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MASTER OF SCIENCE IN NURSING REQUIRED SUPPLEMENTAL APPLICATION FORMS

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Page 1: MASTER OF SCIENCE IN NURSING R SUPPLEMENTAL … · Earned a minimum undergraduate cumulative grade point average (GPA) of 3.0 on a 4.0 scale. Successfully completed baccalaureate

MASTER OF SCIENCE IN NURSING REQUIRED SUPPLEMENTAL APPLICATION FORMS

Page 2: MASTER OF SCIENCE IN NURSING R SUPPLEMENTAL … · Earned a minimum undergraduate cumulative grade point average (GPA) of 3.0 on a 4.0 scale. Successfully completed baccalaureate

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SCHOOL OF NURSING, GRADUATE APPLICATION CHECKLIST

A complete graduate application to the School of Nursing consists of the following:

❑ Completed on-line Graduate Application for Admission, with a $30 non-refundable application fee.

❑ Official, unopened transcripts from all institutions of higher education previously attended where credit was earned.

❑ Official, unopened Test of English as a Foreign Language (TOEFL) scores for all applicants from outside the United States and whose first language is not English, SU code is 5613.

Completed School of Nursing Supplemental Application Materials

❑ Three completed recommendation forms:

o At least one and no more than two from a former dean, faculty member, or advisor familiar with the applicant's academic performance.

o At least one and no more than two from a current or former supervisor familiar with applicant's clinical practice.

o Two of the three recommendations should be from persons with a graduate degree.

o The recommendations must not be from friends, family or acquaintances.

o Individuals asked to provide a recommendation must complete the form included in this packet, and:

● Place it in a sealed envelope, signed across the seal and return it to the applicant to be mailed with the application packet, OR

● Scan and e-mail the form directly to [email protected] from a verifiable e-mail address.

❑ Completed documentation of Clinical Hours Form documenting one year RN nursing work experience (2080 hours) for all MSN applicants.

❑ Completed required essay to the following prompt:

o Critical thinking skills are an essential aspect of leadership in nursing. Describe a specific example of a conflict you have experienced in your professional role in which you utilized critical thinking skills to resolve the issue. Why do you see this as an effective use of critical thinking? (essay format, 2-3 double-spaced pages in length)

❑ Current professional resume.

❑ Copy of current nursing license.

❑ Completed required essay using your own words.

Completed application materials must be returned to:

Office of Graduate Admissions 1460 University Drive Winchester, VA 22601

Only completed application files will be considered for admission. It is the applicant’s responsibility to confirm that all application materials have been received by the Office of Graduate Admissions by the appropriate due date.

Upon receipt of a completed application the School of Nursing MSN Curriculum Committee will invite potential qualified candidates for a personal interview. Applicants approved for admission to Shenandoah University will receive official notification via postal mail by the Office of Graduate Admissions. Applicants must submit written confirmation of their intention to accept the offer along with a nonrefundable tuition deposit within 15 days of receiving notification. This written confirmation and tuition deposit will reserve placement in the upcoming class.

Financial Aid - You are encouraged to complete the Free Application for Federal Student Aid (FAFSA). The FAFSA is updated every year by the U.S. Department of Education and is available for the upcoming academic year after January 1. The FAFSA is completed annually on-line at: www.fafsa.ed.gov. The FAFSA is used to determine eligibility for aid such as grants, awards, loans and scholarships. The Virginia Tuition Assistance Grant Program (VTAG) is a state-funded, non-need-based grant available to graduate students who are Virginia residents and enrolled in a graduate health program for at least 9 credit hours per semester.

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ADMISSION CRITERIA TO MASTERS PROGRAMS

Admission to the Master of Science in Nursing program is competitive. Individuals seeking admission into the MSN program must meet the following requirements:

◆ Be a licensed Registered Nurse. Applicants not licensed in Virginia must apply and receive reciprocity. Students must also hold RN licensure in all states where they participate in student clinical.

◆ BCLS for Healthcare Provider by the American Heart Association only, that includes infant, child, adult and AED.

◆ Have up-to-date health records including current immunizations, flu vaccine and evidence of a health insurance policy. (Required by Shenandoah University and the School of Nursing.)

◆ Earned a baccalaureate degree in nursing from a NLNAC or a CCNE accredited program. If degree is not from a NLNAC or a CCNE accredited program the applicant will be evaluated on an individual basis.

◆ Earned a minimum undergraduate cumulative grade point average (GPA) of 3.0 on a 4.0 scale.

◆ Successfully completed baccalaureate level nursing courses in physical assessment, introductory statistics, and community nursing with a grade of ‘C’ or better. Students who cannot document a separate physical assessment or community nursing course will be required to pass a standardized comprehensive examination at their own expense.

◆ Have a minimum of 2,080 hours or one year (or equivalent) of relevant RN clinical experience prior to enrolling in the specialty courses. Specialty courses usually begin in the second year of study. Students may take graduate core courses while completing this requirement. Students requesting consideration of course equivalency must do so in writing to the School of Nursing Graduate Curriculum Committee and provide rationale for the request.

◆ Be able to meet the Technical Performance Standards for Nursing identified by the School of Nursing.

◆ Refer to the current academic course catalog for further guidelines on admission requirements related to the graduate nursing specialties.

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Page 5: MASTER OF SCIENCE IN NURSING R SUPPLEMENTAL … · Earned a minimum undergraduate cumulative grade point average (GPA) of 3.0 on a 4.0 scale. Successfully completed baccalaureate

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School of Nursing Graduate Application Recommendation Form Instructions to the Applicant: Three recommendations must be completed. At least one, and no more than two, from a nursing faculty member who was one of your educators, and at least one and no more than two from a nursing supervisor who was/is your direct supervisor. Please use your full name as it would appear on your Social Security Card or Passport.

General Information Applicant

Name: Previous Applicant? YES / NO

Address: Date of Birth: / /

City: State: Zip: Daytime #: ( ) -

Country: Mobile #: ( ) -

E-mail: Evening #: ( ) -

Evaluator:

Name: Title:

Address: Degree:

City: State: Zip: Daytime #: ( ) -

Country: Mobile #: ( ) -

E-mail: Evening #: ( ) -

Type of reference (check one): ☐Educator ☐Supervisor

The Family Education Rights and Privacy Act of 1974 permits you to review letters of recommendation. You may waive this right in order to allow your recommender to submit a confidential letter on your behalf. You must complete the following statement indicating whether you do or do not waive this right.

I hereby ☐waive

the right to review this letter. ☐do not waive

Applicant’s Signature: Date: __________________________

Instructions to the Evaluator: Please give a candid evaluation of the applicant’s potential for successfully completing the Graduate program by responding to the following required questions. Please complete promptly and return this recommendation form to the applicant in a sealed and signed envelope. We thank you for your time and effort.

1. How long have you known the applicant and in what capacity?

2. What do you consider to be the applicant’s major strengths and accomplishments as they pertain to suitability for the advanced practice role and success in graduate program?

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3. What do you consider to be the applicant’s weaknesses?

4. Please rate the applicant on the following categories with reference to potential for success as an advanced practice nurse.

Outstanding

(Top 2%)

Excellent

(Top 10%)

Good

(Top 25%)

Average

(25%-75%)

Below Avg.

(Under 25%)

N/A

Application of Knowledge

Spoken English

Communication Skills

Clinical Skills, Oral & Written

Emotional Maturity

Judgment and Decision Making Ability

Dependability

Integrity

Awareness of Need for Assistance or Supervision

Productivity

Effectiveness

Interaction with Clients, Peers, Subordinates, & Supervisors

Overall Assessment for Graduate Study

5. Please comment on the ratings you assigned above and provide any further comments about the applicant’s record, potential, or personal qualities that may be helpful to the Admissions Committee.

6. Please check ONE as appropriate:

☐I recommend this applicant strongly ☐I recommend this applicant ☐I recommend this applicant, with

reservation

Evaluator’s Signature: Date: _______________________

RETURN COMPLETED FORM to the applicant in a sealed envelope, signed across the seal; OR, scan and e-mail this form directly to [email protected] from a professional and verifiable e-mail address.

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School of Nursing Graduate Application Recommendation Form Instructions to the Applicant: Three recommendations must be completed. At least one, and no more than two, from a nursing faculty member who was one of your educators, and at least one and no more than two from a nursing supervisor who was/is your direct supervisor. Please use your full name as it would appear on your Social Security Card or Passport.

General Information Applicant

Name: Previous Applicant? YES / NO

Address: Date of Birth: / /

City: State: Zip: Daytime #: ( ) -

Country: Mobile #: ( ) -

E-mail: Evening #: ( ) -

Evaluator:

Name: Title:

Address: Degree:

City: State: Zip: Daytime #: ( ) -

Country: Mobile #: ( ) -

E-mail: Evening #: ( ) -

Type of reference (check one): ☐Educator ☐Supervisor

The Family Education Rights and Privacy Act of 1974 permits you to review letters of recommendation. You may waive this right in order to allow your recommender to submit a confidential letter on your behalf. You must complete the following statement indicating whether you do or do not waive this right.

I hereby ☐waive

the right to review this letter. ☐do not waive

Applicant’s Signature: Date: ____________________________

Instructions to the Evaluator: Please give a candid evaluation of the applicant’s potential for successfully completing the Graduate program by responding to the following required questions. Please complete promptly and return this recommendation form to the applicant in a sealed and signed envelope. We thank you for your time and effort.

1. How long have you known the applicant and in what capacity?

2. What do you consider to be the applicant’s major strengths and accomplishments as they pertain to suitability for the advanced practice role and success in graduate program?

Page 8: MASTER OF SCIENCE IN NURSING R SUPPLEMENTAL … · Earned a minimum undergraduate cumulative grade point average (GPA) of 3.0 on a 4.0 scale. Successfully completed baccalaureate

Page 8 of 12

3. What do you consider to be the applicant’s weaknesses?

4. Please rate the applicant on the following categories with reference to potential for success as an advanced practice nurse.

Outstanding

(Top 2%)

Excellent

(Top 10%)

Good

(Top 25%)

Average

(25%-75%)

Below Avg.

(Under 25%)

N/A

Application of Knowledge

Spoken English

Communication Skills

Clinical Skills, Oral & Written

Emotional Maturity

Judgment and Decision Making Ability

Dependability

Integrity

Awareness of Need for Assistance or Supervision

Productivity

Effectiveness

Interaction with Clients, Peers, Subordinates, & Supervisors

Overall Assessment for Graduate Study

5. Please comment on the ratings you assigned above and provide any further comments about the applicant’s record, potential, or personal qualities that may be helpful to the Admissions Committee.

6. Please check ONE as appropriate:

☐I recommend this applicant strongly ☐I recommend this applicant ☐I recommend this applicant, with reservation

Evaluator’s Signature: Date: _________________________

RETURN COMPLETED FORM to the applicant in a sealed envelope, signed across the seal; OR, scan and e-mail this form directly to [email protected] from a professional and verifiable e-mail address.

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School of Nursing Graduate Application Recommendation Form Instructions to the Applicant: Three recommendations must be completed. At least one, and no more than two, from a nursing faculty member who was one of your educators, and at least one and no more than two from a nursing supervisor who was/is your direct supervisor. Please use your full name as it would appear on your Social Security Card or Passport.

General Information Applicant

Name: Previous Applicant? YES / NO

Address: Date of Birth: / /

City: State: Zip: Daytime #: ( ) -

Country: Mobile #: ( ) -

E-mail: Evening #: ( ) -

Evaluator:

Name: Title:

Address: Degree:

City: State: Zip: Daytime #: ( ) -

Country: Mobile #: ( ) -

E-mail: Evening #: ( ) -

Type of reference (check one): ☐Educator ☐Supervisor

The Family Education Rights and Privacy Act of 1974 permits you to review letters of recommendation. You may waive this right in order to allow your recommender to submit a confidential letter on your behalf. You must complete the following statement indicating whether you do or do not waive this right.

I hereby ☐waive

the right to review this letter. ☐do not waive

Applicant’s Signature: Date: ___________________________

Instructions to the Evaluator: Please give a candid evaluation of the applicant’s potential for successfully completing the Graduate program by responding to the following required questions. Please complete promptly and return this recommendation form to the applicant in a sealed and signed envelope. We thank you for your time and effort.

1. How long have you known the applicant and in what capacity?

2. What do you consider to be the applicant’s major strengths and accomplishments as they pertain to suitability for the advanced practice role and success in graduate program?

Page 10: MASTER OF SCIENCE IN NURSING R SUPPLEMENTAL … · Earned a minimum undergraduate cumulative grade point average (GPA) of 3.0 on a 4.0 scale. Successfully completed baccalaureate

Page 10 of 12

3. What do you consider to be the applicant’s weaknesses?

4. Please rate the applicant on the following categories with reference to potential for success as an advanced practice nurse.

Outstanding

(Top 2%)

Excellent

(Top 10%)

Good

(Top 25%)

Average

(25%-75%)

Below Avg.

(Under 25%)

N/A

Application of Knowledge

Spoken English

Communication Skills

Clinical Skills, Oral & Written

Emotional Maturity

Judgment and Decision Making Ability

Dependability

Integrity

Awareness of Need for Assistance or Supervision

Productivity

Effectiveness

Interaction with Clients, Peers, Subordinates, & Supervisors

Overall Assessment for Graduate Study

5. Please comment on the ratings you assigned above and provide any further comments about the applicant’s record, potential, or personal qualities that may be helpful to the Admissions Committee.

6. Please check ONE as appropriate:

☐I recommend this applicant strongly ☐I recommend this applicant ☐I recommend this applicant, with reservation

Evaluator’s Signature: Date: _________________________

RETURN COMPLETED FORM to the applicant in a sealed envelope, signed across the seal; OR, scan and e-mail this form directly to [email protected] from a professional and verifiable e-mail address.

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School of Nursing Graduate Application Documentation of Clinical Hours

Instructions: This form should be returned to the applicant for inclusion in the application. (If completed in more by one institution, please fill out a separate form for each institution. You may duplicate this form as needed.)

General Information:

Name: Previous Applicant? YES / NO

Address: Date of Birth: / /

City: State: Zip: Daytime #: ( ) -

Country: Mobile #: ( ) -

E-mail: Evening #: ( ) -

Applicant’s Signature: Date: ____________

Total hours worked as a Registered Nurse in the last 5 years: _______________

(Include dates when position was held) Position(s) held: ______________________________________________________

Type of Unit(s): ______________________________________________________

Nursing Supervisor/Faculty

Evaluator:

Name: Title:

Address: Degree:

City: State: Zip: Daytime #: ( ) -

Country: Mobile #: ( ) -

E-mail: Evening #: ( ) -

I verify that the total hours worked as a Registered Nurse, as indicated on this page, are accurate.

Authority’s Signature: Date: _________________________

Page 12: MASTER OF SCIENCE IN NURSING R SUPPLEMENTAL … · Earned a minimum undergraduate cumulative grade point average (GPA) of 3.0 on a 4.0 scale. Successfully completed baccalaureate

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Office of Graduate Admissions

1460 University Drive

Winchester, Virginia 22601-5195

540-665-4581

E-mail: [email protected]

www.su.edu

Graduate Admission Nursing Supplement Application Forms, Rev 1/17.