Application

Columbus State Community College Practical Nurse Program Application

*All requirements below must be met prior to acceptance into the Practical nursing program

Preliminary Information

Applicant Status:

First time applicant

Previously accepted into LPN

Transfer student

Semester Applying For:

Full time Spring 2025 evening program

Will you be at least 18 years of age by the start date of the program applied for?

Yes

Are you transferring from another practical nursing program?

Yes

If yes, please list the school name and location

School Name:

City, State:

Testing Information: The HESI A2 entrance exam requirement has been reinstated for all applicants after January 2021

Which nursing entrance test have you taken? (must be taken at Columbus State Community College)

HESI A2

Date taken:

Prerequisite Information

The following prerequisites should be met before submitting the application but MUST be met by the application deadline:

Successful completion of the following course: NURC 1001
GED or HS transcript
2.4 GPA
Good Academic Standing

Yes, I meet all of the above requirements.

No, I do not meet all of the above requirements.

Applicant Information

First Name

M.I.

Last Name

Maiden Name

Cougar ID #: (7 Digits Required)

Columbus State Email

Phone Number

Home Address

City

State

Zip Code

Additional Information

High School Information:

High School

City

State

Date of graduation

Date you completed GED

Previous Colleges Attended:

College 1

Date Last Attended

College 1 Degree(s) Earned

College 2

Date Last Attended

College 2 Degree(s) Earned

College 3

Date Last Attended

College 3 Degree(s) Earned

Did you leave each institution in good standing?

Yes

Have you ever been dismissed from any college?

Yes

If so, please briefly explain why

Have you ever been dismissed from any nursing program?

Yes

If so, please briefly explain why

Do you have any un-expunged felony convictions?

Yes

Are you a current OhioHealth associate?

Yes

How did you hear about the PN program?

Certification

Please make sure the information you provided is accurate.

I certify that the above information is accurate.

Academics Department

(614) 287-0000

academics@cscc.edu

Application

Columbus State Community College Practical Nurse Program Application

Preliminary Information

Testing Information: The HESI A2 entrance exam requirement has been reinstated for all applicants after January 2021

Prerequisite Information

Applicant Information

Additional Information

Certification

Department Contact