Study Guide for Lehne's Pharmacology for Nursing Care, 11th

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 ASN/BSN APPLICATION

APPLICATION OF

Meredith Cunha

(Please Print Name)

Applications received or postmarked after November 15 will not be

reviewed for the early deadline and March 15 will not be reviewed for
the regular deadline. Incomplete applications will not be reviewed.

THE HUNT SCHOOL OF NURSING

AT GARDNER-WEBB UNIVERSITY IS COMMITTED
TO EDUCATING NURSES FOR THE 21ST CENTURY
THROUGH DYNAMIC CURRICULA WITH
A CULTURAL AND GLOBAL PERSPECTIVE SEATED
IN A CHRISTIAN HERITAGE.
APPLICATION INSTRUCTIONS
✓ Complete and sign
✓ Send completed application and official transcripts to:
UNDERGRADUATE ADMISSIONS OFFICE | DOVER CAMPUS CENTER
P.O. BOX 817 | BOILING SPRINGS, NC 28017
Enclose the following (if not already on file in the Gardner-Webb admissions office)
• TEAS (Offered at GWU)
Submit current, official, satisfactory criminal background history results from the STATE in which
you reside AND any other state in which you have lived during the past ten years (see back for
instructions on obtaining criminal background histories)
Students must be accepted to the University prior to acceptance to the Hunt School of Nursing
Incomplete applications will not be reviewed

MINIMUM CRITERIA ASN AND FOUR-YEAR BSN PROGRAMS

✓ Minimum cumulative GPA of 2.85 on a 4.0 scale. GPA calculated take into account all college-level work
attempted. (If not met, students with an earned bachelor’s degree or higher, will have their last 64 hours of
undergraduate or graduate coursework evaluated.)

✓ TEAS score of 65 or higher. Scores must be in the last 2 years of the admission review. Only 3 attempts are
allowed in a 12-month period.

✓ Satisfactory health/physical report signed by a healthcare provider. Completed form is a prerequisite to

applying.

✓ Completion of Biology, Chemistry, and Algebra with a minimum of a “C” in high school or college. These grades
must be reflected in the transcripts you provide with your application. For advanced placement LPN additional
pre-requisite courses of Anatomy & Physiology I, Anatomy & Physiology II and General Psychology with a
minimum grade of “C”

✓ Essay (see last page for instructions). Essay is required for admission.

✓ American Heart Association (AHA) Basic Life Support Provider – AHA BLS is not a prerequisite to applying, but
you must submit proof of certification before you begin nursing coursework (NURS 109 or NURS 239).
American Red Cross certification will NOT be accepted. Please send a copy of your certification.

✓ Completion of a NA I course or unrestricted LPN License is not a prerequisite to applying, but you must
successfully complete a NA I course, or be listed on the registry before you begin nursing coursework (NURS
109 or NURS 239). You must provide a transcript reflecting successful completion of a NA I course or LPN
registry listing before you begin nursing coursework (NURS 109 or NURS 239), or you will be dismissed from
the program. (No more than 10 years from the last NA course, or last active registry listing).
SECTION I. PERSONAL RECORD

Name ______________________________________________________________________________
Cunha Meredith Rachel
Last First Middle/Maiden Alternate Names

Address _____________________________________________________________________________
602 Powell Way
Street APT/Number

______________________________________________________________________________
Archdale NC 27263
City State Zip

Current Address ______________________________________________________________________

602 Powell Way
Street APT/Number

______________________________________________________________________________
Archdale NC 27263
City State Zip

Date of Birth ___________________

01/07/2001 International Student ❏ Yes ■ No
❏

Current Phone ________________________________________________________________________

(336)707-7019

Cell Phone ___________________________

(336)707-7019 Emergency/Alternate Phone ________________________
(336)253-6840

Email Address ________________________________________________________________________

[email protected]

ENTRY LEVEL: CHECK ONE

(See the HSON website for a full explanation of the following programs)

A. ❏ ASN to RN-BSN Student

B. ❏ T raditional Four-Year BSN Student
■

C. ❏ LPN-ASN Option (admission may vary based on available seats and number of applications)

If you are currently licensed as an LPN, please indicate number and state in which you are licensed.
Enclose a copy of your license with your application.

State of Licensure _____________________________________________________________________

LPN License Number __________________________________________________________________

If you are currently licensed as a NA I, please indicate the state of licensure and expiration date.

State of Licensure _____________________________________________________________________

North Carolina

Expiration Date _______________________________________________________________________

May 2021

If you are currently enrolled or planning to be enrolled in a NA I course, please indicate the institution and
semester/year of proposed completion.

Institution ___________________________________________________________________________

Semester/Year of Proposed Completion ___________________________________________________

gardner-webb.edu/nursing
SECTION II. EDUCATIONAL BACKGROUND
(List all attended with the most recent first)

High School __________________________________________________________________________

Wheatmore High School
Address______________________________________________________________________________
3678 Finch Farm Rd, Trinity, NC 27370

Date Attended________________________________
August 2015-June 2019 Date Diploma Conferred_____________________
06/07/2019

High School ______________________________ High School _______________________________

Address __________________________________ Address __________________________________
Date Attended _____ Diploma Conferred _______ Date Attended ______ Diploma Conferred ______

COLLEGES/UNIVERSITIES/PROFESSIONAL SCHOOLS
Name _______________________________________________________________________________
Randolph Community College
Address______________________________________________________________________________
629 Industrial Park Ave, Asheboro, NC 27205

Date Attended ______________________________

August 2018-June 2019 Date Diploma Conferred_____________________
Degree Conferred ___________________________ # of Credits _______________________________
16

Name _______________________________________________________________________________
UNC Wilmington

Address______________________________________________________________________________
601 S College Rd, Wilmington, NC 28403

Date Attended ______________________________

August 2019-current Date Diploma Conferred_____________________
Degree Conferred ___________________________ # of Credits _______________________________
40 (maybe +12 in the Spring)

Name _______________________________________________________________________________
Address______________________________________________________________________________
Date Attended ______________________________ Date Diploma Conferred_____________________
Degree Conferred ___________________________ # of Credits _______________________________

Are you currently enrolled at GWU? ❏ Yes ❏ No

✔

Are you currently enrolled in another college/university? ❏ Yes ❏ No

✔

Do you have medical or religious exemption to any or all vaccinations? Yes ___ No ____ ✔

Clinical agency policies require this information prior to clinical placement

Have you been enrolled in an ASN/BSN nursing program in the past five years? ❏ Yes* ❏ No
✔

*A letter of support from the previous nursing program/institution must be provided in order for your application to be
considered for admission. (Letter must be from the Program Chair/Director/Dean, on school letterhead, verifying
competence and eligibility (verification of no unsafe practices).

If yes, please explain your separation from the nursing program.

________________________________
____________________________________________________________________________________
____________________________________________________________________________________

THE HUNT SCHOOL OF NURSING FOSTERS A SPIRIT

OF INNOVATION AND CHANGE TO MAINTAIN
NURSING EDUCATION REFLECTIVE OF THE NEW
MILLENNIUM. FACULTY ENCOURAGE AND ENGAGE IN
LIFE-LONG LEARNING.
Please indicate where the following courses were/will be taken, the date,
and the grade earned.

NOTE: You must provide copies of transcripts to support the following grades.

SCHOOL WHERE COMPLETED LETTER GRADE DATE COMPLETED

UNC-Wilmington A 12/2019
Algebra I ____________________________________________________________________________

Biology UNC-Wilmington A 5/2020

_____________________________________________________________________________

Chemistry UNC-Wilmington B (taking again right now) 7/2020

___________________________________________________________________________

For LPN-ASN applicants additional prerequisite courses are required:

Anatomy & Physiology I ________________________________________________________________

Anatomy & Physiology II ________________________________________________________________

Randolph Community College A 6/2019
General Psychology ___________________________________________________________________

SECTION III. CRIMINAL BACKGROUND INFORMATION

All applicants to the Hunt School of Nursing must submit a statewide criminal background history for all
states of residency during the past ten years. The purpose of this is to meet requirements of clinical
agencies in which our students learn and practice nursing.
✓ A criminal background history must be submitted prior to admission to the Hunt School of Nursing.
Castlebranch.com is the only criminal background history source accepted by the Hunt School of Nursing.
✓ A student having had residency in more than one state in the past ten (10) years must submit
statewide criminal background histories for each state of residency during that period.

✓ International students are required to submit an international criminal background history.

✓ Any change from the student’s initial criminal background history must be reported to the Hunt
School of Nursing. Failure to report any change will result in withdrawal of acceptance to
the program.

✓ Information received from the student’s criminal background check will become part of the
student’s confidential academic file.
INSTRUCTIONS
 Go to Castlebranch.com
 Enter package code for school (GA96)
 In “PlaceOrder,” enter package code

Applications missing a background check will NOT be considered for admission.