Practical Nursing Application

 
Boone Career and Technical Center School of Practical Nursing 
Application Deadline: July 18, 2022
Please complete the entire application. Incomplete applications will not be accepted.

Demographic Information

Home or Cell?
Work or Cell?
Are you a US Citizen?
Are you a West Virginia Resident?

Education

Have you taken any college courses?

Please attach an official copy of your high school transcript, GED scores. Attach transcripts for any college courses you have completed.

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Post-secondary Education

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Employment

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References

List three (3) references from work supervisors, teachers, or community members. Avoid listing family members or personal friends as references.

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Have you previously attended any other program of practical nursing?
Have you ever been convicted of a misdemeanor or felony crime?

Each applicant for licensure as a practical nurse in West Virginia is subject to a criminal history records check. Each applicant shall furnish to the agency a full set of fingerprints for purposes of conducting this background check. Records are checked at the state and federal level. The WV LPN Board may refuse to admit any applicant to the licensure examination who has been convicted of a felony, has a substance use disorder, or has been disciplined for professional misconduct in providing patient care. (WV Legislative Code 10 CSR 2, 4.2). The applicant is responsible for all fees associated with this background check.

BCTC School of Practical Nursing will conduct drug and alcohol screenings during the admission physical and at random at the discretion of the clinical facility or school administration.

Please submit the following with your application:

  • Non-refundable $100 registration fee.  Please bring cash, check, or money order to the center.

  • Official high school and college transcripts

  • Driver’s license or state identification card

  • TEAS Test scores • Immunization records for TDAP, MMR, Hepatitis B, Varicella, and COVID-19.

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I give permission to Boone Career and Technical Center to make an investigation of my school and employment background, and hereby release from liability or responsibility all persons, places of business and municipalities supplying such information. I certify that all statements in this application are complete and true. I understand that any false information may be grounds for denial of admission or dismissal from the program.

Thank you! We’ll be in touch.

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