LBCC -Nursing Programs

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Entry Application for Licensed Vocational Nursing - Fall 2022

Personal Information

First Name *

Middle Name

Last Name *

Student ID#

Email *

Phone Number *

Address include the City, State and Zip Code*

Associate's Degree

I have an Associate's Degree or higher *

Yes
No

College Information

Overall GPA

Your GPA must be 2.0 or higher based on all grades from all colleges attended.

Prerequisites: *

The following prerequisites must be completed prior to applying. Students must provide official transcripts.

Instructions: Use the red add button Add to add your completed course information that fulfills the prerequisites.

Once you have fulfilled a requirement, a green checkbox () will appear next to that requirement.

Please confirm your completion of all prerequisites below:

Biology 60

Human Biology 1 (Lecture only, Lab not required) or Equivalent. Equivalency forms available in Nursing & Allied Health Office, located in Room C101.

Add	Course	School	Grade	Units	Semester	Year

California Certified Nursing Assistant (CNA)

Please enter your CNA Certificate # and expiration date.

CNA Certificate #*

Certificate Expiration*

VNA 225 or ADN 225 (Pharmacology)

Add	Course	School	Grade	Units	Semester	Year

Supporting Documentation

You need to provide all supporting documentation at the time of application submission. Include:

Unofficial transcript
Proof of High School graduation

Not required if you hold an associate's degree or higher

Life Science equivalency form

If you completed life sciences at a school other than LBCC

Proof of veteran status if applicable

Please note that the ability to submit an application does not guarantee selection.

Please note that large attachments can take a long time to upload over a slow connection. Please be patient after submitting this form.