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PRE- AD M I SSI ON TESTI N G SCH ED ULEYOU M UST BRI N G A PH OTO I D EN TI FI CATI ON CARDW I TH YOU TO TESTI N GTESTI N G - PART ON E9: 30 amSign - I n w it h Se cu r it y on t he 1 st Floor . Test ers m aywait in t he 3 rd Floor vending area or in t he st udent lounge.10: 00 am – 11: 45 amRe a din g Com pr e h e n sion a n d M a t h e m a t ics Te st –Com put erized 1 hour and 45 m inut e t im ed t est ( readingcom prehension, vocabulary, gram m ar, decim als, fract ions,problem solving, and basic arit hm et ical processes) .La t e com e r s w ill n ot be a dm it t e d a n d m u st sch e du lea n ot h e r t e st in g da t e in Room 3 0 0 .11: 45 am – 12: 00 pmBREAK12: 00 pm – 1: 45 pmScie n ce a n d En glish Gr a m m a r Te st - Com put erized 1hour and 40 m inut es t im ed t est ( hum an body science, lifescience, eart h science, physical science, scient ificreasoning, gram m ar, spelling, punct uat ion and st ruct ure,word m eaning in cont ext ) .TESTI N G - PART TW O10: 30 amTHI RD FLOOR - Test ers m ay wait in t he 3 rd Floor vendingarea or in t he st udent lounge.11: 00 pm – 12: 30 pmW r it in g Te st – 90 m inut e t im ed t est ( a writ t en essay ona specific t opic.)La t e com e r s w ill n ot be a dm it t e d a n d m u st sch e du lea n ot h e r t e st in g da t e .

SUGGESTED M ATERI ALS FOR APPLI CAN TSW H O W I SH TO PREPARE FOR PRE- AD M I SSI ON TESTI N GHelene Fuld College of Nursing current ly uses ATI Test ing’s TEAS ( Test of Essent ialAcadem ic Skills) Test . For m ore inform at ion and/ or t o purchase online pract iceassessm ent s or preparat ion st udy guides, please visit t he Assessm ent TechnologiesI nst it ut e, LLC, websit e at : www.at it est ing.com .Mat erials best suit ed t o preparing for t hese t est s are: ATI Te st of Esse n t ia l Aca de m ic Sk ills ( TEAS V) On lin e Pr a ct iceAsse ssm e ntht t p: / / www.at it est ing.com / at i st ore/ product .aspx?zpid 1170 ( 46.00)orht t p: / / www.at it est ing.com / at i st ore/ product .aspx?zpid 1178 ( 46.00)Pr e - En t r y Pr e p W or k sh ops a n d Pr e p cou r se s a r e offe r e d on a qu a r t e r ba sis.Ple a se visit ou r w e bsit e for cla ss sch e du le .

Helene Fuld College of NursingLetter of Recommendation FormOffice of Student Services24 East 120th Street, Room 320New York, NY 10035Name of Applicant (Print Clearly)Name of Recommender (Print Clearly)TO THE APPLICANT: Fill in the information above. For the convenience of your recommender, please include a SELFADDRESSED STAMPED ENVELOPE with this form. Your reference should return the Letter of Recommendation to youin the SEALED ENVELOPE for inclusion in your application packet.In accordance with the provisions of the Family Educational Rights and Privacy Act of 1974, P.L. 93 – 390 (as amended), withspecific reference to Section 438 (a)(1)(B) and Subtitle A, sections 99.7, 99.11, and 99.12,I doI do notwaive my right of access to and review of this form.Signature of ApplicantDateTO THE RECOMMENDER: The applicant named above is applying for admission to Helene Fuld College of Nursing.We are interested in obtaining information that will aid us in selecting capable students. It is important that students who areselected be able to complete their academic work successfully, and also possess the personal qualifications essential to becomecompetent professionals. PLEASE COMPLETE BOTH THE FRONT AND BACK OF THIS FORM.The applicant has selected you as someone who can give us such an appraisal. We would appreciate your candid evaluation ofthe applicant’s qualifications for acceptance to the program. The pending application will be considered incomplete until yourresponse is received.I.Personal and Professional Appraisal: (Please evaluate the applicant’s Qualifications/Characteristics by checking theappropriate spaces below.)Qualifications/Characteristics1. Intellectual ability2. Reliability3. Sense of responsibility4. Industry and perseverance5. Ability to work independently6. Ability to adapt to new situations7. Ability to work with people8. Ability to analyze problems and solvethem effectively9. Oral communication10. Written communication11. Emotional stability12. Leadership potentialSuperiorAboveAverageAverageBelowAverageNo Basis forJudgment

TO THE RECOMMENDER: Please complete the following information.II.Acquaintance with Applicant: How long and in what capacity have you known this applicant?III. Comments: In the space below (use an extra sheet if needed), please add any descriptive comments that will aid inproviding a complete picture of the applicant’s abilities and potential as a student and health care professional.IV. Recommendation for Acceptance: Strongly recommendRecommendRecommend with reservationsDo not recommendPLEASE TYPE OR PRINTYour Name:Professional Zip Code:Telephone Number:Date:Signature:TO THE RECOMMENDER: WHEN YOU HAVE COMPLETED THIS FORM, please enclose it in the self-addressed stampedenvelope provided by the applicant and SEAL the envelope. Recommendations received in unsealed envelopes will not beaccepted.Please Note: It is not possible to thank each individual personally for completing a recommendation form. We want you to know,however, that we are aware of the time required and both we and the applicant are most appreciative of your response.

Helene Fuld College of NursingLetter of Recommendation FormOffice of Student Services24 East 120th Street, Room 320New York, NY 10035Name of Applicant (Print Clearly)Name of Recommender (Print Clearly)TO THE APPLICANT: Fill in the information above. For the convenience of your recommender, please include a SELFADDRESSED STAMPED ENVELOPE with this form. Your recommender should return the Letter of Recommendation toyou in the SEALED ENVELOPE for inclusion in your application packet.In accordance with the provisions of the Family Educational Rights and Privacy Act of 1974, P.L. 93 – 390 (as amended), withspecific reference to Section 438 (a)(1)(B) and Subtitle A, sections 99.7, 99.11, and 99.12,I doI do notwaive my right of access to and review of this form.Signature of ApplicantDateTO THE RECOMMENDER: The applicant named above is applying for admission to Helene Fuld College of Nursing.We are interested in obtaining information that will aid us in selecting capable students. It is important that students who areselected be able to complete their academic work successfully, and also possess the personal qualifications essential to becomecompetent professionals. PLEASE COMPLETE BOTH THE FRONT AND BACK OF THIS FORM.The applicant has selected you as someone who can give us such an appraisal. We would appreciate your candid evaluation ofthe applicant’s qualifications for acceptance to the program. The pending application will be considered incomplete until yourresponse is received.I.Personal and Professional Appraisal: (Please evaluate the applicant’s Qualifications/Characteristics by checking theappropriate spaces below.)Qualifications/Characteristics1. Intellectual ability2. Reliability3. Sense of responsibility4. Industry and perseverance5. Ability to work independently6. Ability to adapt to new situations7. Ability to work with people8. Ability to analyze problems and solvethem effectively9. Oral communication10. Written communication11. Emotional stability12. Leadership potentialSuperiorAboveAverage- OVER -AverageBelowAverageNo Basis forJudgment

TO THE RECOMMENDER: Please complete the following information.II.Acquaintance with Applicant: How long and in what capacity have you known this applicant?III. Comments: In the space below (use an extra sheet if needed), please add any descriptive comments that will aid inproviding a complete picture of the applicant’s abilities and potential as a student and health care professional.IV. Recommendation for Acceptance: Strongly recommendRecommendRecommend with reservationsDo not recommendPLEASE TYPE OR PRINTYour Name:Professional Zip Code:Telephone Number:Date:Signature:TO THE RECOMMENDER: WHEN YOU HAVE COMPLETED THIS FORM, please enclose it in the self-addressed stampedenvelope provided by the applicant and SEAL the envelope. Recommendations received in unsealed envelopes will not beaccepted.Please Note: It is not possible to thank each individual personally for completing a recommendation form. We want you to know,however, that we are aware of the time required and both we and the applicant are most appreciative of your response.

Nam e:For Office Use Only:H ELEN E FULD COLLEGE OF N URSI N GAPPLI CATI ON CH ECKLI ST for ASSOCI ATE I N APPLI ED SCI EN CE PROGRAMPle a se su bm it t h e follow in g it e m s I N ON E EN V ELOPE I N TH E FOLLOW I N G ORD ER: ONE ( 1) sm all recent ( 2” X 2” passport st yle ) phot oFe e of 1 1 0 .0 0 ( m oney order or cert ified check only)This APPLI CATI ON CHECKLI STA com plet ed Applicat ion Form ( incom plet e applicat ions will be ret urned)A copy of your current LPN licenseA copy of your current LPN regist rat ionA copy of t he front and back of your CPR ( BLS) card ( ONLY Am erican Heart Associat ionaccept ed)Proof of cit izenship or legal residence ( t wo ( 2) copies of one of t he following: U.S. birt hcert ificat e, passport , alien regist rat ion card, or nat uralizat ion cert ificat e)An OFFI CI AL copy of all high school and/ or GED t ranscript s in se a le d e n ve lope s Nam e of high school:GED:An OFFI CI AL copy of your LPN school t ranscript in se a le d e n ve lope s Nam e of LPN school:An OFFI CI AL copy of all college and/ or CLEP t ranscript s in se a le d e n ve lope s Nam e of college/ universit y:Nam e of college/ universit y:Nam e of college/ universit y:Two ( 2) let t ers of recom m endat ion com plet ed on Let t er of Recom m endat ion Form s in se a le de n ve lope s. At le a st on e r e fe r e n ce sh ou ld be fr om a cu r r e n t or for m e r e m ploye r . Nam e of em ployer/ supervisor:Nam e of second recom m ender:

Helene FuldCollegeof NursingAPPLICATIONFOR ADMISSION24 East 120th Street, New York, NY 10035Phone: (212) 616-7290 Fax: (212) 616-7297 www.helenefuld.eduUpdated: 10/23/2014

APPLICATION CHECKLISTSPlease submit the following items IN ONE ENVELOPE IN THE FOLLOWING ORDER:ASSOCIATE IN APPLIED SCIENCE DEGREE PROGRAM(LPN to RN Program)o ONE small recent (2” X 2” passport style) photoo Fee of 110.00 (money order or certified check only)o An OFFICIAL copy of all high school and/or GEDtranscripts in sealed envelopeso A completed Application Form (incomplete applicationswill be returned)o An OFFICIAL copy of your LPN school transcript insealed envelopeso A copy of your LPN licenseo An OFFICIAL copy of all college and/or CLEPtranscripts in sealed envelopeso A copy of your current LPN registrationo A copy of the front and back of your CPR (BLS) card.Only American Heart Association acceptedo Two letters of recommendation completed on Letter ofRecommendation Forms in sealed envelopes. At least onereference should be from a current or former employer.o Proof of citizenship or legal residence (two copies ofone of the following: U.S. birth certificate, passport,alien registration card, or naturalization certificate)BACHELOR OF SCIENCE DEGREE PROGRAM(RN to BS Program)o ONE small recent (2” X 2” passport style) photoo Fee of 50 (money order or certified check only)o An OFFICIAL copy of all high school and/or GEDtranscripts in sealed envelopeso A completed Application Form (incomplete applicationswill be returned)o An OFFICIAL copy of all college and/or CLEPtranscripts in sealed envelopeso A copy of your RN licenseo Two letters of recommendation completed on Letter ofRecommendation Forms in sealed envelopes. At least onereference should be from a current or former employer.o A copy of your current RN registrationo A copy of the front and back of your CPR (BLS) card.ONLY American Heart Association acceptedo Proof of citizenship or legal residence (two copies ofone of the following: U.S. birth certificate, passport,alien registration card, or naturalization certificate)Return the completed application along with the non-refundable fee (AAS program: 110 forapplication and testing, or BS program: 50 for application) to the Office of Student Services,Helene Fuld College of Nursing, 24 East 120th Street, New York, NY 10035. For informationcall, (212) 616-7268 or (212) 616-7290. Application is valid for two years.Updated: 10/23/2014

APPLICATION FOR ADMISSIONPART I - BIOGRAPHICAL DATA(Please type or print neatly)Date:Last NameFirst NameMiddle InitialOther or former namesSocial Security NumberCurrent address:Number and StreetApt. NumberCityStateZip codeHome Phone:Work Phone:Cell Phone:E-mail Address:Gender: o Male o FemaleDate of Birth: / /MonthDayYear (yyyy)Race/Ethnicity:(For statisticalpurposes only)o American Indian or Alaska Nativeo Black or African Americano Native Hawaiian or Pacific IslanderU.S. Citizen:o Yeso Asiano Hispanic or Latinoo Whiteo No If not a U.S. Citizen, Country of Citizenship:Country of Birth:Permanent Resident/Alien Registration Number:Other Type Visa and Number:PART II – EDUCATIONAL HISTORY1. Program Applying to:o Associate in Applied Science (LPN to RN Program) OR2. Intended Load:o Full-timeo Part-timeo Bachelor of Science (RN to BS Program)o Non-matriculated3. List All High Schools AttendedName of School4. GED: o YesCityStateDates of AttendanceDate of GraduationStateDate of AttendanceDate of Graduationo No If yes, date received:5. Practical Nursing School (if attended)Name of SchoolCityIf applying for associate degree program: Has your PN school recommended you for articulation? o Yeso NoUpdated: 10/23/2014

6. PN Licensure in State of:Date Issued:If not yet licensed, examination is scheduled: State:License Number:Date:7. List all colleges/professional schools previously attended (if any)Name of CollegeCityStateMajorDates of AttendanceDate of GraduationEach institution must forward an official transcript directly to Helene Fuld College of Nursing, Office of Student Services.Total number of college credits completed:Do you have a degree? o Yes o No If yes, what type of degree?8. RN Licensure in State of:Date Issued:License Number:9. Have you ever been suspended, expelled, or required to withdraw for disciplinary reasons from anyhigh school or post-secondary institution? o Yes o No If yes, attach a detailed explanation.10. Have you ever been charged with, convicted of, or pled guilty or no contest to a felony charge?o Yes o No If yes, attach a detailed explanation.11. Have you ever had your LPN or RN license suspended or revoked? o Yes o NoIf yes, attach a detailed explanation.12. Have you previously applied to Helene Fuld? o Yes o No If yes, when?13. Have you previously attended Helene Fuld? o Yes o No If yes, when?PART III – ADDITIONAL INFORMATION1. List in chronological order your work during the last 10 yearsEmployerCity/StatePosition TitleDates of Employment* For BS applicants only.*2. Write a short narrative describing why you are seeking admission to Helene Fuld College of Nursing. Include your reasons for returningfor a Bachelor of Science degree and your career goals upon graduation from Helene Fuld. Narrative must be 250-500 words in length andtype-written. Use 12 point Times New Roman font, and 1 & 1/2 inch margins all-around. Attach this as a separate page with your application.The essay will be reviewed by the Admissions Committee along with your application.Updated: 10/23/2014

3. Please select ALL of the ways that you have heard about Helene Fuld College of Nursingo Hospital/Healthcare facility where you are employed (please specify)o LPN school, ADN school, or college that you attended (please specify)o Job/Career Fair (please specify location)o Television/Cable network (please specify station)o Nursing publication (please specify publication)o Radio (please specify station)o Current student or a graduate of Helene Fuld (name)o Open house at Helene Fuldo Helene Fuld websiteo Other (please specify)PART IV – READ CAREFULLY AND SIGNI certify that the information I have provided is complete and true to the best of my knowledge. I understand that any deliberate falsificationor omission of information may result in denial of admission or dismissal at any time after admission. The College reserves the right to denyadmission and matriculation to any applicant who, in the judgment of the College, is not qualified. Students who accept enrollment at the Collegeagree to abide by all the rules and regulations now or hereafter promulgated by the College. Any student failing to comply with such rules andregulations may be dismissed.*Applicant’s signature: Date:IMPORTANT PRIVACY NOTE: By signing this form, I authorize all schools that I have attended to release all requested records covered under the FamilyEducational Rights and Privacy Act (FERPA) so that my application may be reviewed by Helene Fuld College of Nursing. I further authorize the admissionofficers reviewing my application, to contact officials at my current and former schools should they have questions about the school forms submitted onmy behalf.I understand that under the terms of FERPA, after I matriculate I will have access to this form and all other recommendations andsupporting documents submitted by me and on my behalf, unless at least one of the following is true:1. The institution does not save recommendations post-matriculation.2. I waive my right to access below.o Yes, I do waive my right to access, and I understand I will never see this form or any other recommendations submittedby me or on my behalf.o No, I do not waive my right to access, and I understand I may someday choose to see this form or any other recommendations orsupporting documents submitted by me or on my behalf to Helene Fuld College of Nursing, if the documents are saved after I matriculate.*Required Signature: DateUpdated: 10/23/2014

Helene Fuld College of Nursing Mission Statement:Helene Fuld College of Nursing is an independent single-The College strives to provide leadership in non-traditionalpurpose institution. Its mission is to provide the opportunity,nursing education by educating licensed practical nurses tothrough a career-ladder approach, for men and womenadvance to the associate degree registered nurse level, andto enhance their education and improve their nursingto educate associate degree registered nurses to advance topractice. The College endeavors to produce high-qualitythe baccalaureate degree level, and achieve a broader scopeand technically adaptable nurses who are able to functionof practice with an emphasis on Environmental Urban Healtheffectively in a changing society.Nursing (EUHN). The College also strives to offer opportunitiesto men and women of diverse racial, ethnic, and socio-economicThe College aims to teach its students the value of intellectualbackgrounds and to those who might otherwise have beenskills and to help them develop the capability of makingexcluded from career advancement; to prepare graduates whochoices based on knowledge and unbiased evaluations; tobenefit from their increased level of expertise; and to provideadvance the student’s knowledge of the profession and theirthe base for further professional education.proficiency in technical skills; to encourage personal growth,resourcefulness, a heightened sense of responsibility and aHelene Fuld College of Nursing continually seeks to provideconcern for people; to educate the students to recognize andits students with the broadest possible spectrum of learningappreciate

If you have any additional questions regarding any aspect of the program at Helene Fuld College of Nursing, please visit our website at: www.helenefuld.edu or call the Office of Student Services at (212) 616-7290 or (212) 616-7268. We look forward to hearing from you. Sincerely, Sandra Senior Director of Student Services