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Concordia
COLLEGE
Department of Nursing
Dear Accelerated Nursing Program Applicant,
Thank you for your interest in the accelerated nursing major at Concordia College. As Chair of
the Department of Nursing, I want to congratulate you on your decision to return to school to
follow your vocational calling to become a nurse. As you consider application to the accelerated
nursing program at Concordia College, there are a few steps in the process that I want to
highlight for you.
The first step of the application process is to confirm how you are going to pay for the program.
Some applicants determine that they are unable to meet the tuition requirements after being
accepted or admitted to the program. It is important that you confirm how you are going to pay
for the program before you apply to the major. If you have any questions regarding the cost of
the program, please contact the Business Office at Concordia College at 218-299-3150.
Another important step in the application process is to ensure that all official transcripts from
every college/university you have attended since high school are sent directly to the Concordia
College Department of Nursing, as noted on the application.
The final important step is for you to confirm that all pieces of your application have been
received in the Department of Nursing. Incomplete applications are not reviewed for admission.
Applicants are encouraged to contact the Nursing Department Office Manager, Kristi Jarolimek,
to assure that all materials are submitted by the deadline. Her contact information is:
[email protected] or 218-299-3879.
Please do not hesitate to contact the Department of Nursing if you have questions regarding
submission of your application.
Sincerely,
Polly K Kloster
Pollly
Polly K. Kloster, PhD, RN, FCN
Chair and Associate Professor
Concordia College Department of Nursing
901
8th St S, Moorhead, MN 56562
(218) 299-3879 • www.ConcordiaCollege.edu
Instructions for Application to the
Accelerated Nursing Major at Concordia College
Concordia College
901 8th St S
Moorhead, MN 56562
~ Beginning Summer 2015

Applicants are encouraged to review the FAQ resource on the nursing program web page.

Official transcripts must be submitted from all schools attended after high school (including
Concordia College if applicable).

The baccalaureate degree must be completed prior to the application deadline of May 15.

Two references are required. (Only two references are accepted.) The Reference Forms provided
with the on-line application materials are to be used. References from relatives and family friends
WILL NOT be accepted. Individuals who are asked to provide a reference must be able to evaluate
the applicant on the criteria listed on the form and are to submit the completed references directly
to the Department of Nursing.

A one-page resume is required. Applicants are encouraged to be professional on their resumes.

An impromptu word-processed essay is to be completed after the application & resume have been
submitted to the Nursing Department, prior to May 15, 2015. Applicants must schedule a time to
complete the essay by contacting our Office Assistant, Kristi Jarolimek, at 218-299-3879 or
[email protected]. The completed essay is submitted on-line. Applicants who require special
accommodation to word process this essay should communicate these concerns when scheduling
the appointment.

All application materials must be received in the nursing department (or be postmarked) by May 15,
2015. It is the applicant’s responsibility to verify that the nursing department has received all
application materials by the deadline. Incomplete applications WILL NOT be considered after the
deadline. (Application materials are not retained for reapplication in subsequent years.)

An interview may also be requested by the Admissions Committee. If so, the applicant will be
contacted after the application deadline.

The following checklist may be helpful in completing the application.
1. Note the following required materials are to be mailed directly to the nursing department
(NOT to the Concordia College Admissions Department) in one envelope by the applicant.
 Completed Accelerated Nursing Major application (found on our web site – NOT the
standard Concordia College admissions application). Please sign all indicated “applicant
signature” areas on this application.
 One-page resume
□
Non-refundable application fee of $35.00. Make check payable to: Concordia College
Department of Nursing. The fee is applied toward summer course fees for students who are
admitted to the major.
2. The following required materials are to be sent directly to the nursing department (NOT to
the Concordia College Admissions Department). These materials are not to be sent by the
applicant.
 Official transcripts from all schools attended after high school including baccalaureate
degree granting institution [sent by the institutions]
 Two references completed by the evaluators [sent by the evaluators]
3.  Schedule the word-processed essay through the Nursing Department Office Assistant
Send the completed application to: Nursing Department
Concordia College
901 8th St S
Moorhead, MN 56562
G:\Admissions-Accelerated Track\APPLICATION\AcceleratedNursing Application – Letter, Instructions, Reference Forms, Guidelines….
Application to the
Accelerated Nursing Major – 2015
Concordia College
901 8th St S
Moorhead, MN 56562
The Application Deadline is May 15 to begin coursework July 13.
Name ___________________________________________________________________________________________________________________________________
Last
First
Middle
Former name, if applicable
Current Mailing ________________________________________________________________________________________________________________________
Address
Street
City
State
Zip
Phone Number (cell or home)
Permanent _____________________________________________________________________________________________________________________________
Address
Street
City
State
Zip
Phone Number (cell or home)
E-Mail Address __________________________________________________________________________________
Colleges/Universities attended:
List all colleges/universities/vocational institutions you have attended in order of most recent attendance. Please have official
transcript(s) sent directly to the Nursing Department.
Name of Institution and Location
Dates Attended
Reason for Leaving or Degree Received
_________________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________________
Have you ever attended or been admitted to another program of nursing at a hospital, college or university? Yes/No
If yes, please indicate the name and address of the program and your reason for leaving. ____________________________________________
_________________________________________________________________________________________________________________________________________________
References: All applicants are requested to supply two confidential references (relatives and family friends are not accepted).
References should be from an employer, supervisor, clergy, counselor, or college professor.
Name
Position
Address
Telephone
1. _______________________________________________________________________________________________________________________________________________
2. _______________________________________________________________________________________________________________________________________________
Please sign your name and date to indicate you understand the references are
confidential and you waive access to the information.
Applicant’s Signature ________________________________________________________________ Date _________________________________________________
Coursework/GPA:
Cumulative GPA
I certify that my cumulative college Grade Point Average (GPA) is > 2.5 (4.0 scale) at the time of application to the nursing
major.
Applicant’s Signature _________________________________________________________________ Date ________________________________________________
The following prerequisite courses for the nursing major must be at least three (3) credits and must be completed with letter
grades of C- or better (not taken as pass/fail). For each course listed, indicate date completed, in progress, or planned date of
completion. All prerequisite coursework must be completed by June 1, 2015. Transcripts for coursework not completed by the
May 15 application deadline must be received in the nursing department by June 15, 2015.
_________________________________
General/Introductory Psychology
_________________________________
General Sociology
_________________________________
*Human Anatomy & Physiology (must include all body systems)
_________________________________
*Microbiology
_________________________________
*One semester of Chemistry (Introductory Chemistry or higher level)
_________________________________
Mathematics (College Algebra, statistics, or higher level Math)
*Designates coursework that must include a laboratory component
Essential Qualifications:
The curriculum leading to a baccalaureate major in nursing from this program requires that students engage in diverse,
complex, and specific experiences essential to the acquisition and practice of nursing skills and functions. Possession of certain
abilities is necessary to ensure the health and safety of patients and oneself. These abilities are needed for successful
admission and progression by candidates in the nursing program. They relate to motor skills, sensory abilities,
communication, cognitive processes, behavioral and emotional health, and professional conduct. The Essential Qualifications
of Candidates for Undergraduate Admission and Progression document is included with these application materials.
To enter or continue in the nursing program, the applicant/student must be able to perform all of the essential qualifications
(either with or without accommodation) to ensure personal safety and the safety of clients. The nursing program will make
reasonable accommodations, but is not required to make modifications that would alter the nature of the requirements of the
nursing program or present an undue burden to the nursing program. (Review the essential qualifications document).
“I certify that I have read and understand the Essential Qualifications document. I am able to perform all abilities,
with or without reasonable accommodation, as set forth in the Department Essential Qualifications document.”
Applicant’s Signature __________________________________________________________________ Date ____________________________________________
Departmental Requirements:
Applicants admitted to the accelerated nursing major will be notified of established requirements to be completed for
progression in the program. The requirements include:
1.
Completion of all prerequisite course work prior to June 1, 2015, with the established cumulative GPA of 2.5
and all prerequisite coursework completed with letter grades of C- or better, as previously noted.
2. Annual Criminal Background Checks (If the review disqualifies a student from providing care, the circumstances
will be individually evaluated.)
3. Semester fees in addition to Concordia tuition to cover necessary program requirements and standardized
testing.
4. Submission of a physical exam and health record, including annual screening for tuberculosis.
5. Acquisition of professional liability/malpractice insurance (1 million each claim/3 million aggregate).
6. Proof of CPR Certification at the health care professional level. This must include single and two person rescuer,
infant, child and adult. (On-line courses without in-person demonstration test are not accepted.)
“I certify that I have read and understand that I must complete these departmental requirements
if I am admitted to the Concordia College Nursing Program.”
Applicant’s Signature __________________________________________________________________ Date ___________________________________________
Information Regarding Future Licensure by Boards of Nursing:
In order to insure safety for clients and to avoid denial of a license by a state board of nursing, it is important that you are
aware of the following:
1.
2.
3.
Substance abuse and certain physical or mental conditions can be a cause for denial of a license to practice nursing.
Certain criminal conduct or offenses can be a cause for denial of a license to practice nursing.
Clinical agencies reserve the right to deny students access to clinical experiences based on findings revealed in the
criminal background check.
If you need further information, please contact the program chair or a state board of nursing representative. The following
questions are similar to those that appear on an application for professional nursing licensure.
Affirmative answers to these questions do not exclude you from review for admission. Your circumstances will be individually
evaluated.
____ Yes ____ No
1.
Have you ever been convicted of a crime other than a minor traffic offense, or been involuntarily
confined based on harm to self or others?
____ Yes ____ No
2.
Have you ever been disciplined for cheating or any other offense at any college?
____ Yes ____ No
3.
Have you ever had a nurse aide registry listing marked for abuse, neglect or misappropriation of
property?
(If “yes,” please describe on a separate sheet the offense(s), circumstances, and any disciplinary action taken against you. This
information will be reviewed by the Department of Nursing’s Admissions and Academic Progression Committee.)
“I certify that all information given on this application and supporting documentation is correct and complete. I understand
any omission, misinformation, or misrepresentation may void my admission or result in dismissal or revocation of the
completion of the nursing major based upon this admission.”
Applicant’s Signature ________________________________________________________________ Date ____________________________________________
I understand that submission of this application and admission to Concordia College
does not guarantee admission to the major.
Applicant’s Signature ________________________________________________________________ Date ____________________________________________
It is the policy of Concordia College to provide equal opportunity for all qualified persons in its educational programs and activities. The college is in full
compliance with the laws of the United States and all applicable regulations. The college does not discriminate on the basis of race, creed, color, national origin,
age, sex or physical handicap in the educational programs that it operates. ©2012 Concordia College, Moorhead, Minnesota
Reference Form for the
Nursing Major
1.
Concordia College
901 8th St S
Moorhead, MN 56562
Name of Applicant ______________________________________________________________________________________________________________________
NOTE: The person whose name appears above has applied for admission to the Concordia College Nursing Program. It would
be helpful to the nursing department admissions committee if you would give us an assessment of the applicant as called for
below. If you are not able to evaluate the applicant on the qualities listed, please notify the applicant. The information you
provide will be confidential and the applicant has waived his/her right to access this evaluation.
2.
How long have you known the candidate and in what capacity? ___________________________________________________________________
3.
Please rate the applicant on each of the 10 criteria. Mark your responses with an ‘X.’
Exceptional
Average
Needs
Improvement
Unable to
Assess
Integrity/Honesty
Initiative/Motivation
Maturity
Ability to work with others
Communication skills
Empathy/caring
Judgment
Ability to make decisions
Dependability
Critical thinking
OVERALL RATING
4.
If you have additional comments you believe may be of value to the admissions committee, please include them below.
(If more space is needed, continue on the back.
Name _______________________________________________________ Title __________________________________________________________________________
Address ______________________________________________________________________________________________________________________________________
Telephone (________) ________________________________________________ Date _________________________________________________________________
Area Code
 This evaluation must be received in the Nursing Department no later than May 15, 2015. 
SEND COMPLETED REFERENCE FORM TO:
Nursing Department
Concordia College
901 8th St S
Moorhead, MN 56562
Phone: (218) 299-3879
FAX:
(218) 299-4309
It is the policy of Concordia College to provide equal opportunity for all qualified persons in its educational programs and activities. The college is in full compliance with the
laws of the United States and all applicable regulations. The college does not discriminate on the basis of race, creed, color, national origin, age, sex or physical handicap in
the educational programs that it operates. 8 2011 Concordia College, Moorhead, Minnesota
Rev. 10/2013
G:\Admissions-Accelerated Track\ADMISSIONS\AcceleratedNursing Instructions-Application-Ref Forms-Guidelines
Reference Form for the
Nursing Major
1.
Concordia College
901 8th St S
Moorhead, MN 56562
Name of Applicant ______________________________________________________________________________________________________________________
NOTE: The person whose name appears above has applied for admission to the Concordia College Nursing Program. It would
be helpful to the nursing department admissions committee if you would give us an assessment of the applicant as called for
below. If you are not able to evaluate the applicant on the qualities listed, please notify the applicant. The information you
provide will be confidential and the applicant has waived his/her right to access this evaluation.
2.
How long have you known the candidate and in what capacity? ___________________________________________________________________
3.
Please rate the applicant on each of the 10 criteria. Mark your responses with an ‘X.’
Exceptional
Average
Needs
Improvement
Unable to
Assess
Integrity/Honesty
Initiative/Motivation
Maturity
Ability to work with others
Communication skills
Empathy/caring
Judgment
Ability to make decisions
Dependability
Critical thinking
OVERALL RATING
4.
If you have additional comments you believe may be of value to the admissions committee, please include them below.
(If more space is needed, continue on the back.
Name _______________________________________________________ Title __________________________________________________________________________
Address ______________________________________________________________________________________________________________________________________
Telephone (________) ________________________________________________ Date _________________________________________________________________
Area Code
 This evaluation must be received in the Nursing Department no later than May 15, 2015. 
SEND COMPLETED REFERENCE FORM TO:
Nursing Department
Concordia College
901 8th St S
Moorhead, MN 56562
Phone: (218) 299-3879
FAX:
(218) 299-4309
It is the policy of Concordia College to provide equal opportunity for all qualified persons in its educational programs and activities. The college is in full compliance with the
laws of the United States and all applicable regulations. The college does not discriminate on the basis of race, creed, color, national origin, age, sex or physical handicap in
the educational programs that it operates. 8 2011 Concordia College, Moorhead, Minnesota
Rev. 10/2013
G:\Admissions-Accelerated Track\ADMISSIONS\Accelerated Nursing Instructions-Ref Forms-Guidelines
Concordia College Accelerated Nursing Program Guidelines
Prerequisite Requirements






Psychology
General Sociology
Human Anatomy and Physiology, including a lab
Microbiology, including a lab
Chemistry, including a lab
College Algebra, Statistics or higher math
Application Requirements
 Earned baccalaureate degree in a non-nursing major from an accredited institution of higher learning in the U.S.
 GPA of >
on a 4.0 scale on all post high school work
 All prerequisite coursework must be completed with passing letter grades of C- or better (not taken as
pass/fail)
 Submission of original transcripts from all post high school institutions of higher learning
 Completion of application form
 Submission of $35.00 non-refundable application fee
 Submission of 2 references (see reference forms provided with the application materials)
 Submission of a one-page resume
 Completion of word-processed essay
First Semester (May Course)
NURS 351 (Nursing Concepts)
Credit Load
4
Second Semester (Fall)
NURS 341 (Client Concepts)
NURS 361 (Health Assessment)
NURS 402 (Mental Health Nursing)
FND 321 (Nutrition)
Credit Load
4
4
4
4
Third Semester (Spring)
NURS 342 (Adult Health Nursing I)
NURS 352 (Family Nursing I)
NURS 420 (Nursing Research)
NURS 430 (Nursing Management)
CHEM 304 (Pharmacology)
Credit Load
4
4
2
2
2
Fourth Semester (Summer)
NURS 362 (Family Nursing II) or NUR 401 (Community Health Nursing as summer study
abroad)
NURS 404 (Adult Health Nursing III)
Credit Load
4
4
Fifth/Final Semester (Fall)
NURS 362 (Family Nursing II) or NURS 401 (Community Health Nursing)
NURS 403 (Adult Health Nursing II)
NURS 423 (Roles and Issues – Capstone)
4
4
4
Program Completion in December
ontact Information:
Nursing Department:
Office: 1-218-299-3879
Fax:
1-218-299-4309
Rev. 4/2015
Admissions: 1-800-699-9897; 218-299-3004
Financial Aid: 218-299-3010
Registrar:
218-229-3250
G:\Admissions-Accelerated Track\ADMISSIONS\Accelerated Nursing Instructions-Application-Ref Forms-Guidelines