Vocational Nursing Program Application
Please fill out the form below to apply for the Nursing Program.
Full Name
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First Name
Last Name
Email
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example12345@my.yosemite.edu
Phone Number
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Please enter a valid phone number.
W #
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CNA Certification #
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Do you have 1000 hours of work experience within the past 5 years working as a CNA?
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Yes
No
If yes, please provide the site(s) where you completed your work experience and upload the document below.
Work Experience Form
Work Experience Form Upload
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Criterion 1. Proficiency or advanced level coursework in languages other than English. Credit for languages other than English shall be received for languages that are identified by the state Chancellor’s office as high-frequency languages. Please provide which language(s) and fill out the form below.
Spanish
Other
Language Proficiency Form
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of
Criterion 2 HESI A2 Test Score
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≥83
82-81
80-79
78-77
76-75
<75
HESI A2 Test Results
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of
Criterion 3 VN Required courses: (Needs to have a GPA 2.5 or better in each course for point)
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Physiology 101
Microbiology 101
English 101 or English 100 or ELIC 100
Psychology 101 or 141
Sociology 101 or 102 or 125 or 150 or 154 or 156 or Anthropology 102
Communication 100 or 102
Math 89 or higher
Ethnic Studies
Criterion 4 GPA for remaining three prerequisites. ANAT 125 Human Anatomy, MED ASST 321 Med Terminology, FDNT 219 Food and Nutrition-Intro to Nutritional Science All courses must be completed with a grade of C or better and a minimum combines GPA of 2.5 is required. The highest grade for each of the four will be used to calculate the GPA
A = 4 grade pts, B = 3 grade pts, C = 2 grade pts ANAT 125: ____ Grade pts ____ x Units ___ = ______ MED AST 321: ____ Grade pts ____ x Units ___ = ______ FDTR 219: ____ Grade pts ____ x Units ___ = ______ Total points _ ÷ Total Units __ = __ Combined GPA _______
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4.0
3.5-3.99
3.0-3.49
2.5-2.99
<2.5
Criterion 5 Life experiences or special circumstances of an applicant, including but not necessarily limited to the following. Select only one if applicable. Maximum points for Criterion 5 Areas A-H = 2 Points Maximum
Disabilities. Documented learning disability or proof of participation in or eligibility for services from the Accommodations & Support Center.
Low family income. Eligibility for or receipt of financial aid, e.g. California College Promise Grant (CCPG), Cal Grant, Pell Grant or other federal grant, or Cal WORKS
First generation of family to attend college. Neither parent has received a baccalaureate degree.
Need to work. Working at the same time you were enrolled in prerequisite classes for the ADN Program.
Disadvantaged social or educational environment. Participation in or eligibility for Extended Opportunity Programs & Services (EOPS).
Difficult personal and family situations or circumstances. Experienced a difficult family situation or circumstance.
Refugee status. Received a letter from U.S. Citizens & Immigration Services (USCIS) verifying your refugee status.
Veteran status. Received Defense Department Form DD-214. Honorable discharge required.
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