LPN to ADN Advance Placement Application Form (A45110)

The deadline to submit is October 1st at 5:00 P. M. of the admitting year. Applicants must possess a current North Carolina, unrestricted license as a practical nurse (LPN). A cumulative grade point average of 2.5 or higher is required to submit the application Form. All admission requirements must have been met to be considered. A current application to the College must be on file. The TEAS test (Version VII), must be completed before October 15th of the prior admitting year. A program application is required for all programs you are interested in applying to.

General Information: Please complete each section of the application Form. If you need assistance, please schedule an appointment with the Health Sciences Student Navigator at jcchealthprograms@johnstoncc.edu.

Please note: Applicants must meet all admission requirements before October 1st.

*Required - Applicant’s Full Name

JCC Student ID Number

*Required - Date of Birth (Month/Date/Full Year)

*Required - Email (JCC email address is preferred)

*Required - County of Residency (North Carolina)

*Required - Cell Phone Number - (Include Area Code)

*Required - Do you have documented service in the Armed Forces (Provide Documentation)YesNo

*Required - Citizenship

US Citizen

Permanent Resident Alien

Non-Resident Alien

*Required - Grade Point Average Requirements: College Students: What is the current cumulative grade point average of the last college attended?

Please list all High Schools attended:
Please send ALL official transcripts to the Admissions and Student enrollment Office, they are required to be on file with the college. If additional space is needed, please add another sheet (reminder to place your first and last name on additional documentation provided).

*Required - Name of High Schools Attended with Addresses:

Please list all College and Universities attended:
Please send ALL official transcripts to the Admissions and Student Enrollment Office, they are required to be on file with the college. If additional space is needed, please add another sheet (reminder to place your first and last name on additional documentation provided).

Name of Colleges and Universities Attended with Addresses:

*Required - Meet RISE placement (2.8 GPA) for MAT and English OR meet SAT or ACT Scores OR Placement Test?YesNoNot applicable

ADMISSION REQUIREMENTS: Must be completed before applying to the LPN to ADN Advance Placement Nursing Program with a grade of “C” or higher by October 1st of the admitting year. (Must have completed all of the first Associate Degree Nursing general education classes, you may take NUR 117 or challenge competency exams).

*Required - MATH: Completion of one unit of high school OR college level algebra I or II (or equivalent) OR completion of MAT 143 or MAT 152 or MAT 171. (Please check the box and complete blanks to indicate meeting the course requirement). If you do not know the grade, write N/A.Algebra IAlgebra IIMAT 143MAT 152MAT 171Not completed

*Required - What grade did you receive for the above completed course? N/A if does not apply

ENGLISH: Did you place into ENG 111 – Writing & Inquiry without co-req? Place into ENG 111 with co-req. (011) (If completed or enrolled in spring/summer of application year they can take it with the required corequisite. Applicants can apply. Must complete co-requisite to be eligible for final consideration for the program with a grade of “C” or better.).

No - A co-requisite was not required.

Yes - A co-requisite was required.

SCIENCES: (2 sciences total) - Biology & Chemistry.

Must be completed by October 1st of the admitting year. If the
student has high school BIO and CHM classes with a “C” or
better, Biology and Chemistry are not required.

*Anatomy and Physiology will not meet this requirement.
*CHM 090 will no longer be accepted.

*Required - Biology & Chemistry Course Completed with "C" or betterHigh School BIO and CHM classes with a "C" or BetterCollege Level BIO and CHM classes with a "C" or BetterBIO 110 or BIO 111 with LAB AND CHM 131 & CHM 131 A (lab) OR CHM 151 with LAB or a college level Chemistry class with a lab.Did Not Take

*Required - What grade did you receive for the above completed course? N/A if not known.

Additional Coursework:

Courses without an NUR prefix may be taken prior to
entering the program.

Points are only awarded for classes completed by March
1st with first attempt grade of “A’ or “B”.

Please refer to the Nursing Admission Policy for additional
information regarding how points are awarded.

Anatomy and Physiology (BIO 165/168 and BIO 166/169)
and Microbiology (BIO 175/275) must be completed within
the last 5 years at the date of entry.

Optional:
MED 120- Survey of Medical Terminology (preferred) or
MED 121 - Medical Terminology I and MED 122 - Medical
Terminology II or a college level Medical Terminology Course are eligible for additional points.

ENG 111, PSY 150, and BIO 168 must be completed prior to apply to the program.

English/Medical TerminologyENG 111 - Writing & Inquiry Grade A Grade BEng 112 - Writing/Research in the Disciplines Grade A Grade BMED 120- Survey of Medical Terminology (preferred) or MED 121 - Medical Terminology I and MED 122 - Medical Terminology II or a college level Medical Terminology Course Grade A Grade B

BiologyBIO 165/168 - Anatomy & Physiology I and BIO 166/169 - Anatomy & Physiology II Grade A Grade BBIO 175 or BIO 275 - Microbiology Grade A Grade B

Current Unrestricted LPN License?
Applicants must possess a current North Carolina, unrestricted license as a practical nurse (LPN). *Must include a copy of the LPN listing from the State Board of Nursing Website with application.

*Required - If you have a North Carolina LPN License please provide the License Number and Expiration Date below or N/A

Applicants must have met the admission requirements to apply to the Associate Degree Nursing Program by the deadline date of (October 1st-5pm). Application packet must be complete.

LPN to ADN Advance Placement Application (A45110)