Nursing Program Application

Personal Information

First Name *

Middle

Last Name *

Address *

Town *

State/Province *

Zip Code *

Country

County *

Germanna/VCCS Email *

Confirm Email

Personal Email *

Phone Number

Did you apply to Germanna Community College?

Yes

Have you taken nursing courses at Germanna or another institution?

Yes

What nursing courses did you take, and from which school?

Tell us the last semester or year you attended in any nursing program:

Are you transferring to the Germanna Nursing Program from another school?

Yes

From which school are you transferring?

Select Nursing Program Application

Program Preference

First-Choice Program *

Second-Choice Program (optional)

Program Preference *

Location Preferences

First-Choice Location *

Practical Nursing Program courses are held on the Locust Grove Campus.

Second-Choice Location *

I have selected the location for my class above. I understand that my labs, clinicals, and simulations will be assigned separately based on availability. Labs, clinicals, and simulations must be taken in person. The locations for labs, clinicals, and simulations are not guaranteed to be at the same campus selected for my classes.

Exam Requirement *

Did you take your TEAS or HESI A2 Exam?

Yes

Which exam did you take, and where did you take it?

Did you take your TEAS exam?

Yes

Where did you take the TEAS exam?

Application Requirements *

All of the following requirements must be completed prior to the submission of the application. If the requirements are not completed, the application will not be accepted.

Application Requirements (PN)

Pre-advising nursing checklist on file with Health Admissions

GPA of 2.0 or greater

Unexpired CNA license on file with Health Admissions

TEAS exam (no minimum score requirements)

Application Requirements (RN)

Results - TEAS or HESI A2 for ADN & LPN-RN, if applicable (45% or greater in each category)

Pre-advising checklist on file with Health Admissions

GPA 2.5 or greater

All transcripts evaluated and on file with Admissions & Records, including high school transcripts

Application Requirements (LPN to RN)

LPN to RN pre-advising checklist on file with Health Admissions

GPA 2.5 or greater

TEAS or HESI A2 scores of 45% or greater in each of the categories

HESI mid-curricular test (taken at Germanna) with a score of 750 or greater

Unexpired LPN license on file with Health Admissions

All transcripts evaluated and on file with Admissions & Records, including high school transcripts

I acknowledge that I have received the Nursing Program handbook and that my pre-advising checklist is on file with Health Admissions.

Complete your checklist or access the handbook

Are all your scores on the TEAS/HESI A2 exam 45% or greater?

Yes

Is your HESI Mid-curricular Exam score 750 or greater?

Yes

In what state did you obtain your LPN license?

What is the name listed on your LPN license?

In what state did you obtain your CNA license?

What is the name listed on your CNA license?

Please send your license to healthadmissions@germanna.edu.

Important Information *

Admission to the Nursing Program will be contingent upon the results of a required criminal background check and urine drug screen. This is completed after a conditional offer of acceptance has been made and information will be included in your admission letter. Please use your full legal name consistently in your background check and throughout all application materials.

Misrepresentation on the application will result in dismissal from the Nursing Program.

I give Germanna Admissions permission to review my background check.

Applicant Signature

Signature

The above signature will be used as your official signature.

Application Complete

By checking this box, you confirm that your application is complete, and that all required documentation, prerequisite scores, and checklist items are on file and ready for final assessment by Nursing Admissions.

If you're still finalizing your materials, you may submit this form now to save your current progress. You must return to your application and check this box when ready. Incomplete applications will not be considered.

Submitting the Nursing Program Application confirms that you have reviewed the admissions procedures and prerequisites as outlined in the Catalog and Student Handbook.

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