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  • Uintah Basin Technical College Practical Nursing Application

    Info
  • Step 1 - There are a few prerequisite courses that will need to be completed before applying to the Practical Nursing program. Additionally, there are prerequisites for the RN year that, while not required to apply, we highly encourage taking prior to entering the program.

    Active CNA license (class available at UBTech)
    The prerequisite courses listed below must be taken at a regionally accredited college or university. Prerequisite courses must be completed with a “B-” grade or higher (“C+” is not acceptable):

    USU course numbers are shown in parentheses:

    Anatomy with lab (BIOL 2320)*
    Physiology with lab (BIOL 2420)*
    Psychology (PSY 1010) OR Human Dev: Lifespan (HDFS 1500)

    *Labs are recommended, but not required for UBTech's Practical Nursing Program. Labs WILL be required if students are interested in completing a BSN after UBTech. 

    IMPORTANT NOTE: Uintah Basin Technical College also requires official transcripts to be sent from all colleges attended, regardless of credit transfer. If in progress, submit an unofficial transcript of proof enrolled in class.

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    Step 2 - Take and pass all areas of Uintah Basin Technical College's academic assessment exam for the Practical Nursing program. A minimum of 4-6 weeks before the deadline is recommended. Contact the Student Success Advisor's by visiting the UBTech Admissions Page to schedule an appointment. The assessment test may be taken a maximum of three times within a year. Include a copy of the test resullts with your application.

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    Step 3 - Complete the Uintah Basin Technical College Practical Nursing program application. Applications must be received by the application deadline; or, if the deadline is on a weekend, the last business day prior. The applicant is responsible to collect and return the materials listed on the Application Checklist sheet as a complete packet. 

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    Step 4 - (Optional) - Depending on number of qualified applicants, an interview may be necessary. If an interview is needed, the following point system will be implemented. 

  • All files must be submitted as a PDF file type. If you don't have access to a scanner, you can save files to your computer with an app such as Adobe Scan or CamScanner.

  • The "Save" button, which is located on each page of this application, will save your application and send you a link that will allow you to edit and update your application until all parts of the application are complete.

  • Uintah Basin Technical College Practical Nursing Application

    Contact
  • Contact Information

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  • The "Save" button, which is located on each page of this application, will save your application and send you a link that will allow you to edit and update your application until all parts of the application are complete.

  • Uintah Basin Technical College Practical Nursing Application

    Prereq
  • Uintah Basin Technical College Academic Placement Testing

  • Placement testing must be completed in the UBTech testing center sooner than 1 week before the application deadline. An appointment is needed. Contact the Student Success Advisor's by visiting the UBTech Admissions Page to schedule an appointment. The assessment test may be taken a maximum of three times within a year. 

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  • All files must be submitted as a PDF file type. If you don't have access to a scanner, you can save files to your computer with an app such as Adobe Scan or CamScanner.

  • Prerequisite Course Worksheet

  • Please fill out the information below concerning your prerequisite courses. This will assist us in making sure all of your courses are accounted for. Be sure to transfer the exact grade, with a plus (+) or minus (-) as applicable. Please be aware that all grades will be verified using official transcripts. 

    All prerequisite courses must be completed with a grade of "B-" or better. Grades of "C+" or below are unacceptable. Prerequisite courses may not be taken more than 3 times during the five years prior to application. Prerequisite courses must be taken from a regionally-accredited college or university.

    Conditional acceptance may be granted, as space allows, to those who are currently enrolled in prerequisites during the current semester. Each prerequisite must be completed with at least a B- before the program begins. An official transcript showing completion of each prerequisite course must be sumbitted before the program begins.

    Please submit official transcripts from all of the colleges/universities where you originally completed the prerequisite courses. 

    Transcripts must be officially sent by the instituttion from where you completed each prerequisite course and can be submitted by email to kirby@ubtech.edu. 

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  • If you attended an out-of-state school, please do the following: 

          1. Find the school's accreditation status on its website and print;

          2. Go to the accrediting body's website and print out the page that says the school is regionally accredited.

          3. Upload the course descriptions.

          4. Upload the documents below.

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  • All files must be submitted as a PDF file type. If you don't have access to a scanner, you can save files to your computer with an app such as Adobe Scan or CamScanner.

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  • All files must be submitted as a PDF file type. If you don't have access to a scanner, you can save files to your computer with an app such as Adobe Scan or CamScanner.

  • The "Save" button, which is located on each page of this application, will save your application and send you a link that will allow you to edit and update your application until all parts of the application are complete.

  • Uintah Basin Technical College Practical Nursing Application

    Experience
  • Education

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  • All files must be submitted as a PDF file type. If you don't have access to a scanner, you can save files to your computer with an app such as Adobe Scan or CamScanner.

  • CNA Work Experience

  • List most recent work experience first. If none, indicate by N/A.

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  • CNA 1000 Hour Verification

  • Please download and complete (including supervisors signature) the verification form for direct patient care found below. Once completed, upload the form below. 

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  • All files must be submitted as a PDF file type. If you don't have access to a scanner, you can save files to your computer with an app such as Adobe Scan or CamScanner.

  • The "Save" button, which is located on each page of this application, will save your application and send you a link that will allow you to edit and update your application until all parts of the application are complete.

  • Uintah Basin Technical College Practical Nursing Application

    References
  • References

  • List the names of the three professional people who will be completing your reference evaltuation forms. These must be people who are now or who have been your employer, supervisor, former instructor, or community leader. They must have known you for at least six months and cannot be related to you. 

  • *It is the reponsibility of the applicant to ensure all forms are competed and submitted by the application deadline.

  • The "Save" button, which is located on each page of this application, will save your application and send you a link that will allow you to edit and update your application until all parts of the application are complete.

  • Uintah Basin Technical College Practical Nursing Application

    Immunizations
  • Immunizations

  • Please download and complete the Nursing Student Immunization Requirements form found below. Once completed, upload the form below.

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  • All files must be submitted as a PDF file type. If you don't have access to a scanner, you can save files to your computer with an app such as Adobe Scan or CamScanner.

  • Browse Files
    Drag and drop files here
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  • All files must be submitted as a PDF file type. If you don't have access to a scanner, you can save files to your computer with an app such as Adobe Scan or CamScanner.

  • The "Save" button, which is located on each page of this application, will save your application and send you a link that will allow you to edit and update your application until all parts of the application are complete.

  • Uintah Basin Technical College Practical Nursing Application

    Goals
  • Professional Goal Statement

  • Using the space provided below, Write a statement of your professional goals.

    Your statement will be reviewed based on the following criteria:

    • The statement must be a minimum of 150 words and a maximum of 200 words.
    • The statement will be graded on spelling, puctuation, grammar, and sentence structure. 
  • 0/200
  • The "Save" button, which is located on each page of this application, will save your application and send you a link that will allow you to edit and update your application until all parts of the application are complete.

  • Uintah Basin Technical College Practical Nursing Application

    Checklist
  • Application Checklist

    Complete the following checklist. It is your responsibility to ensure that all items are completed. Please note that any missing information will render your file incomplete and you will not be considered a possible candidate for this program
  • The "Save" button, which is located on each page of this application, will save your application and send you a link that will allow you to edit and update your application until all parts of the application are complete.

  • Uintah Basin Technical College Practical Nursing Application

    Application Agreement
  • By signing via Adobe Sign below, I understand that I am responsible for submitting official transcripts from all of the colleges/universities where I originially completed the prerequisite courses. Transcripts must be emailed to kirby@ubtech.edu. Transcripts not received by the application deadline will render my file incomplete. I also understand that providing false or misleading information regarding any information I have provided on these forms may render my application incomplete.

  • The "Save" button, which is located on each page of this application, will save your application and send you a link that will allow you to edit and update your application until all parts of the application are complete.

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