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    Lower Columbia College AN-DTA/MRP Traditional Entry Application

    Cycle 2

  • The Cycle 2 application is open from August 15 through October 31 each year.

  • Date
     - -
    2 digit month, 2 digit day, 4 digit year

  • Complete the application following the instructions in the LCC Nursing Programs AN-DTA/MRP (Associate in Nursing): Traditional-Entry Application Packet.

  • Contact and Demographic Information

  • Format: (000) 000-0000.
  • Country*
  • Are you an International Student?*

  • Certification and Prerequisite Coursework

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  • My Anatomy & Physiology (A&P) series was*
  • Were PSYC 198 and/or PSYC 298 needed to make up credits?
  • I have completed all support courses and have*
  • I requested transcripts from my previous schools on:*
     - -

  • Test Scores and Prior Nursing Program Standing

  • Date TEAS test was taken*
     - -
  • I began associate degree nursing course work at another college or university:*
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  • Selective Admission Points

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  • I wish to demonstrate proficiency in another language:*
  • Multilingual Point*
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  • Service District Point*
  • Date of previous eligible application cycle*
     - -
  • Previously Eligible Applicant Point*

  • Support Courses

  • Have you completed any of the Nutrition, English Composition II, Public Speaking, or Humanities/Diversity support courses?*
  • Have you completed NUTR& 101 Nutrition?*
  • Was NUTR 298 needed to supplement NUTR& 101 credits?
  • Have you completed one or more communications courses?*
  • Have you completed Humanities and/or Diversity courses?*
  • I have completed:

  • Electronic Signature

  • I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that falsification or omission of information may result in disqualification or withdrawal of admission consideration.*
  • Today's Date*
     - -

  • Lower Columbia College does not discriminate on the basis of sex and prohibits sex discrimination in any education program or activity that it operates, as required by Title IX, including in admission and employment. Lower Columbia College provides equal opportunity in education and employment and does not discriminate on the basis of race, color, national origin, citizenship or immigration status, age, perceived or actual physical or mental disability, pregnancy, genetic information, sex, sexual orientation, gender identity, marital status, creed, religion, veteran or military status, or use of a trained guide dog or service animal as required by Title VI of the Civil Rights Act of 1964, Title VII of the Civil Rights Act of 1964, Title IX of the Educational Amendments of 1972, Sections 504 and 508 of the Rehabilitation Act of 1973, the Americans with Disabilities Act and ADA Amendment Act, the Age Discrimination Act of 1975, the Violence Against Women Reauthorization Act and Washington State's Law Against Discrimination, Chapter 49.60 RCW and their implementing regulations. All inquiries regarding compliance with Title IX, access, equal opportunity, and/or grievance procedures should be directed to Human Resources, 1600 Maple Street, PO Box 3010, Longview, WA 98632, title9@lowercolumbia.edu, Phone number, (360) 442-2120, Phone number/TTY (800) 833-6388. The notice of nondiscrimination is located at https://lowercolumbia.edu/disclosure/non-discrimination/.

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