Nursing Application - Track 1: Two Year Curriculum 名字 * 要求 第一个 最后的 * 要求 街道地址 城市 阿拉巴马州阿拉斯加美属萨摩亚亚利桑那州阿肯色州加州科罗拉多州康涅狄格特拉华州District of Columbia佛罗里达乔治亚州关岛夏威夷爱达荷州伊利诺斯州印第安纳州爱荷华州堪萨斯肯塔基州路易斯安那州缅因州马里兰麻萨诸塞州密歇根明尼苏达州密西西比州密苏里州蒙大拿内布拉斯加州内华达新汉普郡新泽西新墨西哥纽约北卡罗莱纳北达科他Northern Mariana Islands俄亥俄州俄克拉何马州俄勒冈州宾西法尼亚波多黎各罗德岛州南卡罗来纳南达科塔州田纳西州德州犹他州U.S. 属维尔京群岛佛蒙特州维吉尼亚州华盛顿西维吉尼亚州威斯康辛州怀俄明Armed Forces AmericasArmed Forces EuropeArmed Forces Pacific 状态 邮政编码 学生证 * 要求 电话 * 要求电子邮件 * 要求 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? * 要求 是的 No Did you attend credit classes at MECC before Fall Quarter 1984? * 要求 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. * 要求 是的 No If no, please have them sent to Enrollment Services at enroll@作为国内.eduTranscripts 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. * 要求 是的 No If no, please have them sent to Enrollment Services at enroll@作为国内.eduI 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. * 要求 是的 No Attach ATI TEAS Individual Performance Profile Transcript here. * 要求 Drop files here or 选择文件 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 FormI 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. * 要求 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.名字日期电子邮件This field is for validation purposes and should be left unchanged.