Nursing Application - Track 3: Part-Time Evening & 周末的课程 - Mountain Empire Community College-靠谱的买球网站

名字 *

第一个最后的

街道地址城市状态邮政编码

学生证 *

电话 *

电子邮件 *

输入电子邮件确认电子邮件

This is the method you will be notified of status.

Have you lived in the 维吉尼亚州 jurisdiction of Lee, 明智的, 斯科特, 迪金森县, or the 城市 of Norton OR the 田纳西州 jurisdiction of Sullivan County or the 城市 of Kingsport during the last consecutive 12 months? *

是的
No

Did you attend credit classes at MECC before Fall Quarter 1984? *

是的
No

Please list all colleges attended since high school.

最后的 College Attended	状态	学位获得	出席去年

I have previously turned in college transcripts to MECC Enrollment Services. *

是的
No

If no, please have them sent to Enrollment Services at enroll@作为国内.edu

Transcripts from other 维吉尼亚州 Community Colleges are not required; however, any 维吉尼亚州 Community Colleges attended must be listed on this application.

I have previously turned in high school/home school/格 transcripts to MECC Enrollment Services. *

是的
No

If no, please have them sent to Enrollment Services at enroll@作为国内.edu

I am requesting to use previous TEAS testing scores. I understand that the testing date must be within the last 5 years, they must meet the minimum acceptable score and the ATI TEAS Individual Performance Profile transcript must be attached to this application. *

是的
No

Attach ATI TEAS Individual Performance Profile Transcript here. *

在此删除文件或

马克斯. 文件大小:50mb.

学生 will not be able to submit their application without attaching the transcript. Please note that the red "x" is the option to remove the file once uploaded.

Please attach the 信息 Change Form (required if you have had to change your name, 邮寄地址, 或电话号码.

马克斯. 文件大小:50mb.

请浏览www.作为国内.edu/forms for the 信息 Change Form

I understand after submission, I will contact Deb Clarkston, program director by email at dclarkston@作为国内.edu to verify my program application has been received. She will be glad to confirm. Confirmation of the receipt of your program application is the responsibility of the student. *

请检查

I request that my name be placed in consideration for admission to the Nursing program for the academic year. I understand that I must submit an application/reapply for each year I wish to be considered. I understand that I must satisfactorily complete (with a grade of “C” or better) all prerequisites and I must meet all admission requirements in order to be eligible for consideration. I have read and understand the residency requirements as well as the Nursing Application Process information. I understand that if I do not meet jurisdiction requirements that I should meet with a faculty advisor to discuss other educational opportunities. I also understand that if I do not have all required documents submitted with this application and have all requirements met by the deadlines specified, processing of my Nursing (RN) application will be suspended.

名字	日期

电话

This field is for validation purposes and should be left unchanged.