Nursing Program Application

I understand it is my responsibility to submit all required information by the designated deadline. I certify that all information on this form, to the best of my knowledge and belief, is accurate and complete. I understand that selection is competitive and residents of Caroline, Dorchester, Kent, Queen Anne’s and Talbot counties will be given first priority in selection. I understand that if information is omitted or if statements are falsified on this application, this will be considered sufficient cause for rejection/ dismissal.

Official high school transcripts and transcripts from each school you have attended since graduating from high school must be sent to Registration at Chesapeake College, and must be received by May 25. The checkbox indicates receipt of my transcripts at the Registration office, and Registration's confirmations are uploaded to this form. I understand if I have not verified with the registration office by May 25, and uploaded the verification to this form, I will not be considered for admission.

The following prerequisite requirements will be completed by May 25. A “C” or better is required. I understand if all requirements below are not completed with a “C” or better, I will not be considered for admission. I have completed the following prerequisite requirements with a "C" or better.

I have completed the math prerequisite requirement with a "C" or better in the following courses.

Please indicate whether you are currently enrolled in either of the following courses:

Please do NOT complete this application until the TEAS exam has been completed. If my exam has been taken at Chesapeake College, my scores are immediately accessible for review and I do not need to submit scores. If the TEAS is taken elsewhere, scores need to be submitted prior to applying to the program. I understand that I must require that my official scores be sent to Chesapeake College by the application deadline of May 25. I understand that if my scores are not submitted by that date, I will not be considered for admission.

Health Care Certifications examples: CNA, EMT, etc. A copy of my current health care certification has been submitted to the Registration Office. (Completing the course will not be enough to earn points for your application. A copy of your certification from the regulatory body must be submitted to the Registration Office.) I understand if this is not submitted by May 25, no points will be awarded for this certification.

All students accepted into any Chesapeake College Health Professions Program (conditionally offered a slot pending successful background check and drug screen or currently in a slot) must submit to and satisfactorily complete a background check and drug screen review as a condition to final admission and permission to continue. An offer of admission will not be final until the completion of the background check and drug screen with results deemed favorable. Admission may be denied or rescinded based on a review of the background check or drug screen. As graduation nears, all nursing students will complete the application to take the Maryland Licensing Examination. On the application, the Maryland Board of Nursing will ask applicants if they have ever been convicted of a felony or misdemeanor (other than a traffic violation). If you know you will legally need to answer “yes” to this question, consider the possibility that the circumstances may impact your eligibility for licensure. Your signature below indicates that you are aware of this. Typing out your name and the date is your signature to this petition for admission to the nursing program.