Practical Nurse Program Application

Application Deadline

Applications for Spring semester are due on or before October 15. Applicants will be notified of status by the first week of August.

Applications for Fall semester are due on or before June 15. Applicants will be notified of status by the first week of January.

Notification dates may change due to unforeseen factors.

Practical Nursing (LPN) Program Application

I am applying for:
- Fall
- Spring
- Fall and Spring
Name * Required
First Last
Email * Required
Address * Required
Street Address City State / Province / Region ZIP / Postal Code Country
Empl ID * Required
Phone * Required
Emergency Contact Name:
First Last
Emergency Contact Phone:
Have you lived in the Virginia jurisdiction of Lee, Wise, Scott, Dickenson County, or the City of Norton during the last 12 consecutive months? * Required
- Yes
- No
Did you attend credit classes at MECC before Fall Quarter 1984? * Required
- Yes
- No
Please list all colleges attended since high school.
Last College Attended State Degree Received Last Year Attended
I am requesting to use previous TEAS testing scores. I understand that the testing date must be within two (2) years of application to the Practical Nursing program and have submitted copies of my TEAS score with my application.
- Yes
- No
Attach a copy of your TEAS scoring results * Required
Max. file size: 50 MB.
I have previously turned in official transcripts to MECC Enrollment Services.
- Yes
- No
If no, please attach a copy of official high school transcripts here
Max. file size: 50 MB.
I am a Certified Nursing Assistant. * Required
- Yes
- No
Attach a copy of your board certification (if you are a Certified Nurse Assistant and wish to receive credit for work experience)
Max. file size: 50 MB.
Attach a letter from human resources verifying length of work experience (if you are a Certified Nurse Assistant and wish to receive credit for work experience).
Max. file size: 50 MB.
I request that my name be placed in consideration for admission to the Practical Nursing Program. I understand that I must submit a copy of this form for each cohort for which I wish to be considered. I understand that I must satisfactorily complete (grade of “C” or better) on all prerequisites and meet all admission requirements prior to being admitted. I have read and understand the residency requirements listed above. I also understand that if I do not meet jurisdiction requirements that I should meet with a faculty advisor to discuss other educational opportunities. * Required
Name
Date
MM slash DD slash YYYY
I understand after submission I will contact Lena Whisenhunt, program director by email at lwhisenhunt@mecc.edu to verify my program application has been received. She will be glad to confirm. Confirmation of the receipt of your program application is the responsibility of the student. * Required
- Please check
Please check * Required
- I understand by clicking on the submit button I will be redirected to a confirmation page that will acknowledge that my application has been submitted. This page will also contain information to prepare for admission to the PN program. If I'm not redirected to this confirmation page, I need to resubmit the application and notify the Practical Nursing Program Director, Lena Whisenhunt (lwhisenhunt@mecc.edu).
* Required
- I understand that if the application has submitted correctly, I will receive a confirmation email from the Director of the Practical Nursing program within three to five business days. I also understand that if I do not receive this email, I am to contact Lena L. Whisenhunt, Director at lwhisenhunt@mecc.edu”
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Practical Nursing (LPN) Program Application

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