Practical Nursing Application

I acknowledge that to be considered for the Practical Nursing Program, I must have the following ADB ( American Databank ) requirements met by the end of the application acceptation term. (These requirements do not need to be met prior to filling out this application. )

• Child Abuse Clearance
• Drug Screening
• FBI Fingerprint Clearance
• Immunizations
• American Heart Association Healthcare Provider CPR
• PA State Criminal Background Check
• PIT Physical Exam Form

By signing below, I acknowledge and agree to the following conditions of admission and participation in the Practical Nursing Program:

1. Documentation and Records
   • All submitted application materials and required forms become the permanent property of the College and will not be returned.
   • I authorize the College to share my healthcare documentation with affiliate clinical sites as necessary for clinical placement.
2. Application Integrity
   • I understand that any falsification, misrepresentation, or deceit in the admissions process is grounds for denial of admission or immediate program dismissal.
3. Admission Documentation Requirements
   • I must submit one of the following: an official high school transcript, GED transcript, or PA Department of Education (DOE) Certificate of Preliminary Education (CPE).
   • I understand that admission will be denied if I have a disqualifying criminal background check, child abuse clearance, or drug screen result.
   • I must provide a completed health examination form, including immunization history and/or serological verification. Admission will be denied if results are disqualifying.
   • I must provide proof of COVID-19 vaccination and seasonal influenza vaccination in accordance with clinical site requirements. Failure to do so will prevent clinical attendance and result in course failure.
   • I must provide documentation of current American Heart Association (AHA) Basic Life Support (BLS) Provider certification (including CPR and AED for adult, child, and infant).
4. Clinical Placement & Health Considerations
   • Participation in clinical training is contingent upon acceptance by affiliate clinical sites. If a clinical site refuses placement due to health, background, behavior, or other reasons, I may not be able to continue in the program, resulting in course failure or dismissal.
   • I understand that illness, injury, or health limitations may restrict my ability to participate in clinical education and could result in course failure or dismissal.
   • I accept the inherent physical, mental, and emotional demands of nursing education and will evaluate my ability to meet these demands prior to program entry.
5. Professional Standards
   • I may forfeit admission or be dismissed if I engage in behavior inconsistent with the standards of professional conduct established by the College.
   • I understand reliable transportation is required for clinical participation. Lack of transportation is not an excuse and may result in dismissal.
   • I have reviewed and understand the College’s Clinical Health Program Medical Marijuana Procedure.
6. Program Structure & Admission Process
   • I understand that the Practical Nursing Program is an accelerated, full-time, 1,500 clock hour, 12-month day program.
   • I understand that admission to the program is competitive and space-limited; meeting minimum requirements does not guarantee admission.
   • I accept that failure to provide required documentation, or failure to meet stated deadlines, may result in rescission of admission or dismissal from the program.
   • I understand that no medical, religious, or other exemptions will be granted for clinical health requirements.
7. Student Acknowledgment
   • I have read and understand the Practical Nursing Program Admission Requirements and Essential Qualifications.
   • I accept full responsibility for completing and paying for all admission requirements.
   • I understand that meeting the admission requirements does not guarantee acceptance, and that final admission is contingent upon available space and successful completion of all conditions.
   • I confirm that I am capable of performing the essential tasks and functions required of a nursing student.