Vocational Nursing Program – Application for Enrollment

All documents must arrive at FRC for your application to be forwarded.

FRC Student ID Number
Must be 9 digits. Currently Entered: 0 digits.
Name Name First Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Cell Phone Cell Phone - ### - ### ####
Home Phone Home Phone - ### - ### ####
Email
Application Checklist:
Required Documents:
Current Official High School and College Transcripts must be on file in Admissions and Records.

Required Documents:
Current Official High School and College Transcripts must be on file in Admissions and Records. Personal Qualifications Statement Resume: showing work/volunteer experience Official High School transcripts or GED Official transcripts from all colleges attended
Completed Prerequisites (within the last five years):

Specify the educational institution where each course was completed. For in-progress or planned courses, also specify when the course is being/will be taken.
Human Anatomy
Date completed
College Attended
In-progress
Human Physiology
Date completed
College Attended
In-progress
Introduction to Nutrition
Date completed
College Attended
In-progress
Nurse Assistant

An active Certification for Nursing Assistant license is acceptable if the original course was not taken at a community college.
Date completed
College Attended
In-progress
Upload a Copy of license or proof of nurse assistant course completion if a college course was not taken.

Attach Files

Upload in PDF format.
Details for Personal Qualifications Statement:

Your personal statement is required and must address the prompts below. The statement must be no more than two (2) typed pages of 12 point font, double-spaced.

1. Describe your interests and goals in healthcare.
2. Why is the LVN program at Feather River College for you?
3. Describe how your experiences and/or achievements have prepared you for nursing school. Include what you feel are necessary qualities for a successful nurse, and demonstrate how you possess those qualities

Attach Files

Only Word or PDF format accepted.
Resume: Showing work and/or volunteer experience within the last five years.

Attach Files

Only Word or PDF format accepted.
Applicant Certification:
I understand that this program may be funded by public agencies and involves clinical instruction in community non-profits, schools, and healthcare facilities. If admitted to this program I will abide by all requirements. I understand upon acceptance that I will be asked to submit additional documents prior to the first day of the program, which includes but may not be limited to: a physical examination by a licensed healthcare provider, evidence of immunizations and TB testing, Basic Life Support / CPR certification, and a successful background check clearance. I also acknowledge that a past criminal record may impact my ability to complete the Vocational Nursing Program and/or obtain a license as a Vocational Nurse from the Board of Vocational Nursing and Psychiatric Technicians.
Draw your signature into the box below.

Draw or Type

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Full Name

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Vocational Nursing Program – Application for Enrollment

Vocational Nursing Program – Application for Enrollment

Application Checklist:

Completed Prerequisites (within the last five years):

Human Anatomy

Human Physiology

Introduction to Nutrition

Nurse Assistant

Applicant Certification: