a period you will not be able to BACK ovi s navigate any further in the m system Click Exit to log out of a the system a BENHBNENHENEHHEE
28. ou have previous work experience in the certificate s you currently possess you may enter that SE ANDENISHUMER information here To receive points you must possess a CURRENT certificates Pending certificates will not be accepted BENHNENENENEENENENENENENHENHENENENENENHEHENHEHEHENEHEHEEHENHENHENHENENENHENHENHENHENHENENHENEHEHEHEHENHEHEHEHENHEHENHENHENHENHENHENENHENHENENHENHEHEHHEHEHEHEHENHEEHEEHEEHENHENHEHENHEEHENHENHEEHN BHRHRHBRHEHRHEHBRHE HERR RRR RRR RRR RRR RRR RRR RRR RR RRR RRR RR RRR RRR RRR RR RR RRR RP RR eR eRe eRe eee eee eee 2 SUPPORTING DOCS NEEDED IF INVITED TO SUBMIT DOCUMENTATION Part 1 Certified CNA HHA or EMT requires a copy of your current certificate including your certificate number issue date and expiration date Part 2 Work Letter from current former employer verifying employment The letter must be on organi zation letterhead with an original signature and must include applicant s name start date and end date employee status full time part time total number of hours worked job title department if applicable B and examples of duties including direct patient care Health Science Programs Page 12 ADN Criterion 1D Step 9 Other HealthCare Work Experience a For applicants with other types of licenses or certificates vacio a MAN applicants may earn points if 0 Application for Term O s they have ihe following s experiences Other current licen
29. r this service ANMNEBNHENENHENEENHENHEEEEHEHEHEHEEHEEHENH Page last modified 8 26 11 Health Science Programs ADN Statements of Understanding Step 15 READ SIGN REVIEW SUBMIT SAN TOAOUIN DEITA COLLEGE NURSING AND HEALTH SCIENCE APPLICATION peem CONFIRMATION OF APPLICATION Please read the following information carefully and INITIAL each line to verify that you have read understand and agree to each term EE b ke 1 1 understand that all correspondence regarding this application will be sent to my Delta College student email address 2 1 understand that it is MY RESPONSIBILITY to review and respond to requests for information in a timely manner and within prescribed timelines 1 further understand that failure to review and respond to information within prescribed timelines may result in my disqualification from this filing period 3 1 understand that the information submit in my application is used to determine my eligibility for the program 4 1 understand that if am invited to submit documentation e g transcript and course descriptions that must provide documentation to support the information included in my application Failure to submit all required documentation AND inconsistent information between the documentation and application will result in disqualification for the filing period 5 1 have reviewed the admission criteria and read the FREQUENTLY ASKED QUESTIONS
30. ranscripts AND course descriptions for prerequisite courses ill be required lt Course descriptions for prerequisite courses only must accompany the official transcript for the purpose of s determining course equivalency Course descriptions must come from the specific catalog year in which the a course was taken and may be obtained from the college catalog where courses were taken or may be available at http www collegesource org San Joaquin Delta College does not evaluate foreign transcripts nor is credit granted for foreign coursework Health Science Programs ADN Criterion 3 Page 17 Step 12 Life experiences or special circumstances Applicants can earn up 2 5 points s circumstances experiences that If you select an option other than for specific life circumstances and special experiences Education Code Section 78261 5 Using the checklist shown check ALL apply None of the above you will only earn 2 5 points regardless of how many apply to you Disabilities Sone meaning esed in Sector 26246 of the Unemployment Ineuronce Code Low family income Bi gibility for or receipt af financial aid ender a pro gran thot may inclede bet not limited to a fee waiver SAN JOAQUIN DELTA COLLEGE NURSING AND HEALTH SCIENCE APPLICATION Delta ID Application for Term CRITERIA 3 LIFE CIRCUMSTANCES AND SPECIAL EXPERIENCE
31. se or CRITERION 1D HEALTHCARE WORK EXPERIENCE NOT COVERED UNDER CRITERION 1B OR 1C Maximum points 2 certificate Work or volunteer hours If you currently have alicense or certificate that was not covered under Criteria 1B or Criteria 1C but have either of the following experiences you may earn points here with direct patient care LEASE NOTE Direct patient are is defined as experience If you do not please check PLEASE NOTE Direct patient care is defined as experience providing and assisting human clients roviding and assisting human with hands on healthcare needs not including clerical and administrative type of work clients with hands on Tj None healthcare needs not including Other current license or certificate Total Work experience in direct patient care gt 1000 hours Total Volunteer with direct patient care gt 200 hours clerical and administrative type of work f none of the experiences apply check None SAVE AND FINISH LATER SUPPORTING DOCS NEEDED IF INVITED TO SUBMIT DOCUMENTATION Work Letter from current former employer s verifying employment The letter must be on organization letterhead with an original signature and must include applicant s name start date and end date employee status full time part time total number of hours worked job title department if applicable and examples of duties including direct patient
32. tem is sensitive an Courses in progress WILL NOT BE ACCEPTED to data entry errors admission into the program are unable to move on check Use pull down lists to record your information when possible each entered field to make sure there are not extra Please list the highest Math course you have completed with a grade of A B or C 551 ng g letter if there is delete the Do not enter or signs in grades UNLESS it appears on your OFFICIAL TRANSCRIPTS lines spaces so that when you g ra des A B or Errors in entering grades will result in disqualification click in the field only the entered text is present NUTRITION DELTA COURSE EQUIVALENT FCS 006 OLLEGE UNIVERSITY NAME COURSE ID The Math requirement is not used to calculate application points Hgmmmmmmmmmummmummmmummmumsmsm uri SUPPORTING DOCS NEEDED IF INVITED TO SUBMIT DOCUMENTATION For ALL PREREQUISITE COURSES Official transcripts for ALL lower and upper division courses com pleted at any and all regionally accredited U S institutions regardless of applicability to nursing requirements are required Official transcripts will not be required for courses completed at San Joaquin Delta College Prerequisite courses completed at other regionally accredited United States colleges or universities must be equivalent to San Joaquin Delta College courses determination of course equivalency official t
33. th care experience in direct patient care Maximum Points 15 GPA in Science Non Science prerequisite coursework and science repeats Maximum Points 50 Life experiences or special circumstances Maximum Points 2 5 2 3 4 Foreign language proficiency Maximum Points 2 5 5 Test of Essential Academic Skills TEAS Test Scores Maximum Points 30 6 Completion of Math 92 or Math 92 S previously know as Math 82 Intermediate Algebra or higher Points O Applicants can earn up to 100 total points All applicants will be rank ordered with the highest ranking applicants being offered the available spaces in the program for the current application period In addition to selecting applicants for available spaces there will be an Alternate list where students who meet the minimum requirements earning enough points on the application but not enough to be offered an available space will be provided with an opportunity to be on a wait list in the event a space does become available Please note that Alternates are not guaranteed a space AND this list is only used for the current application period The ADN application collects the criteria information in order to determine an applicant s eligibility Please see hitp www deltacollege edu div hs ApplicationProcess html for a detailed description of the the admission criteria See pages 4 through 18 for detailed information about the application and information
34. to September 20 2010 5 00 p m i curriculum Important information regarding the ADN Transfer Option Courses may include Please note that admittance into the San Joaquin Delta College ADN program is state accredited nursing courses based on space availability Applicant s are essentially on call until a space is leading to licensure as a available for the transfer student Registered Nurse or Armed Services nursing courses Please be advised that in order to be admitted as a transfer student you must meet the following criteria Only students who leave a 1 Meet all of Delta College s minimum program requirements nursing program in good 2 Be a currently registered student at Delta College standing will be considered for 3 Complete the Delta College ADN application transfer 4 Submit all required documentation for the Delta College application 3 Submit all Nursing course transcripts and course descriptions Good standing is defined as a shunt a Letter of Recommendation from your previous Nursing program student who has earned passing dean director 7 Must be in zood standing in your previous Nursing program grades in all nursing courses and is eligible to continue or reenter If you are able to meet ALL of these Transfer In requirements please check that program Yes and then dick Next Students who left their program Oves due to academic failure and or clinical failure will not be accepted as a transfer student
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