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Header Two
Home
Academics
Charity School Nursing
Application for Admission (RN Program)
Application for Admission (RN Program)
If you see this don't fill out this input box.
Please complete the general Delgado Community College admissions procedures before applying to Charity School of Nursing. You will also need to complete a Kaplan Pre-Nursing Exam through the Delgado Testing Center
prior
to submitting your application.
Learn more about how to apply to Delgado Community College
.
Semester for which you are applying
Fall 2021 RN Generic
Fall 2021 RN Advanced Place
Fall 2021 RN Transitions
Delgado LoLA Number
*
Please note - you must apply to Delgado to get a LoLA number.
First Name
*
Last Name
*
Middle Name
Mailing Address - Number and Street
*
Mailing Address - City
*
Mailing Address - State
*
Mailing Address - Zip Code
*
Primary Phone Number
*
Please provide your full phone number including area code.
Emergency Phone #
*
Please provide an emergency contact phone number including area code
Email Address
*
This address will be used for communication from the admissions office.
Date of Birth
*
For statistical purposes only.
Age
*
For statistical purposes only
Gender
*
For statistical purposes only.
Race
*
For statistical purposes only.
Are you a U.S. Citizen?
Yes
No
If not a U.S. Citizen, what type of visa do you have?
Resident
Student
If applicable, please provide Alien Registration Number.
Are you an LPN?
Yes
No
LPN License Number
Are you a Delgado PN graduate?
Yes
No
If Delgado PN graduate please provide graduation date
List all schools/colleges attended, regardless of whether credit or a degree was earned (include current enrollment). Failure to acknowledge attendance at a school/college/university may result in dismissal from the school and/or program.
Previous College Attended 1
Dates Attended Previous College 1
Degree Received from Previous College 1
Previous College Attended 2
Dates Attended Previous College 2
Degree Received from Previous College 2
Previous College Attended 3
Dates Attended Previous College 3
Degree Received from Previous College 3
Previous College Attended 4
Dates Attended Previous College 4
Degree Received from Previous College 4
Previous College Attended 5
Dates Attended Previous College 5
Degree Received from Previous College 5
Previous College Attended 6
Dates Attended Previous College 6
Degree Received from Previous College 6
Official
transcripts of all colleges attended must be sent to Delgado Community College Admissions Office, delgadoadmissions@dcc.edu or Delgado Community College, Office of Admissions, 615 City Park Avenue, New Orleans, LA 70119.
If you have attended a college that is part of the LCTCS (BPCC, BRCC, CLTCC, LDCC, FTCC, NTCC, NCC, NLTC, RPCC, SLCC, SOWELA), you must request your transcript to be downloaded into your LoLA account if you have not already done so
and
ask for a copy to be sent to Delgado Admissions City Park Campus as well. Go to the Delgado home page at
www.dcc.edu
, click on Admissions, click on Forms, under General, click on LCTCS Transcript Download Request.
https://docs.google.com/forms/d/e/1FAIpQLSfeHyM6ipJAkY-XqCqGReS5FuyG1bSmesEFWst_QTdgYXLLRg/viewform
I
t is the responsibility of the applicant to ensure that all transcripts have been evaluated for transfer credits. Transfer credits must be approved and listed on your LoLA transcript in order to be included in the application evaluation process.
Have you ever received academic amnesty/renewal from a college or university?
Yes
No
If yes, please list name of college or university, and date granted
Have you ever been dismissed/suspended from a college?
Yes
No
If yes, please explain. Give name of school, date, and reason for action taken.
Have you ever been enrolled in clinical nursing courses in another program?
Yes
No
If yes, when? Please give name and location of schools, dates of attendance, and reason for leaving.
Have you ever previously attended Delgado Charity School of Nursing?
Yes
No
If yes, when did you attend?
Have you taken the pre-entrance exam?
Yes
No
Kaplan Testing MUST be completed PRIOR to application submission..
Have you submitted an application for admission to Delgado Community College?
Yes
No
If you have not yet done so,
please submit an application for admission to Delgado Community College
.
In order to complete this application, you must
read the program's Technical Standards, Professional Standards, and Legal Requirements
and verify that you understand and agree to adhere to them.
You also must complete the
Curriculum Self Assessment form
.
After submitting this web form, please email completed
Curriculum Self Assessment form
to
csnadmissions@dcc.edu
.
I have read the Technical Standards and can meet the requirements.
Yes
No
I have read the Professional Standards and understand that I will be required to adhere to the standards after I am admitted to the program.
Yes
No
I have read and understand the program's Legal Requirements.
Yes
No
I understand that my application will not be considered until the Curriculum Self Assessment form has been emailed to csnadmissions@dcc.edu.
Yes
No
By submitting this application, I certify the answers I have given to each and all of the previous fields are true to the best of my knowledge. I know that falsification of any information on this form may adversely affect my admission to the Delgado Charity School of Nursing.
I understand that my application will not be considered until official transcripts from all colleges attended have been received by the Admissions Office of Delgado Community College.
I understand that typing my name in the box below constitutes a legal signature confirming that I acknowledge and agree to the above terms.
Signature
*
Date of Signature
*
Form UUID
Site Name
Submit
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