Practical Nursing Program Application

Please check the class you are applying for:
Your info
If your name has been changed, please provide your name as it may appear on other records.
Legal sex
Are you a resident of Pennsylvania?
Your Contact Information
Current Legal Residence:

Please complete this information in accordance with federal and state reporting requirements. Information will be kept confidential.

Race
A person having origins in any of the Original Peoples of North American and who maintains cultural identification through tribal affiliation or community recognition.
A person having origins in any of the original peoples of the Far East, Southeast Asia, the Indian subcontinent or Pacific Islands. This includes peoples from China, Japan, Korea, the Philippine Islands, Samoa, India. and Vietnam.
A person having origins in any of the black racial groups of Africa (except those of Hispanic origin).
A person of Mexican, Puerto Rican, Cuban, Central or South American or other Spanish culture or origin, regardless of race.
A person having origin in any of the original peoples of Europe, North Africa or the Middle East (except those of Hispanic origin).
Tell us about you
Education
Currently employed?
Citizenship
A person who is a citizen or national of the United States who is in this country on a visa or temporary basis and does not have the right to remain indefinitely.
Languages
Will you be applying for Veterans Benefits?
If yes, which benefits?
High School Experience
Or last semester attended
Diploma/GED
Were you previously enrolled at Pennsylvania College of Technology in a credit or clock-hour program?
Documents

High School Transcript

Please contact your high school and have an official copy emailed to Lisa Fries, lrf7@pct.edu. If you have a Pennsylvania GED, please have an official copy of your transcript emailed to Lisa Fries, lrf7@pct.edu. Official copies only. Submissions from prospective students will not be accepted.

Application Fee and Admission Requirements

A nonrefundable $25 application fee is required at the time of application submission to the Pennsylvania College of Technology Practical Nursing Program.

Payment of the application fee and submission of an application do not guarantee admission into the program.

Applicants must meet all admission requirements and submit all required documentation by the established deadlines to be considered for acceptance. Incomplete applications or failure to meet program requirements may result in an applicant being ineligible for admission.

I understand that the $25 application fee is nonrefundable and does not guarantee admission into the Practical Nursing Program. I acknowledge that I must meet all admission requirements and submit all required documentation to be considered for acceptance.
Criminal Background Clearance Requirements

All applicants to the Pennsylvania College of Technology Practical Nursing Program are required to submit criminal background clearances as part of the admission process.

All required clearances must be dated within 90 days prior to the first day of class.

Criminal Background Disclosure

Have you ever been convicted of, pleaded guilty or no contest to, or been adjudicated guilty of any criminal offense, including a misdemeanor or felony?

A criminal history may affect an applicant's eligibility for admission into the Practical Nursing Program, participation in required clinical experiences, and future eligibility for licensure as a Licensed Practical Nurse (LPN).

Certain criminal offenses may prevent students from participating in required clinical rotations. Because clinical experiences are a mandatory component of the program, applicants who do not meet clinical placement requirements may be ineligible for admission or continuation in the program.

Admission to or graduation from the Practical Nursing Program does not guarantee eligibility to take the NCLEX-PN examination or obtain licensure through the Pennsylvania State Board of Nursing.

I understand that criminal background clearances are required and must be dated within 90 days prior to the first day of class. I acknowledge that criminal history findings may affect my eligibility for admission, clinical placement, program completion, and professional licensure.
Practical Nursing Program Application Essay

Why do you want to become a Licensed Practical Nurse (LPN), and what qualities or experiences do you believe will help you succeed in the Practical Nursing Program?

In your response, please also explain how you plan to balance the academic, clinical, and attendance requirements of the program with your personal responsibilities.

Essay Requirements:
  • Minimum of 150 words
  • Must be written in your own words
  • Responses should be thoughtful, complete, and demonstrate your commitment topursuing a career in nursing.
Signature
By signing and submitting this application, I certify that all information provided is complete and accurate.