AASN Candidacy Form

Students who wish to be considered for the AASN program at Mercy College of Ohio should complete this form. If you are unsure if this applies to you, please contact your academic advisor.

Student Information

First Name

Last Name

Student ID (Empower) Number

Mercy College Email Address

Nursing Program Information

I am applying for admission to the following nursing program

AASN Pre-Licensure Day ProgramAASN Pre-Licensure Evening Weekend Program

I plan to start the nursing program

Spring semesterSummer semester

The following minimum criteria must be met before your application will be considered:

Maintain/ achieve a 2.7 cumulative grade point average (GPA) prior to the start of the first nursing course
Completion of the following prerequisites prior to the start of the first nursing semester: NUR 100, Anatomy and Physiology I, English composition I, Lifespan Psychology, Math 104 or Math 140

Previous Institutions

1. Institution, Degree (if applicable), and Dates Attended

2. Institution, Degree (if applicable), and Dates Attended

3. Institution, Degree (if applicable), and Dates Attended

4. Institution, Degree (if applicable), and Dates Attended

Have you been dismissed from a nursing program at a previous institution?

YesNo

If yes, please list name of institution and dates attended

Acknowledgement

Ohio RN License Requirements:

Please be informed that licensure or certification may be sanctioned for conviction of a crime including a felony, a gross misdemeanor, or a misdemeanor with the exception of speeding and parking violations. Additionally, acceptance and successful completion does not guarantee licensure, certification, or employment, which may be contingent on factors unrelated to the education process. Please see Section 4723.28 of the Ohio Revised Code concerning denial of licensure.

Acknowledgement of Ohio RN License Requirements

I have read the Ohio RN License Requirements

I have read the requirements for admission to the Nursing program as outlined in the Mercy College of Ohio Catalog. I understand that any misrepresentation of facts on this application will be cause for refusal of admission, cancellation of admission, or dismissal from the program.

Acknowledgement of Admission Requirements

I have read the above information and materials referenced