AAS Nursing Program Application Form

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Admission to Mid-America Christian University's (MACU) AAS in Nursing Program is competitive and contingent upon meeting all program requirements and prerequisites. Submission of this application does not guarantee admission.

All application materials will be reviewed for eligibility, and applicants must provide complete and accurate documentation to be considered.

Acceptance into the program is based on a comprehensive evaluation of academic performance, required documentation, preference point scoring, and compliance with admissions standards outlined in this form.

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Personal Information

MACU Student ID Number

Birthdate

MM/DD/YYYY

First Name

Middle Name

Last Name

If you have legally changed your last name, please list any previous names used.

Mobile Phone

Secondary Phone

Personal Email Address

MACU Student Email Address

Current Street Address State	City Postal Code
Emergency Contact Full Name Emergency Contact Email Address	Emergency Contact Phone

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Program Information

Application Term

Please select one of the following applicant types:

Have you attended another Nursing program in the past?

Where did you attend your previous Nursing program? Please list the school name.

Are you transferring from another Nursing (RN) program?

Where are you transferring from? Please list the school name.

Health Related Experience

Do you currently hold or have you ever held a license or certification in a health-related field?

What type(s) of Licensure or Certification do you hold? Please be as descriptive as possible.

What school(s) did you attend that led to licensure? Please list the School Name, Address, and Graduation/Completion Date.

Please upload a copy of your current license(s) or certificate(s). Include any relevant healthcare-related credentials.

Official Document Upload Section

Do you have College Transcript(s) on file with the MACU Office of the Registrar?

Please upload a copy of your College Transcript(s). Please include transcripts from all previously attended colleges or universities. At least one transcript must show your conferred degree, if applicable.

Please upload a copy of your CPR Certification if you have it. The CPR can be from either the American Red Cross or the American Heart Association. Note: There will be a CPR training made available on campus. Please contact the School of Nursing for available training dates.

Please upload a copy of your Physical Examination if you have it. It must have been completed within the past three months. Physical Examinations must be completed prior to Orientation Day. Any change in health status may require a repeat physical examination.

Please upload a copy of your Immunization Records. Documentation must show completion of all required immunizations. If completing a multi-dose series, documentation of doses received to date is acceptable. Documentation of required immunizations is needed for the following:

• COVID-19 Vaccine Series: Students who do not wish to receive the COVID-19 vaccine series must request a medical exception or a religious exemption, which must be approved by the clinical site.

• Influenza Vaccine: Due yearly, students who cannot receive an influenza vaccine must provide documentation from a physician requesting this exception. Per hospital and clinical site policy, if an exemption is granted, the student will have to wear a face mask during all clinicals.

• PPD: Students must provide written proof of a negative 2-step PPD. Each step must be completed one to three weeks apart from each other. The PPD annual update will be required. Students with a positive PPD must provide documentation of chest x-ray results and a TB questionnaire. Proof of a negative chest x-ray and a TB questionnaire must be completed annually.

• Tdap Vaccine: Documentation of the vaccine within the last ten years must be kept current. Other vaccines, such as DTaP and Td, will not be accepted.

• Hepatitis B Vaccine: Students must submit documentation of 2 or 3 Hepatitis B vaccines or a positive Hepatitis B titer. If students have neither, they must begin the Hepatitis B series. Dose 1 and Dose 2 must be dated at least 28 days apart, and Dose 2 and Dose 3 must be dated at least 16 weeks apart.

• Titers:

• Positive Rubeola Titer: If negative or equivocal, proof of one post-titer Rubeola booster is required.

• Positive Varicella Titer: If negative or equivocal, proof of two post-titer Varicella boosters is required.

• Positive Mumps Titer: If negative or equivocal, proof of two post-titer Mumps boosters is required.

Because you indicated that you are transferring from another Nursing program, please upload a Letter of Intent to Transfer. The letter is a personal statement explaining your reason(s) for requesting a transfer into MACU’s AAS Nursing Program.

Please upload a Recommendation Letter. Must be from a faculty member, program director, or dean from your previous nursing program.

If you are currently enrolled in a science course, please provide a Faculty Grade Verification Letter. A letter from your current science faculty member stating your current letter grade in the course.

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Admissions Requirements Acknowledgement

I have submitted the Mid-America Christian University Application for Admission.
I have submitted official transcripts from all colleges and universities attended.
I have successfully completed all required AAS Nursing Science courses with a minimum grade of C. If I am currently enrolled in my final required Science course, I understand that a final grade of C or better must be verified prior to the first day of the cohort for which I am applying.
I have a cumulative GPA of at least 2.0 in all college-level coursework.
I will have completed and submitted a federal background check with my AAS Nursing Program application. (Use code: VW83BG at the link above).
I understand that a second federal background check will be required at the time of the NCLEX application.
I agree to complete a 10-panel drug screen on Orientation Day, and I understand the results must be negative for continued enrollment.
I understand that all required immunizations must be completed prior to Orientation Day. If I am in the process of completing an immunization series, I confirm the series has already been initiated. I will provide documentation of immunizations on Orientation Day.
If English is not my first language, I understand I must complete the TOEFL (Test of English as a Foreign Language) to demonstrate English proficiency.

Statement of Acknowledgement

I acknowledge that if I have previously attempted a nursing program, I must have met with the MACU School of Nursing to determine eligibility prior to submitting this application. I can reach the School of Nursing at nursing@macu.edu.
I understand that MACU provides access to Student Support specialists to support student success, and that it is my responsibility to utilize these resources as needed. I can reach the Student Services department at (877) 569-3198 or by email at studentservices@macu.edu.
I understand that verification of U.S. citizenship or legal residency is required for licensure as a registered nurse.
I understand that any past criminal record may result in disqualification from the nursing program at any time.
I understand that a positive drug screen may result in disqualification from the nursing program at any time.
I understand that any past, current, or future disciplinary actions may result in disqualification from the nursing program at any time.
I understand that falsification, omission, or absence of required information may result in disqualification from the nursing program.
I understand that admission into the AAS Nursing Program is competitive, and that selection is based on a Preference Point System.
I understand that current CPR certification is a required component for admission. Note: MACU offers CPR training. Please contact the School of Nursing for available training dates.
I understand that if I am not admitted to the program, I may reapply during the application period for a future cohort.

Students seeking to practice nursing in a state other than Oklahoma are responsible for contacting the Board of Nursing to determine their eligibility and any further requirements according to that state’s licensure specifications. In addition, students will also want to check that the curriculum meets their state’s licensure requirements before enrolling in the program. ___________________________________________________________________________________________

I acknowledge that I have reviewed the estimated program costs and understand that I am responsible for these expenses.

Estimated Program Costs

The following is a breakdown of estimated costs due upon application to the AAS Nursing Program at MACU:

Background Check - Castlebranch : $65.00 Standard Background Screening Package ($40) Document Tracker (1 year with CastleBranch Review) ($25)
CPR Certification: Approx. $65.00 - $100.00
Uniforms & Equipment: (items available for order at Evangel Corner)
For Tuition, Technology/Program Fees, Books & Other Course Materials, please visit our Cost & Fees page on the MACU website for current tuition and fee rates

Note: All costs are estimates and subject to change. Students are responsible for all required costs and fees related to program participation and licensure.

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Applicant Declaration and Digital Signature

By digitally signing below, I confirm that I have thoroughly reviewed and understand the AAS Nursing Program requirements, including all prerequisites and eligibility criteria.

I affirm that I have read and agree to the terms outlined in the Admissions Requirements, Statement of Acknowledgement, and Estimated Program Costs sections above. I acknowledge my responsibility to fulfill these requirements and understand that failure to do so may impact my eligibility for admission or continued enrollment.

I hereby authorize Mid-America Christian University (MACU) to apply this acknowledgement to decisions regarding my academic program acceptance, onboarding, and registration.

Applicant Signature

Date of Signature

MM/DD/YYYY

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