(AS) NURSING PROGRAM APPLICATION
One Stop Student Services - [email protected] – 208.562.3000 phone – 888.562.3216
PO Box 3010 – Nampa, ID 83653 – www.cwidaho.cc
This form is used to apply for admission to the Associate of Science Nursing Program. Students interested in the program must first
apply for admission to the College and are admitted as Biology-Healthcare majors. Admission as a Biology-Healthcare major does not
guarantee admission to the Associate of Science Nursing Program. Each fall semester, forty students are admitted to the program. If
not admitted, applicants must reapply each year.
COLLEGE OF WESTERN IDAHO - (AS) NURSING PROGRAM APPLICATION
LAST NAME
FIRST NAME
ADDRESS
M.I.
CITY
CWI STUDENT ID
STATE
PHONE NUMBER (INCLUDING AREA CODE)
ZIP
CWI EMAIL PREFERRED
OTHER PREVIOUSLY USED NAMES
APPLICATION INSTRUCTIONS
You must read and complete all of the steps to ensure a complete application. Only complete applications will be reviewed.
Applications for the fall 2017 program start are accepted beginning January 1, 2017 through the application deadline March 1st,
2017. No applications will be accepted after the deadline. It is STRONGLY RECOMMENDED that you complete the following steps at
least a couple months prior to the Nursing program deadline in March to ensure your transcripts have been received and that your
coursework has been evaluated in time to submit this application for the Associate of Science Nursing Program.
STEP 1: COMPLETE ITEMS PRIOR TO PROGRAM APPLICATION SUBMISSION
1) Admitted as a CWI Student - https://forms.cwidaho.cc/registration/app01.php
2) Complete the Bachelor’s Degree Evaluation Request form if you have completed a bachelor’s or master’s degree.
(Do not include the Bachelor’s Degree Evaluation Request form with your nursing application. Please submit to One Stop.)
3) TEAS Assessment - Please go to the following link http://cwidaho.cc/current-students/assessment-and-testing-centers to
schedule your TEAS assessment WELL in advance of submitting your nursing application. Openings are on a first-come,
first-serve basis and fill up fast! Information and study guides are available online at: www.atitesting.com. You can take
the TEAS as many times as you want. It is your responsibility to include a copy of your TEAS assessment in your application
documentation upon submitting your application. TEAS scores are good for up to five years.
STEP 2: REQUIRED APPLICATION SUBMISSION MATERIALS
1) AS Nursing Program Application (this form) - Only complete applications will be considered
2) Enclose a copy of your Biology Healthcare AS Program Evaluation, for your specific catalog year, which you will be utilizing
to score this nursing application. (If you are unsure of your catalog year, please see your student profile in your MyCWI)
3) Copy of current healthcare certification (if applicable)
4) Copy of TEAS Assessment (must be within 5 years)
STEP 3: CALCULATE CUMULATIVE GPA FOR THE FOLLOWING COURSES WITH A “C” OR HIGHER for a total of eight points
Completion of the math and science courses is not required to apply to the Associate of Science Nursing Program. However,
program admission is competitive so completion of these courses increases your ranking points. These courses must be completed
prior to application if you expect to obtain completion points. In-progress courses cannot be used because you do not have a final
grade in the course. Completion of these courses and/or degrees must be part of your CWI student record. Course equivalencies
are determined by CWI.
Course Prefix & Title
MATH 123, 130, 143, 147, 153, 160 or 170
BIOL 227 Human Anatomy & Physiology I
BIOL 228 Human Anatomy & Physiology II
Course Credits
Multiply
Letter Grade
(Circle One)
A B C
3-4
x
4 3 2
4
4
x
x
4 3 2
4 3 2
Grade Points
(# credits X grade)
1|P age
BIOL 221 or 250 Microbiology
4
x
Total Credits:
Divide Total Grade Points by Total Course Credits for Cumulative GPA =
Multiple your Cumulative GPA by 2 =
4 3 2
Total Grade Points:
STEP 3 Scoring:………………………………………………………………………………………………………………………………….Possible Points (8):________
A student’s GPA is calculated based on this equation:
Total number of quality/grade points
÷
Total number of credits taken
=
GPA
STEP 4: VERIFY THE COMPLETION OF THE FOLLOWING MATH & SCIENCE COURSES WITH A “C” OR HIGHER for a total of eight points
Completion of the following math and science courses is not required to apply to the Associate of Science Nursing Program.
However, program admission is competitive so completion of these courses increases your ranking points. These courses must be
completed prior to application if you expect to obtain completion points. In-progress courses cannot be used because you do not
have a final grade in the course. Completion of these courses and/or degrees must be part of your CWI student record. Course
equivalencies are determined by CWI.
COURSE
Complete?
Yes (2 pts)
No (0 pts)
Points
BIOL 227 Human Anatomy & Physiology I
BIOL 228 Human Anatomy & Physiology II
BIOL 221 or 250 Microbiology
MATH 123,130, 143, 147, 153, 160 or 170
Total Points
STEP 4 Scoring: Add up the points for the completed course(s) above……………………………………………………Possible Points (8):_______
STEP 5: VERIFY THE COMPLETION OF THE FOLLOWING COURSES WITH A “C” OR HIGHER for a total of seven points
Completion of the following courses is not required to apply to the Associate of Science Nursing Program. However, program
admission is competitive so completion of these courses increases your ranking points. These courses must be completed prior to
application if you expect to obtain completion points. In-progress courses cannot be used because you do not have a final grade for
the course. Completion of these courses and/or degrees must be part of your CWI student record. Course equivalencies are
determined by CWI.
COURSE
Complete?
Yes (1 pt)
No (0 pts)
Points
COMM 101 - Fundamentals of Oral Communication
ENGL 101 - English Composition 1
ENGL 102 - English Composition 2
PHIL 202 - Ethics
PSYC 101 - General Psychology
SOCY 101 - Introduction to Sociology
HUMA GE/GEM 5 - Any general-education humanities course
BIOL 106 OR HLTH 280- Making Sense of Micro-biotic-me or Global Health
STEP 5 Scoring: Add up the points for the completed course above……………………………………………………Possible Points (8):_______
2|P age
STEP 6: VERIFICATION OF CURRENT AND UNENCUMBERED HEALTH CERTIFCATION
While a healthcare certification is not required to apply, they do count towards your ranking points. Include a copy of your current
certifications. Expired or lapsed certifications will not be accepted. You must use the certificate with the highest points. Ex: If you
have a CMA and an EMT certification, you will score a “2” not a “3”.
CERTIFICATION
CNA (Certified Nursing Assistant) = 1 point
EMT (Emergency Medical Technician) = 1 point
Surgical Technologist = 2 points
CMA (Certified Medical Assistant)/RMA (Registered Medical Assistant) = 2 points
Paramedic = 2 points
Idaho LPN License = 2 points
STEP 6 Scoring: Enter the points for a current certification above……………………………………………………Possible Points (2):_______
STEP 7: Test of Essential Academic Skills (TEAS)
Enter the Adjusted Individual Total Score from your enclosed TEAS assessment (must be within 5 years). For example, if you scored
a 75.3% on your TEAS, move your decimal point to the left one place and enter 7.53 below for your STEP 7 score.
STEP 7 Scoring:
Possible Points 10.0:_______
STEP 8: TOTAL POINTS FROM STEPS 2-6 ABOVE
STEP 3 SCORE: _______________
STEP 4 SCORE: _______________
STEP 5 SCORE: _______________
STEP 6 SCORE: _______________
STEP 7 SCORE: _______________
*Historically, past applicants have had a score of at least 28.00 or higher in order to be
considered a competitive applicant.
TOTAL SCORE:
STEP 9: SIGN THIS APPLICATION
I certify that all the information provided in this application is true and correct to the best of my knowledge. I understand that
falsification of information is cause for denial of admission/expulsion. Illegal use, possession, and/or misuse of drugs or a felony
conviction may prevent me from obtaining an Associate of Science Nursing degree.
STUDENT SIGNATURE
DATE
STEP 10: SUBMIT THIS APPLICATION
1)
Together with this application, submit all of the materials required in Step 2 in one large sealed envelope to CWI prior to
March 1, 2017 @ 5:00pm for consideration.
2) Write your name and "AS Nursing Program Application" on the envelope
3) Mail or hand-deliver to One Stop Student Services, College of Western Idaho, 2407 Caldwell Blvd., Nampa, ID 83651.
NO ADDITIONAL MATERIALS WILL BE ACCEPTED TOWARD YOUR APPLICATION AFTER SUBMISSION OF YOUR PACKET.
3|P age