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Nursing Program Application

RN Resources

Applications are due by March 15th. If you need assistance while completing the online application to the program, please contact Teresa Thompson, Admissions/Records Office, teresa.thompson@sw.edu, T-111, 276-964-7299

"*" indicates required fields

Domicile*

Select the county or jurisdiction in which you have lived during the last consecutive 12 months?

Buchanan County

Dickenson County

Tazewell County

Russell County

Other parts of Virginia

Out of State

Program Options

Track 1 Traditional Program at the Cedar Bluff campus.
Track 1 Traditional Program at the Southern Gap Center.
Track 1 Traditional Program at the Bluefield Center.
Track 2 LPN to RN Transition program (summer term is on Cedar Bluff campus then students will proceed to respective campus for fall/spring).

Program (BC)*

I am applying for admission to:

Track 1 at Southern Gap

Track 2 LPN to RN

Program (DC)*

I am applying for admission to:

Track 1 at Southern Gap

Track 2 LPN to RN

Program (TC)*

I am applying for admission to:

Track 1 at Cedar Bluff

Track 1 at Bluefield

Track 2 LPN to RN

Program (RC)*

I am applying for admission to:

Track 1 at Cedar Bluff

Track 2 LPN to RN

Program (OR)*

I am applying for admission to:

Track 1 at Cedar Bluff

Track 1 at Bluefield Center

Track 2 LPN to RN

Program (OS)*

I am applying for admission to:

Track 1 at Cedar Bluff

Track 1 at Bluefield Center

Track 1 at Southern Gap

Track 2 LPN to RN

Name*

First Last

Address*

PO Box if applicable Street Address City State ZIP Code

Please provide your mailing address.

Student ID*

7 digit EmplID

Phone*

Email*

LPN to RN Applicants*

Applicants must have graduated from a LPN program after May 15, 2018 or provide documentation of 1 year (2000 hours) of full-time LPN work experience in direct patient care during the past three years with written verification from employer at the time of application. Attach the following required documents: LPN license; LPN work experience documentation. Note that if you do not meet these requirements you may still apply for the regular RN program.

Drop files here or

Accepted file types: pdf, jpg, png, jpeg, Max. file size: 20 MB, Max. files: 3.

High School or GED Transcripts*

I have previously submitted official high school/home school/GED transcripts to SWCC Admissions. (Official transcripts are required by the February 15th deadline.)

Yes

No

Colleges*

Please list colleges attended and last year attended

College Transcripts*

I have previously submitted official college transcripts to SWCC Admissions. (Official transcripts are required by the February 15th deadline.)

Yes

No

TEAS Scores*

I understand that the testing date must be within the last 5 years and must meet the 45 or higher National Percentile score. The ATI TEAS Individual Performance Profile transcript (PDF) must be attached to this application for it to be accepted. Do you have your TEAS Transcript?

Yes

No

You must meet the requirements for TEAS scores before your nursing application can be accepted.

THIS APPLICATION CANNOT BE SUBMITTED UNLESS A TEAS SCORE IS UPLOADED NOW. Please attempt application again when your TEAS Score is ready to upload.

TEAS Transcript*

Please attach ATI TEAS Individual Performance Profile Transcript here.

Drop files here or

Accepted file types: pdf, jpg, jpeg, png, Max. file size: 20 MB.

Acknowledgement of Reciprocity Statement: Pursuant to United States Department of Education (US DOE) regulation 34 CFR 668.43 (a) (5) (v), the Southwest Virginia Community College (SWCC) Associate Degree in Nursing (ADN) program provides the following information for all prospective and current students:

The SWCC ADN program meets all Virginia Board of Nursing requirements for pre-licensure nursing education programs in the Commonwealth of Virginia. In addition, the SWCC ADN program meets all requirements for nationally recognized accreditation by the Accrediting Commission for Education in Nursing. .
The Commonwealth of Virginia participates with 32 other states in the National Council of State Boards of Nursing (NCSBN) National Licensing Compact (NLC) to allow nurses licensed in one state to provide nursing care across state lines in other compact states. The Uniform Licensing Requirements (ULRs) are found at: https://www.ncsbn.org/NLC_ULRs.pdf.”
States currently in the NLC are found at: https://www.ncsbn.org/nlcmemberstates.pdf
Prospective and current students are strongly encouraged to evaluate all state requirements in jurisdictions where they intend to practice nursing. A list of all state requirements is found at:https://www.ncsbn.org/14730.htm. SWCC has not determined if the ADN program meets the requirements of any other states.
This statement serves to meet the USDOE regulation until further notice.
LICENSURE RECIPROCITY

Consent*

I understand the Nursing Program Reciprocity Statement above.

I request that my name be placed in consideration for admission to the Nursing (RN) 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 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 (RN) Application Process information.
I understand that first priority for acceptance will be given to applicants who reside within the service region of Buchanan, Dickenson, Russell and Tazewell counties. Secondary priority will be given to Virginia residents outside of those counties, and then out-of-state applicants
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.

Name

First Last

Date

MM slash DD slash YYYY

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Email

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