RN Program Application

Refer to the Nursing Program Application Checklist - Summer to make sure you have completed the application process thoroughly and accurately. Applicants who submit incomplete applications or who are missing any required documents will automatically be ineligible.

Your application must be completed within 2 hours. You will not be able to save and return to make any changes or submit at a later time. Only one application submission per application cycle is allowed.

Do you have a Social Security #?
Have you ever attended another Nursing Program or any program which included placement in a clinical facility?
Did you complete the program?
If no, are you eligible to return to this program?
Are you a U.S. citizen?
If no, are you in the U.S. as a Permanent Resident?
If no, are you in the U.S. on a Visa?
Are you lawfully eligible to work in the U.S.?
 Check all that apply
Must attach copy of high school transcript, OR copy of diploma, OR copy of GED certificate. If from foreign country, must provide translation.
Previously applied to COC RN Program?
Completed a COC Nursing Remediation Plan? (Note: Remediation Plans are offered to past applicants who did not meet minimum requirements in either the “Cut Score” or “TEAS” section of the nursing application process)
Previously completed the ATI TEAS - Version 7 (effective June 2022 - first attempt only)

List All Colleges Attended (include College of the Canyons, universities/military, USA/foreign; failure to list all colleges attended will result in ineligibility.)

Name of College Degree Earned Weight
more items
To list all college attended, use + and – to add or delete colleges.  One college per line.

 

Multicriteria Screening

Check all that apply:

Education/Experience
list below; however, if you are submitting a letter of employment (below), do not list the same work experience in this section.)
Employment
(must attach verification of employment letter from your employer, as proof of at least 6 months employment within the last 5 years, on official letterhead, signed by employer. Letter must include your name, job title, brief job description, and dates of employment. (.pdf files only)
Life Experience
(The same meaning as used in Section 2626 of the Unemployment Insurance Code)
(Measured in terms of a student's eligibility for, or receipt of, financial aid under a program that may include, but is not necessarily limited to, a fee waiver from the Board of Governors, The Cal Grant Program, the federal Pell Grant program or CalWORKS)
(The student is working at least part time while completing academic work that is a prerequisite for admission to the nursing program)
(Includes, but is not limited to, the status of a student who has participated in EOPS)
Language Proficiency

Affirmative Action Information

This information is confidential and is gathered for statistical purposes only. The information provided below, or the failure to provide the information below, will in no way affect your ability to enter the nursing program.

Gender
Ethnicity
(All persons having origins in Europe, North Africa or the Middle East and not of Hispanic origin)
(All persons of Chicano, Mexican, Puerto Rican, Cuban, Central/South American, or other Spanish culture origin regardless of race)
(All persons having origins in the original peoples of North America and who maintain cultural identification by virtue of tribal association or community recognition)
(All persons having origins in the Far East, Southeast Asia, the Indian Subcontinent, or Pacific Islands, including the Philippine Islands)
(All persons having origins in any of the black racial groups of Africa and not Hispanic in origin)
Education
Highest level of education obtained to date

Persons with Disabilities

It is your responsibility to notify the Disabled Students Programs and Services office at the College with verified documentation from a health or learning specialist in order to receive reasonable accommodation.

Non Discrimination Policy

The School of Health Professions does not discriminate on the basis of ethnic group identity, religion, sex, age, color, national origin, marital status, sexual orientation, veteran's status, mental disability or physical disability including persons with AIDS/ARC/HIV in any of its policies, procedures, or practices. This non-discrimination statement covers admission and access to, and treatment and employment in the programs, services and activities.

File Uploads

Please attach the applicable documents needed to complete your Nursing Application as .pdf files ONLY

  • If you checked the box indicating no college degree posted, you must attach copy of high school transcript, OR copy of diploma, OR copy of GED certificate. If from foreign country, you must provide translation from an official agency.
  • If you checked the box indicating your employment in direct patient care and/or in an acute care setting for 6 months within the last 5 years, you must attach verification of employment letter from your employer, as proof of at least 6 months employment within the last 5 years, on official letterhead, signed by employer.  Letter must include your name, job title, brief job description, and dates of employment.
Maximum 10 files.
15 MB limit.
Allowed types: pdf.