American River College ADN Program Enrollment Criteria

1 cabrillo College ADN Program Enrollment Prescreening Criteria Name_____ cabrillo Student ID # _____ (PRINT LEGIBLY) Currently a Nursing Program Waitlisted Student? Yes No If REAPPLYING under Multi Criteria , have your Criteria changed? Yes No For currently waitlisted students only By choosing the Multi Criteria Screening Process (MCSP) I understand I WILL BE REMOVED from the cabrillo Nursing Program Waitlist, unless my waitlist number is 150 or below as of the 3/2/15 notification, in which case I understand I may apply by the MCSP while remaining on the cabrillo Nursing Program Wait List. Signature: _____ Date: _____ Page 1 of 3 cabrillo College Nursing Program MCSP Spring 2015 PHASE 1 If selected (Criterion #1-8) MAXIMUM POINTS Required Supporting Documents 1.

2 Application is Complete MAXIMUM 5 POINTS Application and Accompanying Documents are Complete and all general ed. and nursing specific requirements for the degree are completed as noted in the catalog. Yes No 5 Applications are required to be complete with accompanying documents on the correct forms. Incomplete applications will be Disqualified. For Spring 2015 only, the applicant does not need to have gen. ed. & nursing specific requirements complete, see supporting documents below. 2. Previous Academic Degrees - MAXIMUM 5 POINTS BA/BS degree or higher Yes No 5 Official transcript from regionally accredited colleges or universities with degree posted. For courses taken OUTSIDE of cabrillo College , official/sealed transcripts are required.

3 Transcripts from colleges or universities outside the United States must be evaluated by a NACES approved foreign transcript evaluation service. 3. Relevant Health Care Certification and Experience - MAXIMUM 5 POINTS Currently licensed LVN, Radiology Technologist, Dental Hygienist, Paramedic, Respiratory Therapist, Occupational Therapy Assistant, Physical Therapy Assistant, Certified CNA, EMT, Psych Technician, Medical Assistant, Veterinary Technician Yes No 5 For health care certification and work experience: 1) Copy of your current California License or certificate with your license number, date of issue, and date of expiration. 2) Letter from employer on official letterhead verifying work experience in the area of certification.

4 Items listed are examples only and are not an exhaustive list of certifications/licenses that MAY be accepted. The admissions committee will make the final determination of acceptance of certifications and work experience. 4. Grade Point Average - Science MAXIMUM 30 POINTS Minimum GPA in Anatomy, Physiology and Microbiology (Bio 4), Physiology (Bio 5), & Microbiology (Bio 6) to receive points in this area. 5 - 30 For prerequisite courses taken OUTSIDE of cabrillo College , official/sealed transcripts are required. All transcripts from outside the United States must be evaluated by a NACES approved foreign transcript evaluation service.

5 All prerequisite courses must be completed with a grade of C or better and final grades must be posted on transcript. GPA = - (30 points ) GPA = - (25 points) GPA = - (20 points) GPA = - (15 points) GPA = - (10 points) GPA = - (5 points) cabrillo College ADN Program Enrollment Prescreening Criteria (Work Sheet) Page 2 of 3 Work Sheet cabrillo ADN Program Admission Criteria for spring 2015 application only 5. Grade Point Average - Non-Science - MAXIMUM 15 POINTS Non-science GPA in English (ENGL 1A) 0 15 For prerequisite courses taken OUTSIDE of cabrillo College , official/sealed transcripts are required. Transcripts from colleges or universities outside the United States must be evaluated by a NACES approved foreign transcript evaluation service.

6 All prerequisite courses must be completed with a grade of C or better and final grades must be posted on transcript. 6. Life Experiences or Special Circumstances - MAXIMUM 5 POINTS May Only Select One. See Required Documentation List. 6(a) Disabilities 5 Proof of eligibility for College course work from cabrillo Accessibility Support Center (ASC, formerly DSPS). 6(b) Low family income Proof of eligibility for financial aid, Board of Governors Fee Waiver (BOGW), Cal Grant, Pell Grant or other federal grant, CalWORKS, EOPS. 6(c) First generation to attend College Explain background, situation or circumstances. Submit form, ADN Admission Supporting Documentation for Criteria 6, 6(d) Need to work Signed letter from employer on letterhead stationary verifying dates of employment at while completing prerequisites.

7 6(e) Disadvantaged social or educational environment Participation or eligibility for Extended Opportunity programs and Services (EOPS) or signed letter as in 6 (c) 6(f) Difficult personal or family situation/ environment Signed statement explaining background, situation or circumstances, such as death in family on the previous 6 months, medical problems, or similar difficult personal or family circumstances. Submit form, ADN Admission Supporting Documentation for Criteria 6. 6(g) Refugee status Documentation of United States Citizens Immigration Service (USCIS). 7. Veteran Status MAXIMUM 5 POINTS See Required Documentation. Veteran Status or eligible spouse status Yes No 5 Submit Copy of Defense Form DD-214 Honorable Discharge per Veterans and Eligible Spouses 8.

8 Proficiency or Advanced Level Coursework in Languages Other than English MAXIMUM 5 POINTS See Verification of Proficiency ADN Criteria 7 Proficiency in a language other than English Yes No 5 Official transcript from a regionally accredited College or university verifying four (4) semesters of foreign language OR language proficiency verification form Total Score ( Criteria #1-8) (Maximum Possible Points 75) End of Phase 1 Scoring. Applicants who score 45 or above after Phase 1 will be invited to take the TEAS V at cabrillo College unless already completed. (See notes next page.) Please note: Applicants who score below 45 will not be considered. GPA = (15) GPA = (10) cabrillo College ADN Program Enrollment Prescreening Criteria (Work Sheet) Page 3 of 3 Work Sheet cabrillo ADN Program Admission Criteria for spring 2015 application only PHASE 2 If selected (Criterion #9) MAXIMUM POINTS Required Supporting Documents 9.

9 Approved Diagnostic assessment Tool, Test of Essential Academic Skills TEAS V MAXIMUM 25 POINTS cabrillo College uses the Test of Essential Academic Skills (TEAS V). The minimum adjusted individual score required for admission is 62%. assessment /readiness test results: TEAS V #1 of 1 --OR-- first TEAS result of 62 or greater taken within 2 years of the date of application --OR-- Subsequent TEAS after approved by Student Success Coordinator (SSC) post-remediation: < Disqualified. Needs to Remediate Add Criterion #9 to SUBTOTAL from PHASE 1 10-25 Students who have taken TEAS V at another location prior to applying are asked to submit an unofficial copy of result #1 of 1.

10 If selected, you will be asked to provide official results by going to online store and requesting your official TEAS V results be sent to cabrillo . There is a fee for this service. If selected to take TEAS V taken at cabrillo . Applicants do not need to submit any documentation. Your results will be accessible online and added to your application. Notes to Applicants: Applicants who score 45 or above after Phase 1 will invited to take the TEAS V at cabrillo , unless already completed. (See restrictions in Phase 2 notes next page) All applicants will be scored in two phases: First using all of the point categories except TEAS V (max of 70 points possible), and then again adding in the TEAS V scores (max of 100 points possible after TEAS V score added).