ApprovedbyMANESteeringCommittee–September2012ApprovedbyInverHillsCommunityCollegeAcademicCouncil–November2012 P a g e |1

Information&

ApplicationPackage

Fall2018

StartDate:Fall2018

InverHillsCommunityCollegeisamemberofMinnesotaStateCollegesandUniversitiesandanaffirmativeaction,equalopportunityemployerandeducator.Thisinformationisavailableinanalternateformatbycalling651-450-

3508orTTY/MinnesotaRelayat1-800-627-3529.

ApprovedbyMANESteeringCommittee–September2012ApprovedbyInverHillsCommunityCollegeAcademicCouncil–November2012 P a g e |2

TableofContentsMANEMissionandVision............................................................................................................................3

MinnesotaAllianceforNursingEducation(MANE)Program.......................................................................3

MANEProgramPlan.....................................................................................................................................3

CriteriaforApplicationtotheInverHillsCommunityCollegeMANENursingProgram..............................4

SelectionCriteriaforAcceptance/AdmissiontoMANENursingProgram...................................................6

AfterAcceptance/AdmissiontoMANENursingProgram............................................................................6

Timelinesforapplicationandnotificationofadmissionstatus...................................................................7

Processfordualadmission...........................................................................................................................7

APPENDIXA–InverHillsNursingMANECurriculumPlan...........................................................................9

NURSINGAPPLICATIONCOVERPAGE&CHECKLIST–STARTDATE:Fall2018...........................................10

APPENDIXB–MinnesotaAllianceforNursingEducation(MANE)ProgramApplication...............................11

ApprovedbyMANESteeringCommittee–September2012ApprovedbyInverHillsCommunityCollegeAcademicCouncil–November2012 P a g e |3

MANEMissionandVisionThemissionoftheMinnesotaAllianceforNursingEducation(MANE)istoincreasebaccalaureatepreparednursesthroughcollaborative,andtransformativeeducationalstrategies.

ThroughincreasedaccesstobaccalaureatenursingeducationMANEwillprepareprofessionalnursestopromotehealthandmeettheevolvingandcomplexhealthcareneedsofanincreasinglydiversepopulationinMinnesota.

ThepurposeoftheMinnesotaAllianceforNursingEducation(MANE)istoimproveaccesstobaccalaureateeducationinMinnesota,closelyaligningnursingeducationwithemerginghealthcareneedsandhealthcaresystemchanges.StudentsadmittedtoaMANEcollaboratingcollegeoruniversitywillbeenrolledinafouryear(eight-semester)baccalaureateprogram,whichwillincorporatecurriculumdesignedtofacilitatedeep,contextuallygroundedlearningwhichpreparesthemfortherapidlychanginghealthcareenvironmentupongraduation.

MinnesotaAllianceforNursingEducation(MANE)ProgramTheMANEcurriculumistransformative,movingawayfromindependentsilosofeducationtocollaborationbetweenuniversities,communitycollegesandpractice.MANEisacollaborationbetweencommunitycollegeanduniversitynursingprogramstoprovideincreasedstudentaccesstoabaccalaureateprogramandattainmentofaBachelorofScienceinNursing(BSN)degree.StudentsadmittedtoacommunitycollegeMANEprogramwillbeduallyadmittedtoMetropolitanStateUniversity.

TheprogramwasbuiltfollowingathoroughanalysisofnationalstandardsincludingAACN,CCNE,NLN,ACEN(NLNAC),PEW,OCNE,andQSENfromwhichtenprogramcompetencieshavebeendeveloped.This120credit,eightsemesterprogramhascollaborativelydevelopedprerequisites,admissionprocesses,gradingscales,andaProgramPlanacrossallcollaboratingcollegesanduniversities.

MANEProgramPlanTheMANEProgramPlancontentistaughtwithinaconcept-basedcurriculumwhichspiralsconceptsthroughouttheprogram.Nursingcoursesaresequentialinnatureduetothespiraledteaching/learningmethodology.

TheMANEProgramPlanisabaccalaureatecurriculumbasedonTheEssentialsofBaccalaureateEducation(AACN,2008)withProgramStudentLearningOutcomes(PSLO’s)benchmarkedatthefifthandeightsemestersoftheprogram.AstudentenrolledataMANEcommunitycollegewillreceiveanAssociateofScienceDegreeinNursingatthesuccessfulcompletionofthefifthsemester.ThestudentisexpectedtocontinuetothecompletionoftheBachelorofScienceinNursingdegree.

AnapplicantadmittedtotheMANEcollaboratingcollegewillbeconsideredduallyadmittedtoacollaboratinguniversity.

ApprovedbyMANESteeringCommittee–September2012ApprovedbyInverHillsCommunityCollegeAcademicCouncil–November2012 P a g e |4

CriteriaforApplicationtotheInverHillsCommunityCollegeMANENursingProgram

1. GeneraladmissiontoInverHillsCommunityCollege.a. ApplicantstoInverHillsCommunityCollegemustbeingoodacademicandfinancial

standingatallpreviouslyattendedMinnesotaStateinstitutionsorcollegeadmissionmaybedenied.

2. CompletedMANENursingApplicationforInverHillsCommunityCollege.

3. Submissionofofficialtranscriptsfromallinstitutionsattended.

a. Seenotesreferencedonapplicationchecklistfordirections

4. Aminimumgradepointaverage(GPA)of2.75basedonthefirstsemesteroftheMANEcurriculumplan.(seeAppendixA)

a. OfficialtranscriptswillbeusedtocalculateGPA.b. ThemostrecentcoursegradewillbeusedfortheGPAcalculation,whetheritishigher

orlowerthanpreviousgrade.c. EachcourseoftheMANEcurriculumplanmusthavebeenachievedwithalettergrade

ofCorbetter.d. FullacceptancetotheMANEcollaboratingcollegeanduniversityisdependenton

successfulcompletionofthesecondsemesteroftheMANEcurriculumplan,maintainingaminimumgradepointaverage(GPA)of2.75.

5. AllapplicantsarerequiredtocompletethemostcurrentAssessmentTechnologiesInstitute

(ATI),standardizedTestofEssentialAcademicSkills(TEAS)priortoapplicationdeadlines.a. Applicantsareallowedtotestasoftenastheychoose.Thehighestscorewillbeusedfor

applicationsubmissionperATI.Thefeeforeachexamis$76.00(subjecttochange).

TEASTestingProcess:TheTEASexamwillbeadministeredviaATI,INC.atspecifiedmemberMANEcolleges/university.Registrationandpaymentoffeeswillbeon-lineviaATI.ThestudentmayopttotaketheTEAStestatanyofthelistedmembersites,andshouldregisterasaMANEnursingapplicationcandidate.Thetestwilltakeapproximately3-4hoursandshouldnotbescheduledunlessadequatetimeisavailablebythetester.

• ApplicantswillsendatranscriptreportofTEASresultstothecollege/university(s)towhichtheapplicantapplied.

• ApplicantswhoopttotaketheTEAStestatanon-MANEmembersitearerequiredtopurchaseatranscriptfromATIandhaveitsenttoEnrollmentCenteratInverHillsCommunityCollege.

ThefeepaidbythestudenttoATI,INC.is$76.00

Thestudentmayaccessstudymaterialsat:

http://www.atitesting.com/solutions/prenursingschool/teas/study-guide.aspx

ApprovedbyMANESteeringCommittee–September2012ApprovedbyInverHillsCommunityCollegeAcademicCouncil–November2012 P a g e |5

6. Advancedstandingapplicants,LicensedPracticalNurses(Paramedicswillbeaddedwhenthecurriculumhasbeenevaluatedforappropriateadvancedstandingcredit),mustdemonstrate:

a. LicensedpracticalNurses(LPN)mustmaintainunencumberedlicensurefromanystateintheUnitedStates.

b. Whenadvancedstandingcreditisdetermined,paramedicsmustbecertifiedasaNationallyRegisteredEmergencyMedicalTechnician-Paramedic(NREMT-P),and/orstatecertifiedasanEMT-P(certificationmaybeinanystateintheUnitedStates,butmustbetoalevelequivalenttoanationallyregisteredEMT-P).

7. ApplicantsmustdemonstrateEnglishlanguageproficiencyviaexaminationif(1)Englishisnottheirnativelanguage;and(2)theapplicantshavelivedintheUSfewerthan8yearsatthetimeofapplicationtotheprogram.ApplicantsareexemptfromtakinganEnglishproficiencyexamiftheirnativelanguageisEnglishortheyhavebeenintheUS,asanon-nativeEnglishspeaker,formorethan8years.

*MinimumscoresinthefollowingexamsarerequiredtodemonstrateEnglishlanguageproficiency:

Test MinimumSatisfactoryScoreTOEFLiBT 84withaminimumspeakingscoreof26IELTS Overallscoreof6.5withtheminimumof

6.0onallmodulesMELAB Totalpassingscoreof81andaspeaking

sectionscoreof3PearsonTestofEnglishAcademic Overallscoreof55withtheminimumof

50onallsub-scores

TOEFL-http://bit.ly/InverNursingTOEFL

IELTS-http://bit.ly/InverNursingIELTS

MELAB-http://bit.ly/InverNursingMELAB

Pearson-http://bit.ly/InverNursingPearson

*Scoresarevalidforthetimeperiodspecifiedbyindividualteststandards

ApprovedbyMANESteeringCommittee–September2012ApprovedbyInverHillsCommunityCollegeAcademicCouncil–November2012 P a g e |6

SelectionCriteriaforAcceptance/AdmissiontoMANENursingProgramRankingofapplicantswillbebasedonthefollowingcriteria:

1. TEAScompositescoredividedbyafactorof10.(Ex:Compositescoreof72%=7.2)2. FirstsemesterGPAofMANEProgramPlan.(Ex:2.75)3. ThecombinedtotalTEASandGPAscorewillbeutilizedtorankapplicantsfororderof

acceptance.(Ex:7.20+2.75=9.95rankingscore)4. IntheeventofatiedcombinedtotalTEASandGPAscore,theapplicantwiththehighestTEAS

sciencesub-scorewilladvanceinrankorderforacceptance.Ifafurthertieexists,theapplicantwiththehighestTEASmathsub-scorewilladvanceinrankorderforacceptance.

5. Allapplicants,regardlessofLPN(orParamedic/EMTwhenapplicable)status,willbeplacedintoacommonapplicantpoolbasedonnumericscoreasidentifiedincriteria1-3.

6. FullacceptancetotheMANEcollaboratingcollegeanduniversityisdependentonsuccessfulcompletionofthesecondsemesteroftheMANEcurriculumplan,maintainingaminimumgradepointaverage(GPA)of2.75,includingobtainingagradeofCorgreaterinallrequiredcourses.

AfterAcceptance/AdmissiontoMANENursingProgram

EvidenceofhavingcompletedthefollowingcriteriawillberequiredpriortothestartofMANEnursingcoursesandmustremaincurrentthroughouttheprogram.Requirementsinclude,butmaynotbelimitedto:

1. DocumentationofcurrentCPRHealthcareProvider.

2. CompletionofcurrentMinnesotaHumanServicesBackgroundStudy.• Ifanapplicanthasbeenarrested,chargedorconvictedofanycriminaloffense,heorshe

shouldinvestigatetheimpactthatthechargeorconvictionmayhaveonhisorherchancesofemploymentorlicensureasaregisterednurseandthestudent’schancestoobtainfederal,stateandotherhighereducationfinancialaid(byMinnesotaStatute135A.157).

• Iftheapplicantrefuses,orisdisqualifiedasaresultofthebackgroundstudy,theapplicantwillbeunabletosuccessfullycompletetherequirementsoftheMANEprogram.

Note:Involuntaryterminationfromahealthcareinstitutionmayprohibitanapplicantfromcompletingthisprogram.

3. Completedhealthandimmunizationrecord,includingproofofcurrentimmunizationsandtuberculosistesting,and/orotherrequirementsasdefinedbytheclinicalagency.

ApprovedbyMANESteeringCommittee–September2012ApprovedbyInverHillsCommunityCollegeAcademicCouncil–November2012 P a g e |7

Timelinesforapplicationandnotificationofadmissionstatus

Applications,transcriptsandTEASexamresultsmaybesubmittedseparatelybutallmustbereceivedbycloseofbusinessonthedeadlinedate.

1. UniversalapplicationdeadlinesforallMANEschools:a. Fallsemesterstart:ApplicationdeadlineisFebruary1.b. Springsemesterstart:ApplicationdeadlineisJune1.

2. Notificationtoapplicantsbythecollegeoruniversityapplicantappliedto:a. Fallsemesterstart:

i. March15applicantnotificationofaccept,denyorwaitliststatus.ii. April1notificationdeadlinebyapplicanttorespondtothecollegeoruniversity

toacceptordenyadmissiontotheprogram.b. Springsemesterstart:

i. July15applicantnotificationofaccept,denyorwaitliststatus.ii. August1notificationdeadlinebyapplicanttorespondtothecollegeor

universitytoacceptordenyadmissiontotheprogram.3. ApplicationsofstudentsnotacceptedtoMANEwillremainonfilethroughthenextadmission

cycle.Ifastudentchoosestoreapplyforthenextadmissioncycle,thestudentmust:a. Completeanewapplicationform.b. Updateanymaterialsneededtomaintaincurrencyofadmissionrequirements.c. Foranysuccessiveapplications,completeandsubmitallrequiredinformationand

documentsasifapplyingtoMANEforthefirsttime.

Processfordualadmission

1. Studentswhoreceiveconfirmationofacceptancetotheprogramwillberequiredtoreturnthefollowingmaterialspriortothedeadlinespecifiedintheacceptanceletter:

a. ApplicantAgreementFormacknowledgingacceptanceofseatintheMANEProgram.b. DualAdmissionFormtocompletetheBSNDegree

• DualAdmissionFormstimulatesdualadmissionwithMetropolitanStateandgivespermissionforstudentdatatobeshared.

2. MetropolitanStateUniversitywillsendthestudentwrittenacknowledgementofparticipationintheMANEProgramandAdmitPacketforafuturetermofenrollmentatMetropolitanStateUniversitybasedonthefollowingcriteria:

a. AcceptancetoaMANEnursingprogram.b. Submissionofalladmissionmaterials.c. *Submissionofanelectronic“DualAdmissionForm”tocompletetheBSNdegreeat

MetropolitanStateUniversity.

ApprovedbyMANESteeringCommittee–September2012ApprovedbyInverHillsCommunityCollegeAcademicCouncil–November2012 P a g e |8

3. AMetropolitanStateUniversitynursingrepresentativewillconnectwithMANEstudentsonthecommunitycollegecampusesinthe4thand5thsemestersoftheprogramtoadvisethestudentonthedualadmissionprocessandcontinuationtotheBachelorofScienceinNursingdegree.MetropolitanState(newstudentorientation)willtakeplaceinthe5thsemesteroftheprogram.MetropolitanStatewillbeginteachinginthe6thsemesteroftheprogram.

4. ContinuingatMetropolitanStateUniversityaftercompletionoffivesemestersoftheMANEProgramPlan:Studentsmustmeettheacademicperformancecriteriaofbothinstitutions,andtheMANEprogram,inordertocontinuetothebaccalaureatedegree.StudentsthatdonotwillbedeniedcontinuingtocompletionofthebaccalaureatedegreeatMetropolitanStateUniversity.Inaddition,studentswillbereviewedforanyotherperformancecriteriathatmayprohibitcontinuingatMetropolitanStateUniversity(i.e.codeofconductissues,probationstatus).

P a g e |9

APPENDIXA–InverHillsNursingMANECurriculumPlan

Year Semester 1 Credits Total Semester 2 Credits Total

1

• ENG 1108 - Writing and Research Skills 4 15 • BIOL 2201 - Anatomy & Physiology I 4 15 • BIOL 1120 - Exploring Biology 4 • BIOL 2205 - Microbiology 4 or BIOL 1154 - Biology: From Cell to Organism • PSYC 1210 - Lifespan Development 4 • PSYC 1101 or 1201 – Introduction to Psych (with or without lab) 4 • MNTC General Elective from Goal 6 3 • COMM 1100 - Interpersonal Communication 3 or COMM 2230 - Small Group Communication Must have Semester 2 coursework in progress or complete at or COMM 2240 - Intercultural Communication time of application and must maintain a cumulative G.P.A. of Must have Semester 1 coursework complete with a 2.75 G.P.A. 2.75 in semester 1 and 2 coursework with no letter grade less in order to apply. (G.P.A. calculated using courses from Semester 1 only)

than a C in order to be fully admitted to the program.

2

• Traditional Only: NURS 2700: Foundations of Nursing - Health Promotion 9 15

• NURS 2820 Pharmacology and the Role of the Professional Nurse 3 15

(9 credits) or **Mobility Only: NURS 2720: Transition to the Role of the Professional Nurse (4 credits plus 5 advanced standing credits). • NURS 2850 Applied Pathophysiology for Nursing I 2 • NURSE 2750: Nutrition and the Role of the Professional Nurse 2 • NURS 2800 - Chronic & Palliative Care 7 • *BIOL 2202 - Anatomy & Physiology II 4 * ANTH 1130 - Introduction to Biological Anthropology 3

or *ANTH 1110 - Cultural Anthropology or *SOC 1127 - Social Inequalities or *ANTH 2130 - Medical Anthropology

3

• *NURSE 2900 - Acute & Complex Care 7 15 METRO STATE: CONTINUED COURSEWORK FOR 15 • *NURSE 2920 - Applied Pathophysiology for Nursing II 2 BACHELOR'S DEGREE • *NURS 2950 - Nursing Leadership I 3 • NURS: Family Health Nursing 4 • *PHIL 1112 - Ethics or 3 • NURS: Epidemiology for Nursing 3 • *BIOL 1114 - Critical Issues in Human Biology • MATH 1103 - Introduction to Statistics (Inver Hills) or 4 . STAT 201 (Metro State) BENCHMARK - eligible for NCLEX-RN/licensure and Associate of • General Education - Writing in your Major (Must be at the 4

Science in Nursing degree Upper Division level.

4 • NURS: Population Based Care 7 16 • NURS: Integrative Seminar & Practicum 7 14 • NURS: Nursing Leadership II 4 • NURS: Global Health perspectives for Nursing 3 • NURS: Nursing Informatics 2 • Upper Division General Education - elective 4 • Upper Division General Education - elective 3

Eligible for Bachelor of Science in Nursing • All nursing courses must be taken concurrently in the semester listed and must be successfully completed in order to progress to the next semester. • *General education courses can be taken earlier but not later than the identified semester. • **Traditional students take NURS 2700, Mobility students take NURS 2720 (Mobility track available to students who hold an unencumbered LP license) • Credits in AD Degree: 35 Nursing; 40 prerequisites= 75 total

• Credits after licensure eligibility to BSN: 30 Nursing; 15 general education credits (10 general education credits must be upper division; 5 credits may be taken at lower division level and transferred).

• Total Program Credits: 65 nursing; 55 pre-requisites/general education = 120 © Minnesota Alliance for Nursing Education and Inver Hills Community College

P a g e |10

NURSINGAPPLICATIONCOVERPAGE&CHECKLIST–STARTDATE:FALL2018SUBMITWITHAPPLICATION(pages10,11,12,13)

AllmaterialsmustbesubmittedwithyourapplicationunlessnotedotherwiseSubmitormailapplicationmaterialstoInverHillsEnrollmentCenter,2ndflooroftheCollegeCenterBuilding,2500East

80thStreet,InverGroveHeights,MN55076� Accepted to Inver Hills Community College, IHCC Student ID

� Nursing Application: please include the following 4 pages when submitting this application

� TEAS test results

�Copy included with Nursing application

�Non-Minnesota State member site requested results be sent by ATI to Inver Hills Community College (fee

required) Date requested ______________

� English Language Proficiency Exam Results

� Not applicable

� Proof of current, unencumbered LPN licensure from any state in the United States

� Not applicable

� Official college transcripts from all non-Minnesota State schools

List all Minnesota State schools which you have attended (official transcripts from Minnesota State schools do not have

be included in this application)

List all non-Minnesota State schools in which you have attended and included a transcript (If you submitted an official transcript(s) from a non-Minnesota State school(s) at the time of application to Inver Hills, you do not have to resubmit them unless additional coursework has been taken after they were submitted.)

�previously submitted �included with Nursing application

�previously submitted �included with Nursing application

�previously submitted �included with Nursing application

�previously submitted �included with Nursing application

�previously submitted �included with Nursing application

� Approved Course Substitution/Waiver Request or Student Appeal Form*

*Course Substitution/Waiver Request and Student Appeal forms must be received by the Enrollment Center 21 days prior to

the application deadline. Failure to do so will result in an incomplete application. Submitted forms need to include a signature

from a counselor or advisor. Counselors and advisors are located on the second floor of the College Center building and can

be reached at 651-450-3508.

� International Transcript - approved by World Education Services or Education Credential Evaluators

�Not applicable

I have read and understand the information provided in the MANE Nursing Application Package

Name (printed)

Signature Date

RevisedOctober2017 P a g e |11

APPENDIXB–MinnesotaAllianceforNursingEducation(MANE)ProgramApplicationStart Date: Fall 2018

The Minnesota Alliance for Nursing Education (MANE) is comprised of member community colleges and Metropolitan State University who collaboratively offer a Bachelor of Science in Nursing (BSN) degree, with dual admittance to Inver Hills Community College and Metropolitan State University for degree completion. This opportunity provides nursing students flexibility in their educational and career planning.

Completion of this single application provides the information necessary to be considered for full admission to a

MANE collaborating college and/or university nursing program. A separate application form must be completed for

each MANE Nursing program to which you apply.

Application deadlines are February 1 and June 1 of each year for programs admitting fall and fall semester cohorts and

February 1 for programs admitting fall semester cohorts only. All requirements for application must be completed or

submitted by the application deadline. Last name: First name: MI: _______ Previous names used: Social Security # _____________________ Inver Hills Community College Student ID # (required): (Must be an admitted IHCC student to apply) Street address: City: State: ________ Zip:____________ Preferred email:_ Home Phone # ( ) Cell Phone # ( ) Work Phone# ( )

MANE Application Prerequisite Course Checklist

In order to process applications, the courses listed below MUST be complete with a minimum 2.75 GPA and no letter

grade less than a ‘C’. Please indicate the name of the course, where it was taken, the year and semester, and grade.

Course Name College Year & Semester Grade 1) ENG 1108 Writing and Research Skills or Equivalent

2) COMM 1100 Interpersonal Communication or COMM 2230 Small Group Communication or COMM 2240 Intercultural Communication or Equivalent

3) PSYC 1101 or 1201 Intro to Psychology or Equivalent

RevisedOctober2017 P a g e |12

4) BIOL 1120 Exploring Biology or BIOL 1154 General Biology or Equivalent

Students must have the below courses in progress or complete at the time of application. No letter grade less than a ‘C’

will be accepted. Please indicate the name of the course and the college. If the course is already completed, please

indicate the grade earned. If the course isn’t complete, please indicate if the course is in progress or list the semester the

course will be taken. Applications will be considered incomplete if this information is not provided.

Course Name College Grade Earned In Progress or Semester Course Will be Taken

1) BIOL 2201 Anatomy & Physiology I or Equivalent

2) BIOL 2205 Microbiology or Equivalent

3) PSYC 1210 Lifespan Development or Equivalent

4) Minnesota Transfer Curriculum General Elective from Goal 6 or Equivalent

If you are unsure if your course is equivalent, please use www.Transferology.com. If you need further assistance, please

meet with an Inver Hills academic advisor or counselor.

For your application to be processed, the following is required (if applicable):

1. All applicants are required to have taken the most current Assessment Technologies Institute (ATI),

standardized Test of Essential Academic Skills (TEAS) prior to application deadlines.

2. Applicants must demonstrate English language proficiency via examination if (1) English is not their native

language; and (2) the applicants have lived in the US fewer than 8 years at the time of application to the

program. Results of one of the following must be submitted to demonstrate English language proficiency via

examination :

• TOEFL iBT

• IELTS

• MELAB

• Pearson Test of English Academic

3. Applicants, who are licensed as a Practical Nurse (LPN), must supply proof of current, unencumbered licensure

from any state in the United States.

( ) Check here if you are a LPN and have included a copy of your unencumbered license.

RevisedOctober2017 P a g e |13

Education: Applicants must supply official transcripts for all post-secondary institutions at which they

previously enrolled (even if no credit or clock hours were earned), and official transcripts for all post-

secondary credits (including military and advanced placement). An official transcript does not need to be

submitted for Minnesota State schools. If you submitted an official transcript(s) from non-Minnesota State

school(s) at the time of application to Inver Hills, you do not have to resubmit them unless additional

coursework has been taken after they were submitted. Reminder: Transcripts must include grades for all

courses completed at time of deadline and current registration. International college credits must be

evaluated by World Education Services (www.wes.org) or ECE Educational Credential Evaluators

(www.ece.org). A copy of the unofficial transcripts must be sent in conjunction with evaluation. Credits

earned must be from a Regionally Accredited institution(s).

List names of colleges and/or universities you previously attended.

1. ________________________________________ 4. ______________________________________

2. ________________________________________ 5. ______________________________________

3. ________________________________________ 6. ______________________________________

Have you filed an Academic Petition form? Yes_____ No _____

If yes, you must attach the signed and approved copy to this application.

If you are an International Student did you apply for a World Education Services or ECE Educational

Credential Evaluators transcript evaluation? Yes No

For more information go to www.wes.org or www.ece.org

Misrepresentation of application information is grounds for canceling application. I certify the information I have

provided on this application form and all other admission application materials are complete, accurate and

true to the best of my knowledge. Initial ________________

SEND COMPLETED APPLICATIONS TO:

ATTN: Inver Hills Community College

Career Programs: Carolyn Dela Cruz

Science Building, Room 212

2500 East 80th

Street

Inver Grove Heights, MN 55076

SIGNATURE REQUIRED: ____________________________________ Date: ___________________

You are encouraged to make a copy of this application for your files.

MANE Application questions can be directed to the Director of Nursing, Diane Elifrits, at DElifrits@inverhills.edu or 651-450-3605.

Admission is granted without regard to race, creed, color, sex, age, national origin or handicap. This institution abides by the provisions of Title IX,

federal legislation forbidding discrimination on the basis of sex and by all other federal laws regarding equal opportunity.

Note: Federal and state legislation requires that the contents of student files be open to review by the student. Application forms, high school

transcripts, test date, letters, and recommendations that are sent as part of any application for admission will be open to the student's review

upon request.

Note: This application is available in alternative formats for people with disabilities by calling 651.779.3354 (voice) or th rough the Minnesota

Relay Service at 1.800.627.3529.

Note: If an applicant has been arrested, charged or convicted of any criminal offense, he or she should investigate the impact that the charge

or conviction may have on his or her chances of employment or licensure as a registered nurse and the student’s chances to obtain federal,

state and other higher education financial aid (by Minnesota Statute 135A. 157).

If the applicant refuses, or is disqualified as a result of the background study, the applicant will be unable to successfully complete the requirements the

MANE program.

Note: Involuntary termination from a healthcare institution may prohibit you from completing this program. Note: Application requirements are subject

to change.