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2019 Fall · First Term – Fall 2019 NUR 209 Concepts for Healthcare Transition Students 6 1 3 10...

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2019 Fall WSCC Nursing Orientation Packet Student to retain for reference
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Page 1: 2019 Fall · First Term – Fall 2019 NUR 209 Concepts for Healthcare Transition Students 6 1 3 10 1 . Term Total 6 1 3 10 13 . Upon successful completion of NUR 209 students will

2019 Fall WSCC Nursing

Orientation Packet Student to retain for reference

Page 2: 2019 Fall · First Term – Fall 2019 NUR 209 Concepts for Healthcare Transition Students 6 1 3 10 1 . Term Total 6 1 3 10 13 . Upon successful completion of NUR 209 students will
Page 3: 2019 Fall · First Term – Fall 2019 NUR 209 Concepts for Healthcare Transition Students 6 1 3 10 1 . Term Total 6 1 3 10 13 . Upon successful completion of NUR 209 students will
Page 4: 2019 Fall · First Term – Fall 2019 NUR 209 Concepts for Healthcare Transition Students 6 1 3 10 1 . Term Total 6 1 3 10 13 . Upon successful completion of NUR 209 students will
Page 5: 2019 Fall · First Term – Fall 2019 NUR 209 Concepts for Healthcare Transition Students 6 1 3 10 1 . Term Total 6 1 3 10 13 . Upon successful completion of NUR 209 students will

Table of Contents

DNE Instructor’s Office Phone Extensions .....................................................................................1

Nursing Important Dates ..................................................................................................................2

Nursing Curriculum Hours ..............................................................................................................3

Traditional Nursing Curriculum .....................................................................................................4

Mobility Nursing Curriculum .........................................................................................................5

Block Schedule ................................................................................................................................6

CPR Class Offerings ........................................................................................................................6

Estimated Traditional Nursing Expenses ..................................................................................... 7-8

Estimated Mobility Nursing Expenses....................................................................................... 9-10

Alertus Boxes / Lion Alert .............................................................................................................11

Important Information ....................................................................................................................12

Background Check Policy........................................................................................................ 13-16

Policy on Drug and Alcohol Testing of Students .................................................................... 17-21

Physical Form .......................................................................................................................... 22-23

Certification & Immunization Information ....................................................................................24

Nursing Program Essential Functions ...................................................................................... 25-27

Direct Loans / Subsidized, Unsubsidized, & PLUS ................................................................ 28-29

Satisfactory Academic Progress .............................................................................................. 30-31

Nursing Uniform Ordering Information ........................................................................................32

Nursing Uniform Styles .................................................................................................................33

Nursing Uniform Order Form ........................................................................................................34

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Department of Nursing Education Instructor’s Office Phone Extensions

(Off Campus – Dial 256-352-Phone Ext.) Email – [email protected]

Faculty Name Title Phone Ext.

Deborah Hoover Program Director 8411

Jennifer Dunkle Administrative Assistant 8411

Mechelle Baker Secretary / CastleBranch 8199

Susan Copeland Coordinator of Clinical Learning 7869

Tara Richard NUR 112 Instructor 8070

Bonnie Bibb NUR 112/113 Instructor 7804

Meredith Hiatt NUR 112/115 Instructor 7855

Alicia Standridge NUR 112/114/211 Instructor 8203

Diane Wilhite NUR 113/114 Instructor 8200

Disha Patel NUR 113/114 Instructor 7870

Leah Gann NUR 113 Instructor 8024

Kelley Walker NUR 113/114 Instructor 8201

Amy Burtram NUR 114/211 Instructor 8062

Heather Ashley NUR 114/211 Instructor 7834

Shea Mobley NUR 114/211 Instructor 8068

Katie Roper NUR 211/221 Instructor 8194

Sara Tidwell Simulation and Skills Lab Coordinator/Instructor and CastleBranch 8198

LINKS • Wallace State Community College (WSCC) Website: http://www.wallacestate.edu/• WSCC Nursing Website: http://www.wallacestate.edu/nursing• WSCC Facebook Page: https://www.facebook.com/WSNursing• WSCC Nursing Pinning: https://www.youtube.com/watch?v=6-YVBa0bC7Y• CastleBranch: Information to be released at a later date.• WSCC Health Division Physical Exam Form: http://www.wallacestate.edu/nursing

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WSCC DNE Fall 2019 Important Dates College will be CLOSED on the following dates: • Monday, September 2, 2019 – Labor Day• Monday, November 11, 2019 – Veteran’s Day• Thursday – Friday, November 28 – 29, 2019 – Thanksgiving Holiday• December 23, 2019 thru January 1, 2020 – Christmas Holidays

NO CLASSES on the following dates: • Monday, October 14, 2019 – Local Professional Development• Monday – Friday November 25 – 28, 2019 – State Professional Development/Thanksgiving

Priority Online Registration begins for Fall 2019 Semester, per the schedule below: *Priority Registration Schedule: Registration opens each day at 8:00 a.m.45+ Earned WSCC Hours ..................... Early Registration Begins, Monday, July 8 30+ Earned WSCC Hours ..................... Early Registration Begins, Tuesday, July 9 15+ Earned WSCC Hours ..................... Early Registration Begins, Wednesday, July 10 All Other Students ................................. Early Registration Begins, Thursday, July 11

June 3, 2019 - Priority Deadline for Fall 2019 Financial Aid (Apply for financial aid at least 2 months before the next semester begins.)

August 1, 2019 – Background check - Returned as “Clear”. Note: A result other than “Clear” on your background check will nullify your acceptance in the nursing program.

August 6, 2019 - Financial Aid opens for purchases at WSCC Bookstore.

1st day of class NUR 112 - August 14, 2019 – 8 AM – 3 PM

MANDATORY New Student Boot Camp Nursing Bldg. Conference Center, lower level

NUR 209 - August 19, 2019 – 8 AM – 4 PM Nursing Bldg. Room 332

August 15, 2019 (If registered prior to August 15, 2019) - Tuition and Fees Due

August 16 – August 23 – Tuition and Fees Due Daily (Failure to pay tuition on-time will remove you from all WSCC courses and you will be required to re-register for courses. You will not be guaranteed an option to re-register for the same nursing block schedule, should it become full.)

August 18, 2019 – 2:00 PM Family Welcome – Held in CNS Bldg. Conference Center, lower level – Optional – Please RSVP to Mechelle Baker the number of family members attending.

August 30, 2019 – Deadline WSCC Nursing Badge and Car Tag – Mandatory – Obtain at Bailey Bldg., 1st Floor Must have name badge form to get nursing badge – form will be available at Boot Camp – if misplaced see Mechelle Baker.

August 30, 2019 – Pell Grant and Loan balance checks, with no holds, begin mailing.

October 21, 2019 – CPR card due for traditional program.

October 30, 2019 - 60% date to withdraw without incurring overpayment charges.

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September 9, 2019 - One copy of your physical and other required data for immunizations should be scanned to thumb drive and uploaded to CastleBranch.

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CourseTheory

HrsLabHrs

ClinicalHrs

SimulationHrs

PreceptHrs

Clinical Prep Hrs

Other Hrs Description

N112 60 90 26 4 1 14* * SWELL & KidCheck

N113 60 45 90* 34 5 6** * MedSurg 72 Peds 18** Case Study / PeriOp Role Play/ATI Real Live CF

N114 75 123* 12 * MedSurg 87 OB 18 Psych 18

N115 15 4 36 5* * Celebrate

N209 90 45 106* 23 6 * MedSurg 56 Peds 14 OB 16 Psych 20

N211 60 121* 14 * Critical Care 81 Peds 16 OB 12 Psych 12

N221 45 4 170 6* *Career Fair/Interview/Network lunch/ATI Real Life Scenarios

WSCC Nursing Curriculum Hours (Fall 2019 - Subject to Change)

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Traditional ADN and PN Nursing Curriculum Wallace State Community College – Hanceville

1st Semester (Academics listed this semester must be taken with or before NUR 112) Course Theory Lab Clinical Credit Contact BIO 201 Human Anatomy and Physiology I 3 1 0 4 5 MTH 100 Intermediate College Algebra 3 0 0 3 3 ORI 110* Freshman Seminar 1 0 0 1 1 NUR 112 Fundamentals of Nursing 4 2 1 7 13

First Semester Total 11 3 1 15 22 2nd Semester (Academics listed this semester must be taken with or before NUR 113) ENG 101 English Composition I 3 0 0 3 3 BIO 202 Human Anatomy and Physiology II 3 1 0 4 5 PSY 210 Human Growth and Development 3 0 0 3 3 NUR 113 Nursing Concepts I 4 1 3 8 16

Second Semester Total 13 2 3 18 27 3rd Semester (Academic listed this semester must be taken with or before NUR 114/115) (Students are eligible to sit for NCLEX-PN at the completion of the 3rd term) SPH 106 or 107 Fundamentals of Oral Communication OR

Fundamentals of Public Speaking 3 0 0 3 3

NUR 114** Nursing Concepts II 5 0 3 8 14 NUR 115** Evidence Based Clinical Reasoning 1 0 1 2 4

Third Semester Total 9 0 4 13 21 4th Semester (Academic listed this semester must be taken with or before NUR 211) BIO 220 General Microbiology 2 2 0 4 6 NUR 211 Advanced Nursing Concepts 4 0 3 7 13

Fourth Semester Total 6 2 3 11 19 5th Semester (Academic listed this semester must be taken with or before NUR 221) (Students are eligible to sit for NCLEX-RN at the completion of the 5th semester) HUM 101 Introduction to Humanities 3 0 0 3 3 NUR 221 Advanced Based Clinical Reasoning 3 0 4 7 15

Fifth Semester Totals 6 0 4 10 18 *Students exempt from enrolling in ORI 110 are transfer students who have completed 12 transferable semester hours, personal enrichmentstudents. Students who enrolled prior to Fall 2004 are exempt from ORI 110. All students in the divisions are expected to register for ORI 110 during their first semester on campus.

**Students are permitted to split NUR 114 and NUR 115 over two semesters.

ADN Program Totals: Total Credit Hours: 67 Total Contact Hours: 1605 (107 hrs x 15 weeks) General Education Hours: 28 (41.8%) Nursing Hours: 39 (58.2%)

PN Program Totals: Total Credit Hours: 46 Total Contact Hours: 1050 (70 hrs x 15 weeks) General Education Hours: 21 (45.7%) Nursing Hours: 25 (54.3%)

Nursing courses offered in the following semesters: SPRING 112, 113, 211, 221

SUMMER 113, 114, 115, 221 FALL 112, 114, 115, 211

Applicant must also meet the following admission criteria: • Be unconditionally admitted to the college.• Student must be in good standing with the college.• Receipt of complete nursing application by posted deadline.• Minimum of 18 ACT composite score National or Residual.• Maintain a grade of “C” or better in ALL general education and nursing courses. A minimum grade of 75 constitutes a “C” in

nursing courses.• A minimum of 2.0 GPA Cumulative at current native institution or cumulative 2.0 in institution from which student is transferring

to be eligible to apply for a nursing program.• A minimum of 2.5 GPA for nursing required academic core courses.• A minimum of 2.5 GPA cumulative high school GPA for students without prior college courses (GED will be used if applicable).• Meet the essential functions for nursing.• Eligible for ENG 101 and MTH 100.

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Fall 2019 Mobility Track – Nursing Curriculum

Wallace State Community College – Hanceville Department of Nursing Education

Prerequisite Courses – MUST be completed prior to applying to NUR 209 Theory Lab Clinical Credit Contact ORI 110* Freshman Seminar 1 0 0 1 1 BIO 201 Human Anatomy and Physiology I 3 1 0 4 5 BIO 202 Human Anatomy and Physiology II 3 1 0 4 5 ENG 101 English 3 0 0 3 3 MTH 100 Intermediate College Algebra (Higher MTH accepted) 3 0 0 3 3 PSY 210 Human Growth and Development 3 0 0 3 3 SPH 106 or 107 Speech 3 0 0 3 3

Prerequisite Total 19 2 0 21 23 First Term – Fall 2019 NUR 209 Concepts for Healthcare Transition Students 6 1 3 10 1

Term Total 6 1 3 10 13 Upon successful completion of NUR 209 students will be awarded 15 hours of non-traditional credit. Second Term – Spring 2020 BIO 220 Microbiology 2 2 0 4 6 NUR 211 Advanced Nursing Concepts 4 0 3 7 13

Term Total 4 0 3 7 13 Third Term – Summer 2020 HUM/ART Humanities Elective 3 0 0 3 3 NUR 221 Advanced Based Clinical Reasoning 3 0 4 7 15

Term Totals 3 0 4 7 15

*Students exempt from enrolling in ORI 110 are transfer students who have completed 12 transferable semester hours, personal enrichment students. Students who enrolled prior to Fall 2004 are exempt from ORI 110. All students in the divisions are expected to register for ORI 110 during their first semester on campus.

Nursing courses offered in the following semesters: SPRING 112, 113, 211, 221

SUMMER 113, 114, 115, 221 FALL 112, 114, 115, 211

MOBILITY Applicant must also meet the following admission criteria:

• Be unconditionally admitted to the College.• Be in good standing with the College.• Completed nursing application and supporting documentation by posted deadline. • Obtain a minimum of 18 ACT composite score National or Residual. • Maintain a grade of “C” or better in ALL general education and nursing courses. A minimum grade of 75 constitutes a “C” in nursing courses. • Achieve a minimum of 2.0 GPA cumulative at current native institution or cumulative 2.0 in institution from which student is transferring to be

eligible.• Achieve a minimum of 2.5 GPA for nursing required academic core courses.• Meet the essential functions for nursing. • Must have successfully completed BIO 201, BIO 202, ENG 101, MTH 100**, PSY 210, SPH 106 or SPH 107. • Applicants for Mobility program must have been awarded an AAS Degree and are currently licensed as an Emergency Medical Services-Paramedic,

Diagnostic Imaging (ARRT), Respiratory Therapist or a Licensed Practical Nurse in the State of Alabama prior to application. • Non-nursing applicants must have Certified Nursing Assistant (CNA) certification and provide documentation prior to admission to the

Mobility program.• Students will be ineligible to re-apply for NUR 209 if they have experienced a withdrawal or non-progression in NUR 200, NUR 201 or NUR

209. Students will be eligible to apply to the traditional nursing program. Admission is not guaranteed.

**Higher level Math accepted. Note: Math 116 is NOT a higher math course.

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Wallace State Community College Department of Nursing Education

2019 FALL - NUR 112 Block Schedule Monday Tuesday Wednesday Thursday

A NUR 112 (CRN 10235) Fundamentals of Nursing

NUR 112 Room 337 Class 8:00-11:00

NUR 112 Room TBA Class 12:00 – 4:00

NUR 112 Room 337 Class 8:00 – 11:00

NUR 112 Room 337 Class 8:00 – 11:00

B NUR 112 (CRN 10236) Fundamentals of Nursing

NUR 112 Room TBA Class 8:00-11:00

NUR 112 Room 337 Class 12:00-4:00

NUR 112 Room 337 Class 12:00 – 3:00

NUR 112 Room 337 Class 12:00 – 3:00

Please note: If you are unable to register for one of these blocks it means that the block is full and you must register for the remaining block. No overrides will be given.

This page is more detailed than the nursing schedule appears in the WSCC schedule of classes; therefore, please keep this page handy at all times for the first few weeks of class in order to be in the right place at the right time.

2019 FALL - NUR 209 Schedule Thursday

NUR 209 (CRN 10241)

NUR 209 Room 332 Class 8:00 – 4:00

CPR Courses @ Hanceville Campus CRN Course Course Name CR Time Day Location Instructor 10310 EMS 100 Cardiopulmonary Resuscitation 1 9:00 am -2:00 pm F TBH615 TBD

Hybrid class only meets Friday 8/23/19 from 9 a.m. – 2 p.m. in TBH 615. See Blackboard for required submission prior to class.

10311 EMS 100 Cardiopulmonary Resuscitation 1 9:00 am -2:00 pm F TBH615 TBD Hybrid class only meets Friday 8/23/19 from 9 a.m. – 2 p.m. in CNS 200. See Blackboard for required submission prior to class.

10313 EMS 100 Cardiopulmonary Resuscitation 1 9:00 am -2:00 pm F TBH615 TBD Hybrid class only meets Friday 9/06/19 from 9 a.m. – 2 p.m. in TBH 615. See Blackboard for required submission prior to 9/26/19.

10314 EMS 100 Cardiopulmonary Resuscitation 1 9:00 am -2:00 pm F TBH615 TBD Hybrid class only meets Friday 9/06/19 from 9 a.m. – 2 p.m. in CNS 200. See Blackboard for required submission prior to 9/26/19.

10316 EMS 100 Cardiopulmonary Resuscitation 1 9:00 am -2:00 pm F TBH615 TBD Hybrid class only meets Friday 9/13/19 from 9 a.m. – 2 p.m. in TBH 615. See Blackboard for required submission prior to 9/26/19.

10317 EMS 100 Cardiopulmonary Resuscitation 1 9:00 am -2:00 pm F TBH615 TBD Hybrid class only meets Friday 9/20/19 from 9 a.m. – 2 p.m. in TBH 615. See Blackboard for required submission prior to 9/26/19.

10318 EMS 100 Cardiopulmonary Resuscitation 1 9:00 am -2:00 pm F TBH615 TBD Hybrid class only meets Friday 09/27/19 from 9 a.m. – 2 p.m. in TBH 615. See Blackboard for required submission prior to 9/26/19.

10319 EMS 100 Cardiopulmonary Resuscitation 1 9:00 am -2:00 pm F TBH615 TBD Hybrid class only meets Friday 10/04/19 from 9 a.m. – 2 p.m. in TBH 615. See Blackboard for required submission prior to 9/26/19.

CPR Courses @ Oneonta Center CRN Course Course Name CR Time Day Location Instructor 10312 EMS 100 Cardiopulmonary Resuscitation 1 9:00 am -2:00 pm F TBH615 TBD

Hybrid class only meets Friday 8/23/19 from 9 a.m. – 2 p.m. at Oneonta Campus. See Blackboard for required submission prior to class.

10315 EMS 100 Cardiopulmonary Resuscitation 1 9:00 am -2:00 pm F TBH615 TBD Hybrid class only meets Friday 9/6/19 from 9 a.m. – 2 p.m. at Oneonta Campus. See Blackboard for required submission prior to 8/26/19.

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First Term Credit Hours Tuition/Fees BIO 201 Human Anatomy and Physiology I 4 $632.00MTH 100 Intermediate College Algebra 3 $474.00ORI 110 Freshman Seminar (Exempt if transferring 12 or more successfully completed college credit hours) 1 $158.00NUR 112 Fundamentals of Nursing 7 $1,106.00NUR 112 Digital Textbook Bundle $510.00NUR 112 Lab Pack $90.00Accident/Malpractice Insurance $11.50Drug Testing $21.00Immunization Tracker and background $78.00ATI Testing Fee $340.00Uniforms/Scrubs -Three sets @ $80.00 $240.00Supplies, i.e., stethoscope, BP cuff, clipboard, penlight, etc. $150.00

First Term Total $3,810.50NUR 112 Textbook Bundle (If desired in addtion to digital bundle) $635.00Second Term Credit Hours Tuition/Fees ENG 101 English Composition I 3 $474.00BIO 202 Human Anatomy and Physiology II 4 $632.00PSY 210 Human Growth and Development 3 $474.00NUR 113 Nursing Concepts I 8 $1,264.00NUR 113 Digital Textbook Bundle $440.00NUR 113 Lab Pack $145.00Accident/Malpractice Insurance (Summer Term $4.00) $11.50Drug Testing $21.00Immunization Tracker $15.00ATI Testing Fee $340.00

Second Term Total $3,816.50NUR 113 Textbook Bundle (If desired in addtion to digital bundle) $585.00Third Term Credit Hours Tuition/Fees SPH 106 or 107 Fundamentals of Oral Communication or 3 $474.00Fundamentals of Public SpeakingNUR 114 Nursing Concepts II 8 $1,264.00NUR 115 Evidence Based Clinical Reasoning 2 $316.00NUR 115 HESI Comp. Review/NCLEX-PN w/Access $70.00PN HESI Test (Taken in NUR 115) $70.00Accident/Malpractice Insurance (Summer Term $4.00) $11.50Drug Testing $21.00Immunization Tracker $15.00ATI Testing Fee $340.00

Third Term Total $2,581.50

WSCC Department of NursingEstimated Traditional Nursing Fees

(Subject to Change)

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Fourth Term Credit Hours Tuition/Fees BIO 220 General Microbiology 4 $632.00NUR 211 Advanced Nursing Concepts 7 $1,106.00NUR 211 Nursing Concepts Subscription Extension $510.00Accident/Malpractice Insurance $11.50Drug Testing $21.00Immunization Tracker $15.00ATI Testing Fee $340.00

Fourth Term Total $2,635.50Fifth Term Credit Hours Tuition/Fees HUM 101 Introduction to Humanities 3 $474.00NUR 221 Advanced Based Clinical Reasoning 7 $1,106.00NUR 221 HESI Comp. Review/NCLEX-RN w/Access $70.00Accident/Malpractice Insurance (Summer Term $4.00 only) $11.50Drug Testing $21.00Immunization Tracker $15.00ATI Testing Fee $340.00AD HESI Test (Taken in NUR 221) $70.00

Fifth Term Total $2,107.50

Annual Background Check – Annual update fee to initial background $15.00Physical Exam - Subject to physican’s fee $TB Skin Test - Subject to physican’s fee $Flu Immunization - Subject to physican’s fee $Health Insurance - Subject to individual insurance carrier $Academic textbooks are additional $All textbooks and resources are subject to sales tax $

Additional items due annually. Not covered in tuition charges.

WSCC Department of NursingEstimated Traditional Nursing Fees

(Subject to Change)

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MOBILITY Academic Course Pre-Requisites: BIO 201, BIO 202, ENG 101,MTH 100 or higher, PSY 210, SPH 106 or SPH 107 Credit Hours Tuition/Fees BIO 201 Human Anatomy and Physiology I 4 $632.00BIO 202 Human Anatomy and Physiology II 4 $632.00ENG 101 English Composition I 3 $474.00MTH 100 Intermediate College Algebra 3 $474.00PSY 210 Human Growth and Development 3 $474.00SPH 106 or 107 Fundamentals of Oral Communication OR 3 $474.00Fundamentals of Public SpeakingORI 110 Freshman Seminar (Exempt if transferring 12 or more successfully completed college credit hours) 1 $158.00

Pre-Requisite Course Total $3,318.00First Term (Fall Only) Credit Hours Tuition/Fees NUR 209 Concepts for Healthare Transition 10 $1,580.00ORI 110 Freshman Seminar (Exempt if transferring 12 or more successfully completed college credit hours) 1 $158.00NUR 209 Lab Pack $150.00Accident/Malpractice Insurance $11.50Drug Testing $21.00Immunization Tracker and background $78.00ATI Testing Fee $340.00PN HESI Test (Taken in NUR 209) $70.00Uniforms/Scrubs -Three sets @ $80.00 $240.00Supplies, i.e., stethoscope, BP cuff, clipboard, penlight, etc. $150.00

First Term Total $2,798.50NUR 209 Textbooks & Digital Resources (See options below) $Second Term Credit Hours Tuition/Fees BIO 220 General Microbiology 4 $632.00NUR 211 Advanced Nursing Concepts 7 $1,106.00NUR 211 Nursing Concepts Subscription Extension $510.00Accident/Malpractice Insurance $11.50Drug Testing $21.00Immunization Tracker $15.00ATI Testing Fee $340.00

Fourth Term Total $2,635.50

WSCC Department of Nursing

Estimated MOBILITY Nursing Fees(Subject to Change)

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WSCC Department of Nursing

Estimated MOBILITY Nursing Fees(Subject to Change)

Third Term Credit Hours Tuition/Fees HUM 101 Introduction to Humanities 3 $474.00NUR 221 Advanced Based Clinical Reasoning 7 $1,106.00NUR 221 HESI Comp. Review/NCLEX-RN w/Access $70.00Accident/Malpractice Insurance (Summer Term $4.00 only) $11.50Drug Testing $21.00Immunization Tracker $15.00ATI Testing Fee $340.00AD HESI Test (Taken in NUR 221) $70.00

Fifth Term Total $2,107.50

Annual Background Check – Annual update fee to initial background $15.00Physical Exam - Subject to physican’s fee $TB Skin Test - Subject to physican’s fee $Flu Immunization - Subject to physican’s fee $Health Insurance - Subject to individual insurance carrier $Academic textbooks are additional $All textbooks and resources are subject to sales tax $

VSIM for Nursing Medical-Surgical Access $148.00HESI Comprehensive Review/NCLEX PN with Access $70.00

Required Books and Digital Access Total $218.00

Fundamentals of Nursing $139.00Prep U Fundamentals of Nursing Access (12-Month) $126.00Maternity+Pediatric Nursing -with Access $150.00Leadership Roles+Mgmt Func -with Access $85.00Prep U for Ricci, Kyle, and Carman's Mate $126.00Brunner+Txbk of Med Surg -with Code $170.00Health Assessment in Nursing -with Access $125.00Psychiatric-Mental -with Access $75.00Brunner+Txbk of Med Surg Prep U -Stand Alone $155.00Prep U Weber Health Assessment $110.00Prep U Videbeck Psychology $110.00Current Drug Guide (Davis Drug Guide preferred) $50.00

Go To Class First Books and Digital Access Total $1,421.00

Additional items due annually. Not covered in tuition charges. Prices are estimates only and are subject to change without notice.

NUR 209 Required Textbooks and/or Access to Digital Resources:

NUR 209 Go To Class First for Textbook/Resource Options:(You may currently have many of these textbooks & resources)

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ALERTUS BOXES: Have you seen the yellow boxes in the hallways of our Wallace State buildings? They represent the “Alertus” system for localized Emergency Notification.

Universities and colleges utilize Alert Beacons (“Alertus”) throughout academic, residential, recreational, and administrative settings. Alert Beacons offer reliable emergency communications when conventional methods of email, cell phones, and landline phones are too slow or fail due to throughput limitations. Alert Beacons are independent of cellular and the Internet (although may be activated remotely via Internet if desired). Alert Beacons attract attention with sound and flashing strobes, while a large text display informs building occupants of the emergency and instructs them how to respond.

LION ALERT: Also, Wallace State Community College is pleased to announce the seventh year of the implementation of “Lion Alert”, our emergency alert and notification system. Lion Alert delivers rapid, multi-platform messages in the event of an emergency to students, faculty members, and staff. This will be your best source for timely information and instructions on what to do in the event of any campus emergency or notification.

You no longer need to rely on the media, calls to the college or your friends, or coming to the campus to learn about the adverse impact on campus operations due to: severe weather, power outages, criminal activity, threats, or other emergency situations. Lion Alert will ensure that this information is automatically delivered to you at the email addresses and phone numbers (by voice and/or text message) that you provide within moments of any such alerts being sent by the college. Lion Alert messages provide this important information to you directly from authorized members of the college’s administration and security personnel. You can rely on Lion Alert as your official source of the most accurate and current information.

We invite you now to follow the simple steps below to log-in to your private Lion Alert “Dashboard” and review your contact information. Please be assured that all contact information you provide is kept confidential, safe, and secure, and will never be used for any purpose beyond what you have authorized. Your information is for the official use of Wallace State Community College’s emergency alert system only and is never shared with third parties.

We encourage you to review your information right now… BEFORE you forget! The entire process will take only a few minutes, and you will receive the benefits from this important service throughout the entire school year. The steps to access your information are listed below. While reviewing, if all information is correct as listed, then just log back out. Basic contact

information has already been loaded for you. If changes are desired, make any changes and click the disk icon ( ) to save. If you choose to opt out of this Lion Alert service and not receive emergency or non-emergency messages, you will need to

use the red circle icon ( ) “delete” to remove your contact information. If you have any questions about Lion Alert, please contact the Vice President’s Office at (256) 352-8233 or (256) 352-8340 for assistance.

Steps for accessing information: Lion Alert – Emergency Notification System

STUDENTS AND FACULTY/STAFF: Your username and password are the same as your myWallaceID account. This is the same username and password used for your campus email, Blackboard Learning Management System, and Lion Loot accounts.

If you have not set-up your myWallaceID account and you are a student, please visit https://mywallaceid.wallacestate.edu to do so prior to visiting the Lion Alert Dashboard.

To log-in and access your Lion Alert Dashboard account, go to the following secure web-site: http://www.wallacestate.edu, click on “LionCard” at the bottom of the homepage

Click on the tab “Lion Alert” on the upper right hand side of the page.

Click on the “mySchoolCast” link within the Log-In Instructions section.

Your myWallaceID account is used to access your private Lion Alert Dashboard page.

Verify your information for contacts during an emergency, make any changes that are necessary.

Remember to keep your contact information current whenever you have a change in phone number, email address, etc, even if it is during the semester.

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Important Information

Academic Classes – Academics are to be completed in the required sequence within the nursing curriculum

(see nursing information packet). It is your responsibility to schedule academics around your nursing schedule.

You must also consider clinical requirements when selecting academics due to limited clinical availability.

Change of Information – Any change of information must be reported to the front nursing office, i.e., change

of name, address, phone, email, emergency contact name and number. Please ask for the Change of

Information form and submit to DNE.

Emergency Phone Calls – Students will be given messages in Emergency situations only; for emergencies,

please call 256-352-8199. Callers must provide current semester of study and block assigned for the student for

which the message is intended. Remember, information will change from semester-to-semester and occasionally

from week-to-week. Update all parties that may need to contact you in case of an emergency, i.e., childcare

situations, sick relatives, etc.

Lab Supply Packs – May be required for some clinical courses and will be available for purchase in the

campus bookstore as required.

Nursing Student Handbook - The student handbook is available online on the nursing webpage.

Packets for Nursing Courses – Course/clinical packets are available in each Blackboard shell. Please

familiarize yourself with the packet once the Blackboard shell is available.

Scantrons - Do not purchase; Department of Nursing Education conducts computerized testing.

Student Phone – A phone is located in the lobby of the front nursing office for your convenience in contacting

your instructor. The instructor’s office number and phone number is located next to the student phone. Dial the

four-digit extension and let your instructor know you are in the front lobby; you may not enter the office area

without permission. Local calls can be made from this phone as well; dial “9” plus the area code and then the

number.

Lion Card (Student Name Badge) – Please have your Lion Card ID badge by August 30th. There are several steps in this process: First the student must register and log in to a nursing blackboard shell then present your

Nursing ID card request form which was given to you at Boot Camp on August 14th along with a picture ID

(driver’s license, etc.) to Lion Central located on the 1st floor of the Bailey building. Special note: all facial

piercings and/or tattoos must be removed and/or covered for photo. Lion Central hours are as follows: Monday

– Wednesday 7:30 a.m. – 6:00 p.m., Thursday 7:30 a.m. – 4:30 p.m. and Friday 7:30 a.m. – 2:00 p.m.

Vehicle Hang Tags – All vehicles must be registered. You will be given the orange Hang Tag Request Form at Boot Camp which you must complete with the following information: your driver’s license number,

vehicle tag number, make, model, color, model year, and student ID#. Please note, you must list every

vehicle that you may potentially drive on campus so that it will be registered to your name. Vehicle registration will be made available at Boot Camp or you may go to Lion Central which is located on the 1st

floor of the Bailey Building.

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Wallace State Community College Health Science Division

Background Check Policy

Education of Health Science Division students at Wallace State Community College requires collaboration between the college and clinical affiliates. Education of these students cannot be complete without a quality clinical education component. The college shares an obligation with the clinical affiliates to protect the affiliate’s patients to the extent reasonably possible from harm. The college wishes to ensure that the health and safety of students and patients are not compromised and that clinical affiliation agreements exist to provide students with quality clinical education experiences.

In establishing clinical affiliation agreements, healthcare educational programs are contractually obligated to comply with the requirements set forth by clinical affiliates. Student enrolled in health care educational program must conform to the rules, policies and procedures of the clinical affiliate in order to participate in clinical learning experiences. It is therefore the policy of Wallace State Community College Health Science Division that students enrolling in health profession programs submit to background checks.

Guidelines for Background Check On Health Profession Students

I. Persons to be Tested

Any student who is accepted into any Health Program at Wallace State Community College will be required to undergo a background check.

II. Types of Background Checks

Students shall received notification of the requirement for the background check prior to admission and upon admission to a health care program.

The background check may include, but is not limited, to searches, histories, and verifications as indicated below:

• Positive Identification• Maiden/AKA Name Search• Social Security Number Trace which is a verification that the number

provided by the individual was issued by the Social SecurityAdministration and is not listed in the files of the deceased. TheSSN trace is also used to locate additional names and addresses.

• Residency History• Education Verification• Employment Verification which may include the reason for separation

and eligibility for re-employment for each employer. The lastseven years may be searched if the student is 21 years of age orolder.

• Healthcare Employment Verification Network Search• Nurse Aide Registry

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• Professional License/Certification Verification• Personal References/Interviews• Seven Year Criminal Search reveals felony and misdemeanor convictions, and

pending criminal cases usually including the date, nature of the offense,sentencing date, disposition, and current status. The seven-year criminalbackground check may occur in current and previous counties of residence andemployment through a search of court records. City, state, and/or federal recordsmay also be searched. Federal criminal cases may reveal tax evasion, fraud, drugoffenses, etc.

• Most Wanted List• National Criminal Database Searches, which includes a compilation of

historical data, collected from multiple sources in multiple states by backgroundcheck companies.

• Adult and Child Abuse/Neglect Registries• National Sex Offender/Predator Registry Search which includes a search of

the state or county repository for known sexual offenders.• Misconduct Registry Search• Office of the Inspector General (OIG) List of Excluded Individuals/Entities

which identifies those individuals who have committed offenses deeming themineligible to care for patients receiving Medicare, Medicaid and other Federalhealth care benefits.

• General Services Administration (GSA) Excluded Parties List Serviceidentifies the List of Parties Excluded (EPLS) which identifies those excludedthroughout the US Government from receiving Federal contracts and certain typesof Federal financial/non-financial assistance/benefits.

• Executive Order 13224 Terrorism Sanctions Regulations• Government Suspect /Watch List• Office of Foreign Assets Control (OFAC) list of Specially Designated

Nationals (SDN) which includes individuals associated with terrorism andNarcotics Trafficking.

• FACIS Database Searches includes OIG, GSA, OFAC and other sources.• National Healthcare Data Bank Search and Sanction Report may include

Medicare/Medicaid Sanction Search, OIG, GSA, and FDA Debarment Check.• Fingerprinting and the National Criminal Information Center which may

reveal National Wants and Warrants information• International Criminal• Applicable State Exclusion List• Any Other Public Record

III. Consent

Students must sign the appropriate consent(s) for a background check at the time of admission to a health care program. A copy of the signed consent(s) will be maintained in the permanent student record. The student will provide applicable consent(s) to the vendor conducting the background check. If the student is under eighteen (18) years of age, the student’s parent or guardian must sign the consent form in addition to the student.

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IV. Background Check Procedure

The background checks will be conducted by a college-designated vendor according to program specific deadlines. Background checks or Background check Updates performed by any other vendor or agency will not be accepted. Students reinstated to a program after an absence from program coursework of one semester or more, will have to repeat background testing.

Students with completed background checks transferring to or starting another healthcare program with uninterrupted time may be allowed to conduct a background check update.

Students enrolled in programs which last longer than one calendar year must have a background check update beginning the fall semester of the second year.

The student will be responsible for the cost of the background check. Any student failing to pay the fee in effect at the time of the background check by the published deadline and/or refusing to sign the consent form(s) will not undergo a background check and will be prohibited from attending clinical learning experiences. The student in this situation will be dismissed from the program. A grade of “F” will be recorded for the course(s) if the student does not officially withdraw.

If a student is experiencing extenuating circumstances that prohibit completion of the background check by the deadline, they should contact the healthcare program director who will determine if the student will be allowed to proceed without the background check. No student will be allowed to attend the clinical experience until the full background check process is completed.

Some clinical affiliates may require an additional background check to fulfill requirements above those required by this procedure. If required, the expense of additional background checks will be the responsibility of the student.

V. Results

Results of the background check will be sent to the health care program director. Designees at the clinical affiliate will be provided with a copy, if requested, of negative results for students assigned to that agency.

The student with a positive background check will be informed of the results by the healthcare program designee and/or background check vendor. The student will be provided with a copy of the background check if the results are positive. No copy will be provided to the student if results are negative.

Students with a positive background check will be denied assignment to a clinical facility pending resolution of the background check finding. Students will be advised to contact the background check vendor to dispute any information reported and to clear any findings of the background check.

Background checks which could render a student ineligible to obtain clinical learning experiences include, but are not limited to, certain convictions or criminal charges which

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could jeopardize the health and safety of patients and sanctions or debarment. Felony or repeated misdemeanor activity within the past seven (7) years and Office of the Inspector General violations will normally prohibit the obtainment of clinical learning experiences with clinical affiliate(s). Positive findings on background checks can have licensure implications upon graduation from a health program.

Students who are unable to resolve a positive background check will be dismissed from the health care program. A grade of “F” will be recorded for the course(s) if the student does not officially withdraw. The student will be advised by a program advisor as to their eligibility for program re-entry and the mechanisms for reapplication to the program.

Results will be securely filed in the office of the health program. The healthcare program designee will have access to the results of the background check.

Results of any student’s background screen will be shared only on a need to know basis with the exception of legal, disciplinary or appeal actions which require access to the results.

Any offenses resulting in an arrest which occurs after an initial background check must be reported to the program director within 72 hours of the arrest and a background check update will be necessary for continuation in a health program.

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Wallace State Community College Health Science Division

Policy on Drug and Alcohol Testing of Students Enrolled in Health Programs

Wallace State Community College supports the concept of a Drug Free Workplace and prohibits the unlawful manufacture, distribution, possession or use of a controlled substance on any property owned, leased, or controlled by the college or during any activity conducted, sponsored, authorized by or on behalf of Wallace State Community College. The college prohibits any form of on-campus (or campus affiliated) use and/or possession of illegal drugs, drug paraphernalia, or alcoholic beverage by students, which is in direct violation of local, state, and federal law. Students found to be involved in any of these activities are subject to disciplinary action including program dismissal.

Education of health profession students at Wallace State Community College requires collaboration between the college and clinical agencies. Education of these students cannot be complete without a quality clinical education component. The College shares an obligation with the clinical agency to protect, to the extent reasonably possible, the agency’s patient due to students who are under the influence of illegal drugs or alcohol while in the clinical agency.

The College wishes to ensure that the health and safety of students and patients are not compromised, and that clinical affiliation agreements exist to provide students with quality clinical education experiences. Therefore, it is the policy of Wallace State Community College-Hanceville that students enrolling in health profession programs submit to drug testing. This testing can be announced or unannounced and will occur upon admission and annually thereafter, for cause or at random intervals. This policy authorizes drug testing of students who voluntarily choose to enroll in health profession programs at the college. Any student enrolling in a health profession program will be required to submit to such testing.

GUIDELINES FOR DRUG TESTING OF HEALTH PROFESSION STUDENTS

I. PERSONS TO BE TESTED

Any student who is accepted into any health program at Wallace State Community College-Hanceville will be required to submit to annual drug testing.

II. TYPES OF TESTS TO BE PERFORMED

A. Drug testing will occur prior to clinical placement and annually thereafter. Only drug testsconducted by college-authorized agencies will be accepted. Cost of drug testing will be paid from student fees collected each semester.

B. In addition to annual drug testing, further testing may be required of the student for reasonable suspicion or at random intervals and may be either announced or unannounced. This testing will be required at the discretion of the college or the clinical agency. Cost of drug testing will be paid from student fees collected each semester. For the safety and protection of patients, faculty, staff, and students, the health science program will require a student to submit to a screening for drugs and alcohol, which will be conducted at the college’s expense when there is

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reasonable suspicion to believe that a student is abusing substances. Reasonable suspicion is defined as, but not limited to, the following:

• Observable changes in performance, behavior, appearance, and speech.

• Direct observation by a fellow student, instructor, or other faculty or staff of the college orclinical site of drug and/or alcohol use and/or the physical symptoms or manifestations ofbeing under the influence of a drug and/or alcohol, such as, but not limited to, unusualslurred or rapid speech; noticeable change in appearance and hygiene; impaired physicalcoordination; inappropriate comments, behaviors, or responses; trembling hands; persistentrhinorrhea; flushed face; red eyes; unsteady gait; declining health; irritability; mood swings;isolation; decreased alertness; and/or pupillary changes.

• Conduct inconsistent with the student’s normal behavior, or erratic behavior, absenteeism,tardiness, dishonesty, or fluctuations and/or deterioration in performance.

• A report of drug and/or alcohol use provided by reliable and credible sources which hasbeen independently corroborated.

• Evidence of tampering with a drug and/or alcohol screening which has been verified andsubstantiated by the administering laboratory.

• Odor of alcohol.

• Possession of illegal or illicit drugs or alcohol.

• Suspected theft of medication.

• Information that the individual has caused or contributed to an alcohol- or drug-relatedincident/accident.

• Evidence of involvement in the possession, consumption, sale, theft, manufacturing, use,solicitation, or transfer of drugs and/or alcohol while in the educational setting and/or anyset of facts or conditions that would lead one to reasonably suspect that a student was underthe influence of drugs and alcohol.

If a clinical agency staff member, student, or college faculty member observes such behavior, it should be immediately reported to the department chair/program director/designee in order to immediately assess the situation. Such a report of an observation of this nature should be in writing. The report should be immediately verified by another student, faculty, or staff member. Upon such immediate verification, the student shall be informed of and instructed to leave the educational or clinical setting immediately. Such measures will be taken in such a manner as to ensure the privacy of both the reporting individual and the affected student. However, precautions will be taken to ensure the safety of both the student and others, including advising the student not to drive a motor vehicle. The program director, Dean of Health Sciences, Vice President of Students, or designee of the President will then make an immediate determination if there is reasonable suspicion to screen the student. If the decision is made to screen the student, the Dean of Health Sciences or a designee of the President will direct the student to make arrangements to have the screening performed immediately. The student will be requested to sign an informed consent to be tested before a specimen is collected. A student’s failure to consent to the screening will result in immediate termination from the Health Science program.

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III. DRUGS TO BE TESTED

All students will be tested for alcohol and the following ten (10) drugs: amphetamines,barbiturates, benzodiazepines, cocaine metabolites, marijuana metabolites, methadonemetabolites, oxycodone, opiates, methamphetamines, and propoxyphene. Testing for additionalsubstances may occur based on clinical affiliation agreement requirements.

IV. CONSENT TO DRUG TESTING

A. The student must provide written consent to provide specimens for the purpose of analysis. Ifthe student is under eighteen (18) years of age, the student's parent or legal guardian must sign the drug testing consent form in addition to the student. The signed consent must be returned to the program director of the health program.

B. The signed consent form will be maintained in the student permanent record. A copy of the consent form will be maintained with the program director.

C. Students have the right to refuse to consent to drug testing. However, students who decline will be refused access to clinical education facilities and will be unable to achieve the required clinical experiences and objectives of the program. Refusal to submit to drug testing will result in dismissal from the health program and will cause the student to be ineligible for admission to any program in the Health Science Division offered at Wallace State Community College.

V. SPECIMEN COLLECTION

A. The collector shall be a licensed medical professional or technician who has been trained and certified for collection in accordance with chain of custody and control procedures. This person cannot be a college employee.

B. The designated collection site and specimen collection procedures must be secured in accordance with chain of custody and control procedures. Security during collection may be maintained by effective restriction of access to the collection materials and specimens.

C. When the student arrives at the collection site, the collector shall ensure that the student is positively identified as the individual selected for testing. This identification will be done through the presentation of photo identification (ex: driver's license with picture). If the student's identity cannot be established, the collector shall not proceed with the collection until such identification can be made.

D. The student will complete and sign the vendor-provided chain of custody/consent form for the collection.

E. If the student is unable to provide an adequate specimen during the collection process, another collection time will be scheduled. Students will not be allowed into the clinical setting until negative results are received by the program director.

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F. Students absent from announced or unannounced drug testing will be excused under only the most extreme circumstances (e.g. illness, family emergency). The student will be required to provide written verification for such absences. Approval of a verifiable absence is the responsibility of the program director. Students will have to complete the drug testing process within 48 hours of the originally scheduled time. Failure to complete the drug screening as required by Wallace State Community College will prohibit the student from continuing in the program in which they are enrolled or to be admitted to any other program in the Health Science Division at Wallace State Community College. The College reserves the right but has no duty to lift the prohibition against reenrollment upon its consideration of written application for readmission evidencing that the student has demonstrated an ability and readiness to comply with all College health division regulations. The College will not consider such a request until at least two years from the date of dismissal. Requests should be directed to the Vice President for Students Office.

VI. DRUG TESTING LABORATORY

Drug testing for Wallace State Community College Health Science Division students can only be conducted by the college-approved vendor. Only laboratories certified by the U.S. Department of Health and Human Services (HHS) can be used to perform drug testing analysis.

Students enrolled in programs offered totally online or through other distance modalities and who live more than 75 miles from the college campus will contact their respective program director to identify approved alternate drug testing laboratories. Alternate drug testing laboratories will be required to meet the standards set forth in the college’s guidelines. Costs of testing at alternate sites above the college’s fee structure will be the responsibility of the student. Approval of any alternate drug testing sites must be received prior to testing. Failure to receive approval will result in having to submit to additional testing at an approved site. Student fees will only be used for payment to approved testing sites.

VII. MEDICAL REVIEW OF POSITIVE DRUG TEST RESULTS

A. All specimens identified as positive on the initial test shall be confirmed by the testing laboratory. Any positive test result will be reviewed by the Medical Review Officer.

B. A Medical Review Officer (MRO), who shall be a licensed physician with knowledge of substance abuse disorders, shall review and interpret positive test results. The MRO shall examine alternate medical explanations for any positive test results. The MRO or designee shall contact the student directly to discuss the test results.

VIII. REPORTING OF DRUG TEST RESULTS

A. Written notification indicating either a positive or negative drug screen shall be provided to the Dean of Health Sciences or health program director. Test results will not be released to any individual who has not been authorized to receive such results. Students shall not be allowed to hand deliver any test results to college representatives. Notification of drug screening results can only be delivered in a manner that insures the integrity, accuracy, and confidentiality of the information. Wallace State Community College refuses to accept any test result that does not meet the requirements of the policy and guidelines.

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B. Whenever possible, report of drug screening to clinical affiliates will be handled by aggregate data reporting. The clinical agency will be notified of individual student drug screening results or provided with copies of drug screening results only when required by clinical affiliation agreement.

C. Negative test results must be kept on file for one year after the student's last date of attendance at the college. Positive test results must be maintained on file for five years after the student's last date of attendance at the college.

IX. PENALTIES FOR A CONFIRMED POSITIVE DRUG TEST OR REFUSAL TO BE TESTED

A. Positive Test

A student with a positive drug test will be dismissed from the health program. A grade of “F” will be recorded if the student does not officially withdraw. The appeal process is outlined in the college catalog in the health science programs of study section. The College reserves the right but has no duty to lift the prohibition against reenrollment upon consideration of written application for readmission evidencing that the student has demonstrated an ability and readiness to comply with all College health division regulations. The College will not consider such a request until at least two years from the date of dismissal. Requests should be directed to the Vice President of Students Office. If a readmitted student has a subsequent positive drug screen, the student will be ineligible for admission to any Health Science program at Wallace State Community College.

B. Refusal to Test

A student’s refusal at any point to be tested for drugs will result in dismissal from the health program and forfeiture of any health scholarship. A grade of “F” will be recorded if the student does not officially withdraw. The program director shall be notified of any refusal to be tested. The College reserves the right but has no duty to lift the prohibition against reenrollment upon its consideration of written application for readmission evidencing that the student has demonstrated an ability and readiness to comply with all College health division regulations. The College will not consider such a request until at least two years from the date of dismissal. Requests should be directed to the Vice President for Students Office. If a readmitted student has a subsequent positive drug screen, the student will be ineligible for admission to any Health Science program at Wallace State Community College.

X. PUBLICATION OF POLICY

The college shall include the policy and procedure for Drug Testing of Health Profession Students in the college catalog, on the college's website, in the student handbook for each program, and other appropriate college publications to ensure adequate notice and distribution. As stated in the disclaimer in the Wallace State Catalog, college policies are subject to change.

Revised (12/7/10)

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This form is to be completed in its entirety by a physician, certified nurse practitioner or physician assistant. Physical exam results must be current within one year of any clinical experience.

Nursing Student - Upload completed & signed physical examination form(s) along w/immunization form(s) to E*Value

Student Name (Please Print) Date: Student Program of Study: WSCC Student No: W

Student Email Address: Student Phone:

1. For each of the requirements listed below, please indicate whether the student is able to perform the task by checking theappropriate box.

Essential Function Yes No If no, please comment

Standing Remaining on one’s feet in an upright position without moving about.

Walking Moving about on foot for long periods of time.

Stooping Bending the body downward and forward by bending at spine and waist. This factor requires full use of lower extremities and back muscles.

Reaching Extending hands and arms in any direction.

Kneeling Bending legs at knee to come to a rest on knee or knees.

Lifting

Raising objects from a lower to a higher position or moving objects horizontally from position to position. This factor requires the substantial use of the upper extremities and back muscles. Strength to lift 25 lbs. frequently and 50 lbs. or more occasionally.

Carrying Transporting an object usually holding it in the hands or arms or on the shoulder. Strength and balance required to carry 25 lbs. frequently.

Dexterity Picking, pinching, typing or otherwise working primarily with fingers rather than with the whole hand or arm, as in handling.

Grasping Applying pressure to an object with fingers and palm.

Hearing

Perceiving the nature of sound with no less than a 40 db loss @ Hz, 1000 Hz and 2000 Hz with or without correction. Ability to receive detailed information through oral communication, and to make fine discriminations in sound.

Repetitive Motions

Substantial movements (motions) of the wrists, hands, and/or fingers.

Acuity Corrected to 20/20 and visual field perception to provide a safe environment for patients and co-workers.

Communication

Verbal/nonverbal and written communication skills adequate to exchange ideas, detailed information and instructions to others accurately, loudly and quickly through speech and through the written word. Must be able to read and speak English.

2. Based on findings in the examination, is the student able to participate in all activities required in the indicated health educationprogram? Yes No

3. Please identify any restrictions limiting the student’s participation in the indicated health education program. No Restrictions limiting the student’s participation in the indicated health education program. Yes there are Restrictions limiting the student’s participation in the indicated health education program as listed below.

Health Division - Physical Examination FormWallace State Community College – Hanceville, AL

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Student Name (Please Print) Date: Student Program of Study: WSCC Student No: W

Student Email Address: Student Phone:

4. Is this student free of infectious disease? Yes No

5. Two Step Tuberculin Skin Test - Mantoux Required upon admission to program

NOTE – Initial Test must be read within 48-72 hours and 2nd test must be administered 10-14 days after the initial test.1 step TB skin test sufficient if student has had a TB skin test within the past year (student must provide copy of previous skin test results).

Initial TB Skin Test Second TB Skin Test (If indicated -see note above)

Date Given Date Read Date Given Date Read

Results Negative mm Results Negative mm

Positive mm Positive mm Results read by: Results read by:

(Chest x-ray and report are required if positive) (Chest x-ray and report are required if positive)

6. Immunizations - Due to clinical agency requirements, immunization history must be complete. Attach a statement of the date ofimmunization signed by the health care provider.

Documentation and/or Lab Values (IgG) indicating immunity for the following immunizations MUST BE ATTACHEDPregnant or lactating females should consult with their provider on immunization completion.

Immunization Required Immunization Information

Hepatitis B Must present documentation of at least two, out of three, of the initial series prior to beginning clinical or present lab data (titer) indicating adequate immunity.

Measles (Rubeola) Must present documentation of two (2) immunizations or lab data (titer) indicating adequate immunity.

Mumps Must present documentation of two (2) immunizations or lab data (titer) indicating adequate immunity.

Rubella Must present documentation of two (2) immunizations or lab data (titer) indicating adequate immunity.

Tetanus - TDAP Tetanus must be current within 10 years. Must have documentation of one TDAP as an adult.

Varicella (Chickenpox) Must present documentation of two (2) immunizations or lab data (titer) indicating adequate immunity. Stating “History of Disease” will not be accepted.

Flu Vaccine Flu vaccine months October – March. Date dependent on Health Program . DO NOT GET FLU MIST.

General Comments:

Student to Return Completed ORIGINAL Form to Program Designee.

To my knowledge, the information I have supplied on this health form is accurate and complete:

Signature of Physician/Nurse Practitioner Date

Print Name of Physician/Nurse Practitioner Address

Office Phone Number City, State, Zip

Health Division - Physical Examination FormWallace State Community College – Hanceville, AL

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Certification & Immunization Information: Background checks: The website is on the Wallace state nursing homepage. We only accept background checks from American Database. No other forms of background checks are accepted.

Proof of Insurance/Insurance Card: Student can show proof of insurance by having a letter from their insurance carrier with student's name and health coverage. Date(s) of current coverage must be on letter from insurance carrier.

CPR Cards: American Heart Association or American Red Cross is the only two accepted CPR courses. No online courses are accepted. Your certification must be Basic Life Support Provider (BLS Provider) for healthcare providers. No other cards are accepted.

Drug Screens: Done randomly through the school. We do not accept outside drug screens.

Immunizations and Other Documents

Hepatitis B: This is a three dose vaccination series. Students must present proof of completed vaccination series or proof of immunity by titer. We need an IGG titer for immunity. If the student has just started the Hepatitis B series, they must complete the first 2 doses before they can start clinical rotations.

Influenza- Done in the fall or early spring. Students must receive flu immunization for clinical or present reason why they cannot have immunization. If students are unable to have the flu immunization, it may limit clinical sites. DO NOT GET FLU IMMUNIZATION UNTIL INSTRUCTED TO BY NURSING DEPARTMENT.

MMR: This is a two dose vaccination series. Students must present proof of completed vaccination series or proof of immunity by titer. We need an IGG titer for immunity; the titer must include all 3: Measles, Mumps, and Rubella.

Tetanus: Student must submit proof of at least 1 Tdap. After that they can do tetanus. This needs to be done every 10 years. E-value will automatically put in expiration date once the event date is logged.

Varicella: This is a two dose vaccination series. Students must present proof of completed vaccination series or proof of immunity by titer. We need an IGG titer for immunity.

Physical: This form has 2 pages. Both pages must be completely filled out. All boxes checked and the healthcare provider must sign. If this is not done, it does not meet requirements and the student will have to return to healthcare provider and have omitted items readdressed and initialed and dated for the date when it is completed. If immunizations are on a different form, that form must be submitted with physical.

TB skin test: For initial admission into the nursing program ALL students must present 2 TB skin tests within a 12 month time frame. After initial admission to the nursing program, only 1 TB skin test is required yearly. For the 2 step TB skin test, they must be 10-14 days apart. For positive results, the student must have a negative CXR (Chest X-ray) submitted.

CXR for Positive PPD (TB): Must have 1 initial negative CXR for admission, then a yearly note from physician stating student is free from disease. If student is exhibiting symptoms, they will need a negative CXR.

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THE ALABAMA COLLEGE SYSTEM

NURSING PROGRAM - ESSENTIAL FUNCTIONS

The Alabama College System endorses the Americans' with Disabilities Act. In accordance with

College policy, when requested, reasonable accommodations may be provided for individuals with

disabilities. Physical, cognitive, psychomotor, affective and social abilities are required in unique

combinations to provide safe and effective nursing care. The applicant/student must be able to meet

the essential functions with or without reasonable accommodations throughout the program of

learning. Admission, progression and graduation are contingent upon one's ability to demonstrate

the essential functions delineated for the nursing programs with or without reasonable

accommodations. The nursing programs and/or its affiliated clinical agencies may identify

additional essential functions. The nursing programs reserve the right to amend the essential

functions as deemed necessary.

In order to be admitted and to progress in the nursing program one must possess a functional level

of ability to perform the duties required of a nurse. Admission or progression may be denied if a

student is unable to demonstrate the essential functions with or without reasonable

accommodations.

The essential functions delineated are those deemed necessary by the Alabama College System

nursing programs. No representation regarding industrial standards is implied. Similarly, any

reasonable accommodations made will be determined and applied to the respective nursing program

and may vary from reasonable accommodations made by healthcare employers.

The essential functions delineated below are necessary for nursing program admission, progression

and graduation and for the provision of safe and effective nursing care. The essential functions

include but are not limited to the ability to:

1) Sensory Perception

a) Visual

i) Observe and discern subtle changes in physical conditions and the environment

ii) Visualize different color spectrums and color changes

iii) Read fine print in varying levels of light

iv) Read for prolonged periods of time

v) Read cursive writing

vi) Read at varying distances

vii) Read data/information displayed on monitors/equipment

b) Auditory

i) Interpret monitoring devices

ii) Distinguish muffled sounds heard through a stethoscope

iii) Hear and discriminate high and low frequency sounds produced by the body and the

environment

iv) Effectively hear to communicate with others

c) Tactile

i) Discern tremors, vibrations, pulses, textures, temperature, shapes, size, location and

other physical characteristics

d) Olfactory

i) Detect body odors and odors in the environment

2) Communication/ Interpersonal Relationships

a) Verbally and in writing, engage in a two-way communication and interact effectively

with others, from a variety of social, emotional, cultural and intellectual backgrounds

b) Work effectively in groups25

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c) Work effectively independently

d) Discern and interpret nonverbal communication

e) Express one's ideas and feelings clearly

f) Communicate with others accurately in a timely manner

g) Obtain communications from a computer

3) Cognitive/Critical Thinking

a) Effectively read, write and comprehend the English language

b) Consistently and dependably engage in the process of critical thinking in order to

formulate and implement safe and ethical nursing decisions in a variety of health care

settings

c) Demonstrate satisfactory performance on written examinations including mathematical

computations without a calculator

d) Satisfactorily achieve the program objectives

4) Motor Function

a) Handle small delicate equipment/objects without extraneous movement, contamination or

destruction

b) Move, position, turn, transfer, assist with lifting or lift and carry clients without injury to

clients, self or others

c) Maintain balance from any position

d) Stand on both legs

e) Coordinate hand/eye movements

f) Push/pull heavy objects without injury to client, self or others

g) Stand, bend, walk and/or sit for 6-12 hours in a clinical setting performing physical

activities requiring energy without jeopardizing the safety of the client, self or others

h) Walk without a cane, walker or crutches

i) Function with hands free for nursing care and transporting items

j) Transport self and client without the use of electrical devices

k) Flex, abduct and rotate all joints freely

l) Respond rapidly to emergency situations

m) Maneuver in small areas

n) Perform daily care functions for the client

o) Coordinate fine and gross motor hand movements to provide safe effective nursing care

p) Calibrate/use equipment

q) Execute movement required to provide nursing care in all health care settings

r) Perform CPR and physical assessment

s) Operate a computer

5) Professional Behavior

a) Convey caring, respect, sensitivity, tact, compassion, empathy, tolerance and a healthy

attitude toward others

b) Demonstrate a mentally healthy attitude that is age appropriate in relationship to the

client

c) Handle multiple tasks concurrently

d) Perform safe, effective nursing care for clients in a caring context

e) Understand and follow the policies and procedures of the College and clinical agencies

f) Understand the consequences of violating the student code of conduct

g) Understand that posing a direct threat to others is unacceptable and subjects one to

discipline

h) Meet qualifications for licensure by examination as stipulated by the Alabama Board of

Nursing

i) Not to pose a threat to self or others

j) Function effectively in situations of uncertainty and stress inherent in providing nursing

care26

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k) Adapt to changing environments and situations

l) Remain free of chemical dependency

m) Report promptly to clinicals and remain for 6-12 hours on the clinical unit

n) Provide nursing care in an appropriate time frame

o) Accepts responsibility, accountability, and ownership of one's actions

p) Seek supervision/consultation in a timely manner

q) Examine and modify one's own behavior when it interferes with nursing care or learning

Upon admission, an individual who discloses a disability can request reasonable accommodations.

Individuals will be asked to provide documentation of the disability in order to assist with the

provision of appropriate reasonable accommodations. The respective College will provide

reasonable accommodations but is not required to substantially alter the requirements or nature of

the program or provide accommodations that inflict an undue burden on the respective College. In

order to be admitted one must be able to perform all of the essential functions with or without

reasonable accommodations. If an individual's health changes during the program of learning, so that

the essential functions cannot be met with or without reasonable accommodations, the student will

be withdrawn from the nursing program. The nursing faculty reserves the right at any time to require

an additional medical examination at the student's expense in order to assist with the evaluation of

the student's ability to perform the essential functions.

Requests for reasonable accommodations should be directed to: Lisa Smith, Wallace State

Community College, [email protected] or 256.352.8052.

27

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DIRECT LOANS

Subsidized, Unsubsidized, & PLUS

What is a Direct Loan?

Direct Loans are federal student loans

to help students cover the cost of

higher education while enrolled at

least 6 credit hours in a degree pro-

gram at 2 and 4 year colleges.

What types of Direct Loans are available?

There are 3 types of Direct Loans:

Subsidized, Unsubsidized, and PLUS.

You must fill out a FAFSA application

each school year to determine what

type of Direct Loan you are eligible

for.

What is a Subsidized Direct Loan?

A subsidized direct loan is available to

students who demonstrate a financial

need. The U.S. Department of Educa-

tion pays the interest on a Subsidized

Student Loan while you’re enrolled at

least half-time. Current interest rate is

4.29%.

What is an Unsubsidized Direct Loan?

An unsubsidized direct loan is a loan

that must be repaid with interest. It is

for undergraduate and graduate stu-

dents. The student is responsible for

all interest that accrues on the loan.

You must be enrolled in at least 6

credit hours to be eligible to receive

the student loan; 6 contact hours if in

a certificate program. Financial need is

not required and the interest rate is

4.29%.

What is a Direct PLUS Loan?

A plus loan is for parents of depend-

ent undergraduate students. To be

eligible, the student must be enrolled

at least half-time. A students parents’

credit is checked and eligibility is

based on approval of the credit check.

The maximum amount a parent can

borrow is the cost of attendance mi-

nus any other financial aid the student

receives.

Common Direct Loan Terms you should become familiar with:

Consolidation– The process of combining one or more loans into a single new loan.

Cost of Attendance (COA)- The total cost to attend school for the academic year.

Default– Failure to repay a loan according to the terms agreed to. For the direct loan program, your loan is

in default if you fail to make a payment for 270 days, if you repay monthly (or 330 days, if your payments are

due less frequently). Your lender is required to report the default to at least one national credit bureau.

Deferment– Allows you to temporarily stop making payments on your federal student loans. You are not

charged interest on subsidized loans during deferment. Interest will continue to be charged on your unsubsi-

dized loans and PLUS loans.

Delinquency– you become delinquent on a loan if you don’t make a payment when due. Your lender is

required to report the delinquency to at least one national credit bureau.

Entrance Counseling– Federal regulations require that you, as a first-time student loan borrower, complete

an counseling session. Counseling is designed to inform you of important information you should know be-

fore you borrow a loan. The online counseling session contains the most current information and should be

referred to in addition to this document.

Exit Counseling- If you graduate, withdraw or drop below half-time registration status, and you have bor-

rowed a Federal Direct student loan, you must complete the Exit Loan Counseling requirement. This is an

opportunity for your lender to remind you of your rights and responsibilities as a student loan borrower. In

turn, you must provide your lender with certain information about your plans after you leave school (for

example, your current address, your expected employer, two personal references, etc.). You can complete

this at www.nslds.ed.gov.

Expected Family Contribution (EFC)- Your EFC is the number that’s used to determine your eligibility for

federal student aid. This number results from the financial information you provided in your FAFSA applica-

tion. Your EFC is reported to you on your Student Aid Report (SAR).

Forbearance—Allows you to temporarily stop making payments or reduce your federal student loans’

monthly payment. Interest will continue to be charged on your subsidized, unsubsidized, and PLUS loans.

Grace Period—A period of time that generally begins on the day after a borrower graduates, leaves school,

or drops below half-time enrollment and ends on the day before the repayment period begins. A borrower is

not required to make payments during the grace period.

Loan Fee (Origination Fee)- A charge that occurs each time money is disbursed (paid out) to the borrower.

The loan fee is charged as a percentage of the disbursement (gross), and reduces the actual amount received

(net).

Loan Servicers– A company that collects payments on a loan, responds to customer service inquiries, and

performs other administrative tasks associated with maintaining a loan on behalf o a loan holder.

Master Promissory Note (MPN)- A binding legal document in which you promise to repay your loans and

any accrued interest and fees. It also explains the terms and conditions of your loans. An MPN can be used

to make one or more loans for one or more academic years, for up to 10 years, except in certain circum-

stances.

National Student Loan Data System (NSLDS)- the central database for student aid. NSLDS receives data

from schools, guaranty agencies, the Direct Loan program, and other federal student aid programs.

Repayment– To pay back money you borrowed by making scheduled payments to a loan servicer

28

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Direct Loan Servicer Website Address Customer Service

Telephone Number

Aspire Resources Inc. www.aspireresourcesinc.com 1-855-475-3335

CornerStone www.mycornerstoneloan.org 1-800-663-1662

COSTEP https://costep.myedloan.com 1-877-292-8639

Direct Loan Servicing Center (ACS) www.directstudetnloanprocessing.com 1-800-848-0979

EDGEucation Loans https://edgeucationloans.myedloan.com 1-877-292-7470

EdManage https://edmanage.myedloan.com 1-855-479-0490

ESA/Edfinancial www.edfinancial.com/DL 1-855-337-6884

FedLoan Servicing (PHEAA) www.myfedloan.org 1-800-699-2908

Granite State – GSMR www.gsmr.org 1-888-556-0022

Great Lakes Educational Loan Services, Inc. www.mygreatlakes.org 1-800-236-4300

KSA Servicing www.ksa.myedloan.com 1-877-292-4825

MOHELA www.mohela.com 1-888-866-4352

Nelnet www.nelnet.com 1-888-486-4722

OSLA Servicing www.osla.org 1-866-264-9762

Sallie Mae www.salliemae.com 1-800-722-1300

VSAC Federal Loans www.vsacfederalloans.org 1-888-932-5626

Who is my loan servicer? Visit the National Student Loan Data System (NSLDS®) (www.nslds.ed.gov) to view information about all of the federal student loans you have received and to find contact information for the loan servicer or lender for your loans. You will need your Federal Student Aid User ID and password to access your information.

Be a responsible borrower. Keep track of how much you’re borrowing. Think about how the amount of your loans will affect your future finances, and how much you can afford

to repay. Your student loan payments should be only a small percentage of your salary after you graduate, so it’s important not to borrow more than you need for your school-related expenses.

Research starting salaries in your field. Ask your school for starting salaries of recent graduates in your field of study to get an idea of how much

you are likely to earn after you graduate. You can use the U.S. Bureau of Labor Statistics Occupational Outlook Handbook (www.bls.gov/ooh) to esti-mate salaries for different careers or research employment opportunities advertised in the area where you plan to live to get an idea of a local starting salary. You also can use the Department of Labor's career search tool to research careers and view the average annual salary for each career.

Understand the terms of your loan and keep copies of your loan documents. When you sign your promissory note, you are agreeing to repay the loan according to the terms of the note even if you don’t complete your education, can’t get a job after you complete the program, or you didn’t like the education you received.

Make payments on time. You are required to make payments on time even if you don’t receive a bill, repayment notice, or a reminder. You must

pay the full amount required by your repayment plan, as partial payments do not fulfill your obligation to repay your student loan on time.

Keep in touch with your loan servicer. Notify your loan servicer when you graduate; withdraw from school; drop below half-time status; transfer

to another school; or change your name, address, or Social Security number. You also should contact your servicer if you’re having trouble making

your scheduled loan payments. Your servicer has several options available to help you keep your loan in good standing.

Provided by the Financial Aid O ice at Wallace State Community College—Hanceville29

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Satisfactory Academic Progress(Implemented Academic Year 2013-2014)

W_______________ NAME:_______________________________________

Attempted Hrs.______ x Completion Rate for Program ____________ = Passing Rate_____

Cum GPA____________ Required GPA for number of hours attempted _____________

Credit hours to graduate in program _________ x 1.50 = ____________________________

Satisfactory Academic Progress (SAP) will be measured each term at Wallace State Community

College according to the guidelines published by the U. S. Department of Education. Students

are required under federal regulations to maintain certain standards of progress depending on the

number of hours they have attempted in college. It is the student’s responsibility to read and

understand all policies associated with financial aid funding. Students should regularly check

their My Wallace State account for the latest information regarding their account. Financial aid

status can be found under the financial aid tab. After accessing the financial aid tab, click

financial status to view any warnings or suspension of financial aid.

GPA requirements for long-term certificate and degree seeking students

If the student has attempted 1-21 hours they must maintain a 1.5 GPA.

If the student has attempted 22-32 hours they must maintain a 1.75 GPA

If the student has attempted 33 or more hours they must maintain a 2.0 GPA.

Completion rate (attempted class hours) required by long-term certificate and degree

seeking students

If the student has attempted 1-21 hours they must maintain a 58% completion rate.

If the student has attempted 22-32 hours they must maintain a 62% completion rate.

If the student has attempted 33 or more hours they must maintain a 67% completion rate.

GPA requirements for short-term certificate (24-29 credit hours) students

If the student has attempted 12 hours they must maintain a 1.5 GPA.

If the student has attempted 24 hours they must maintain a 2.0 GPA.

Completion rate (attempted class hours) required short-term certificate (24-29 credit

hours) students

If the student has attempted 12… hours they must maintain a 58% completion rate.

If the student has attempted 24… hours they must maintain a 67% completion rate.

Additional regulations

Students are only allowed 150% of the programs length to complete the degree or

certificate.

o Example: General Studies is 64 credits. Students are allowed 150% or 96 attempted

credits to complete the program successfully. If the student does not complete their

program in the allotted timeframe their grant will be suspended. Every program is

30

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different. Students should check the catalog or Degree Works for the number of hours

required for completion of their program and multiply 1.5 x the number of hours for

graduation = MAX timeframe on ATTEMPTED credit hours. Students who submit an

appeal for MAX Timeframe MUST have completed a degree or certificate at WSCC or at

another school. We cannot approve a SAP appeal for MAX if the student has not

graduated from a certificate or degree program. If the student has graduated from a

program, we can evaluate the appeal to determine if any hours can be excluded from the

attempted hours that do not count in any way toward the new program of student to

determine the number of hours of eligibility left in their current program.

Transfer hours will be included in the calculation.

All prior coursework at Wallace State is included in the SAP calculation.

Transitional courses will be included in the calculation.

If a student does not meet any of the requirements listed the student will be given one

warning semester in which he will be eligible to receive aid. There is no warning period for

MAX timeframe and that situation cannot be improved.

o Example: New students who attend their first semester and do not meet the above criteria

on GPA and completion rate will be given one warning semester to receive financial aid.

Students who have attended multiple semesters in the past, who are already not meeting

SAP are not given a warning semester as they have already received aid for one semester

when they had not made SAP.

After the warning semester the student must have the required GPA or completion rate to

continue to receive financial aid assistance or financial aid will be suspended.

If financial aid funds are suspended the student may file an appeal based on any mitigating

circumstances that caused the student to be unsuccessful in their coursework.

Financial Aid Appeal

Students may submit a Financial Aid Appeal if they can provide documented proof of

mitigating circumstances. Mitigating Circumstances are those that are beyond the student’s

control such as illness, death in the immediate family, divorce, etc.

Students must submit the appeal form and all documentation pertaining to the appeal, by

the published appeal deadline. Submitting a Financial Aid Appeal is NOT an automatic

approval.

The Financial Aid Committee will meet each term to review the Financial Aid Appeals.

Students will be notified of the decision made by the committee by e-mail/letter.

Students must follow the terms of their appeal if approved or their Financial Aid will be

suspended.

If a student is approved on a Financial Aid Appeal and fails to follow the terms of the

appeal, a second appeal is not accepted. Students in this situation will not be eligible to

receive aid until their progress is current by their own means.

Students who have exceeded their 600% Pell Grant Lifetime Eligibility are not eligible to

file an appeal to receive a Pell Grant. Their appeal will be considered for Direct Loans

only.

The only circumstances a student may file an appeal for MAX ATTEMPTED HOURS is if

they have graduated from a program and wish to have us evaluate their transcript to see if

any hours can be excluded that do not count in any way toward the current program of

study. Only students who have completed a degree/certificate can be considered for an

appeal on MAX.

Students who owe back funds Pell Grant or Direct Loan funds from a prior term are cannot

appeal repaying the funds.

Updated 4/6/16 31

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You will be fitted for your uniform at orientation on June 18th.

We will keep your completed order form from orientation and deliver it to the WSCC Barnes & Noble Bookstore where they will hold it until you submit payment.

Payment for your uniform order:

Self Pay: Your uniform will not be ordered until you submit payment. The Bookstore does not take online or over the phone uniform payments, you must pay in person.

Financial Aid: Financial Aid opens for purchases at the bookstore beginning _____________. You may sign the waiver on your order form to allow WSCC Barnes & Noble to process your order using your available financial aid.

The listed style(s) on the order form are your required scrub uniform. Older styles are no longer permitted.

WSCC Barnes & Noble Bookstore Phone: 256-352-8169

Nursing Uniform Ordering Directions

32

August 6, 2019

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Nursing Styles

Tops Pants Men's

5155 6355

6155 Stylized V-neck Flat Front Double Cargo Men's V-Neck

M Length 26 3/4" M Length 29" Front 30" Back

XXS-XL $22.98 Leg Opening M 7 3/4" XS-XL $22.98

1X-5X $25.98 XXS-XL $24.98 2X-5X $25.98

1X-5X $27.98

6255 Basic V-neck XST-XLT $26.98 5355

1XP-3XP $27.98 Men's Flat Front Cargo Pocket

2XLT-3XLT $29.98

5255 Drawstring

M Length 26 3/4"

XXS-XL $19.98

1X-5X $22.98 Leg Opening M 8 3/4"

XS-XL $25.98

6455 Mock Wrap XS S-XL S $25.98

Leg Opening M 8 1/4" XST-XLT $27.98

XXS-XL $22.98 2X-5X $28.98

XXSP-XLP $22.98 2XT-3XT $30.98

1X-5X $25.98

XST-XLT $24.98

1XP-3XP $25.98

2XLT-3XLT $27.98

M Length 26 1/2"

XXS-XL $22.98

1X-5X $25.98

703

XS-XL $27.98

8155 2X-5X $30.98

XXS-XL $27.98

1X-5X $30.98

33

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Last Name First Name Middle Initial

Phone Number Date

Quantity Size Color Unit Price Total

Royal 6155 Stylized V-neck Top 27 1/4"

Royal 6255 Basic V-neck Top 28 1/4"

Royal 6455 Mock Wrap Top 27"

Royal 5155 Double Cargo Pocket

Royal 5155 Double Cargo Pocket

Royal 5155 Double Cargo Pocket

Royal 5255 Single Pocket Cargo Pants

Royal 5255 Single Pocket Cargo Pants

White 8155 Jacket

---------- --------- PATCH 8.98$

Quantity Size Color Unit Price Total

Royal 6355 Men's V-neck TopRoyal 5355 Men's Cargo Pocket Pants

Royal 5355 Men's Cargo Pocket Pants

Royal 5355 Men's Cargo Pocket Pants

White 703 Lab Coat

---------- --------- PATCH 8.98$

WSCC Barnes & Noble BookstorePhone (256) 352-8169Fax (256) 352-8101

Uniform Place300 Second Avenue, SE, Cullman, AL 35055Phone (256) 734-0662 Fax (256) 734-3701

Regular length 31"

Regular length 31"

Description

DescriptionMen

Need 1 for each Top & Jacket

Need 1 for each Top & Jacket

(NEEDS PATCH)

NEEDS PATCH

NEEDS PATCH

NEEDS PATCH

Regular length 31"

Wallace State Community CollegeNursing Uniform Order Form

NEEDS PATCH

NEEDS PATCH

● You will be fitted for your uniform at orientation on June 18th.● We will keep your completed order form from orientation and deliver it to the WSCC Barnes & Noble Bookstore where they will hold it until

you submit payment.Payment for your uniform order:● Self Pay: Your uniform will not be ordered until you submit payment. The Bookstore does not take online or over the phone uniform

payments, you must pay in person.● Financial Aid: Financial Aid opens for purchases at the bookstore beginning __________. You may sign the waiver on your order form

to allow WSCC Barnes & Noble to process your order using your available financial aid.● Deadline to pay for your uniform order is . You must have your uniform by● The listed style(s) on the order form are your required scrub uniform. Older styles are no longer permitted.

Short length 28-1/2"

Tall length 34"

Petite 28-1/2"

Petite length 28-1/2"

Tall length 33"

Ladies

34

August 6

August 30, 2019.


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