University GPA Averagefield type number
Biol2401 Scorefield type number
Biol2402 Scorefield type number
Biol2420 Scorefield type number
Veteran Scorefield type number
HESI Scorefield type number
GPA Scorefield type number
Recommendation Scorefield type number
Certificate/Degree Scorefield type number
Total Scorefield type number

Nursing Programs | Admission Application Packet
Please review the Selective Admissions: Nursing, Degree Requirements, Document Requirements, Admission Scoring Criteria, and FastTrack Handbook (if applicable), prior to completing the application.
uidfield type single line
Input blocked. Maximum character limit of 4000 characters reached.
First Name*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Last Name*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Email*field type email
I have reviewed the information provided by the hyperlinks above and understand the requirements for application and admission.*field type checkbox
Please note that incomplete applications will not be considered for review and will be deemed unacceptable.
I have reviewed the information provided by the hyperlinks above and understand the requirements for application and admission.I agree

Our records indicate you have already submitted an application.
If this is an error, please contact TCC Nursing.

Undergraduate Nursing Programs*field type drop-down

Degree Audit

Have you completed the TCC degree audit?*(?)field type radio button
Have you completed the TCC degree audit?YesNo
Please upload the TCC degree audit report, TCC audited transcripts, and/or TCC Transfer Equivalency Report. Official and unofficial transcripts are acceptable.*field type file upload
You have reached the maximum file limit: .
Accepted files: PDF, JPEG, PNG, Word Doc, TIFF

Associate of Applied Science Program

Pre-requisite Courses

Please enter the grade from the TCC audited transcripts for each course. Courses must be competed within the past five (5) years, and with a final grade of "C" or better prior to submitting the application. If courses were taken more than once, the applicant should enter the highest grade achieved.

Course Title	Grade*field type drop-down
BIOL 2401 - Anatomy and Physiology I	Grade*field type drop-down
BIOL 2402 - Anatomy and Physiology II	Grade*field type drop-down
BIOL 2420/2421 - Microbiology (Lecture and Lab)	Grade*field type drop-down

Transcript(s)*field type file upload
You have reached the maximum file limit: 10.

Licensed Vocational Nursing Program

Pre-requisite Courses

Course Title	Grade*field type drop-down
BIOL 2401 - Anatomy and Physiology I	Grade*field type drop-down
BIOL 2420/2421 - Microbiology (Lecture and Lab)	Grade*field type drop-down
PSYC 2301 – Psychology (Pass score on CLEP = “C”)	Grade*field type drop-down

Transcript(s)*field type file upload
You have reached the maximum file limit: 10.

Fast Track to Associate of Applied Science Program

Please review the FastTrack Handbook here or at the top of this form to understand the requirements for applying to the FastTrack program.

Pre-requisite Courses

Course Title	Grade*field type drop-down
BIOL 2401 - Anatomy and Physiology I	Grade*field type drop-down
BIOL 2402 - Anatomy and Physiology II	Grade*field type drop-down
BIOL 2420/2421 - Microbiology (Lecture and Lab)	Grade*field type drop-down

Transcript(s)*field type file upload
You have reached the maximum file limit: 10.
Are you currently an LVN, Paramedic, or Military Medic?*field type radio button
Are you currently an LVN, Paramedic, or Military Medic?YesNo
I am currently a/an:*field type checkbox
I am currently a/an:LVNParamedicMilitary Medic
Current copy of License or Certification*field type file upload
You have reached the maximum file limit: .
Accepted files: PDF, JPEG, PNG, Word Doc, TIFF

HESI Requirements

HESI A2 Exam*field type radio button
You are required a score of 75% or better on each of the five (5) subsections of the HESI A2 scores is required. Tarrant County College Division of Nursing must be able to verify submitted scores. By clicking "Yes", you agree to grant permission to the Tarrant County College Division of Nursing to view your HESI A2 scores through Elsevier (HESI) database.
HESI A2 ExamYesNo

Pre-requisite Courses

	Math*field type number	Reading*field type number	Grammar*field type number	Vocabulary*field type number	A&P*field type number	Cumulative Score*field type number
row 1	Math*field type number	Reading*field type number	Grammar*field type number	Vocabulary*field type number	A&P*field type number	Cumulative Score*field type number

HESI A2 Scores Upload*field type file upload
You have reached the maximum file limit: .
Accepted files: PDF, JPEG, PNG, Word Doc, TIFF

Immunization Requirements

Current Immunization Record*field type radio button
Current Immunization RecordYesNo
Upload a copy of your Immunization Record(s)*field type file upload
You have reached the maximum file limit: .
Accepted files: PDF, JPEG, PNG, Word Doc, TIFF
The Texas Administrative Code (TAC) and the DFW Hospital Council Foundation: Standard Hospital Student Orientation (2018) (PDF will open in a new window) require that all students in health-related programs complete the following immunizations before applying to programs where patient contact is a component.
To be considered, applicants are required to submit proof of the below immunizations.

Immunization	Completed*field type radio button
1. Measles, Mumps, and Rubella (MMR): Proof of two (2) doses OR Proof of a Positive (+) Titers.	Completed*field type radio button CompletedYesNo
2. (Tetanus, Diphtheria, and Pertussis (Tdap): Proof of vaccine/booster dose within the past ten (10) years. Boosters are required every ten (10) years.	Completed*field type radio button CompletedYesNo
3. Varicella (Chickenpox): Proof of two (2) doses OR Proof of a Positive (+) Titer.	Completed*field type radio button CompletedYesNo
4. Hepatitis “B”: Proof of completed a three (3) or a two (2) doses series OR Proof of a Positive (+) Titer.	Completed*field type radio button CompletedYesNo
5. Hepatitis “A”: Proof of two (2) doses OR Proof of a Positive (+) Titer.	Completed*field type radio button CompletedYesNo
6. Covid-19: Proof of both doses of a two-dose vaccine series OR Proof of a single dose vaccine/booster. Please see TCC’s Vaccine Statement: Health Sciences & Nursing Programs.	Completed*field type radio button CompletedYesNo

Please note that the above immunization requirements are generic for all healthcare facilities where student training takes place. Some facilities may have additional requirements.

Recommendation Letters

Do you have two (2) recommendation letters?*field type radio button
Do you have two (2) recommendation letters?YesNo

Please provide full names and email addresses for two (2) references. The references will be contacted via email to complete a short Letter of Recommendation Form on your behalf. One of the references must be a current or recent employer, supervisor, or instructor. The form will be uploaded directly into your application. It is the applicant’s responsibility to ensure that the reference submits the recommendation letter within the provided timeframe in the email invitation. In accordance with the Family Educational Rights and Privacy Act of 1974, the applicant:
Recommendation Access*field type radio button
Recommendation Accesswaives access to Recommendation Formdoes not waive access to Recommendation Form
References Contact Information
Full Name*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Email*field type email
Full Name*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Email*field type email

Applicant Signature

By providing the electronic signature below, I certify that all information provided in this application is accurate to the best of my knowledge. I also understand that providing inaccurate information may result in the disqualification of my application and possible dismissal from the program.

	Applicant Printed Name:*field type single line	Applicant Signature:*field type signature	Date:field type date
row 1	Applicant Printed Name:*field type single line Input blocked. Maximum character limit of 4000 characters reached.	Applicant Signature:*field type signature	Date:field type date Date will be captured on form submission

Stop Here
Please save your Nursing Application as a Draft by clicking on the "Save for Later" button at the bottom of the page and enter a valid email address. A generated link will be sent to the provided email address for you to resume your application when you have acquired all required documentation. Please note that we are not able to regenerate the provided link. Please save the automated email.

Nursing Programs | Admission Application Packet

Nursing Program Eligibility Questions

Please review the Eligibility Questions here: Texas Board of Nursing and answer the 4 questions below. If you answer "no" to the questions please sign below. If you answer "yes" to any of the questions. You will need to be cleared by the Texas Board of Nursing Declaratory Review Board Process. This review process can take a minimum of three months to two years depending on the case. This petition is a formal disclosure to the Board of any eligibility issues that may disqualify you from taking the NCLEX examination for licensure. You are required to submit the letter from the Board which states you have successfully completed the Declaratory Order process, once the review is completed.
1. Are you currently the target or subject of a grand jury or governmental agency investigation?*field type radio button
1. Are you currently the target or subject of a grand jury or governmental agency investigation?NoYes
2. Has any licensing authority refused to issue you a license or ever revoked, annulled, cancelled, accepted surrender of, suspended, placed on probation, refused to renew a professional license, certificate or multi-state privilege held by you now or previously, or ever fined, censured, reprimanded or otherwise disciplined you?*field type radio button
2. Has any licensing authority refused to issue you a license or ever revoked, annulled, cancelled, accepted surrender of, suspended, placed on probation, refused to renew a professional license, certificate or multi-state privilege held by you now or previously, or ever fined, censured, reprimanded or otherwise disciplined you?NoYes
3. Within the past five (5) years have you abused and/or been treated for the use of alcohol or any other drug(s)?*field type radio button
3. Within the past five (5) years have you abused and/or been treated for the use of alcohol or any other drug(s)?NoYes
Are you currently suffering from any condition for which you are not being appropriately treated that impairs your judgment or that would otherwise adversely affect your ability to practice nursing in a competent, ethical, and professional manner?*field type radio button
Are you currently suffering from any condition for which you are not being appropriately treated that impairs your judgment or that would otherwise adversely affect your ability to practice nursing in a competent, ethical, and professional manner?NoYes

Attestation

I, the Nursing Student/NCLEX ® Candidate whose name appears within this Application, acknowledge this document is a legal document and I attest that I understand and meet all the requirements for the type of licensure requested, as listed in sections 301.252, 301.253, 301.452, 301.453, 301.454 and 304.001 of the Nursing Practice Act; 22 TAC §§ 213.27, 213.28, 213.29, 213.30; 22 TAC §§ 217.11 and 217.12.
Further, I understand that it is a violation of the 22 TAC § 217.12 (6)(I) and the Penal Code, sec 37.10, to submit a false statement to a government agency; and I consent to release of confidential information to the Texas Board of Nursing and further authorize the Board to use and to release said information as needed for the evaluation and disposition of my application. I understand that if I have any questions regarding this affidavit I should contact an attorney or the appropriate professional health provider. I will immediately notify the Board if at any time after signing this affidavit I no longer meet the eligibility requirements.

By providing the electronic signature below, I certify that all information provided in this application is accurate to the best of my knowledge. I also understand that providing inaccurate information may result in the disqualification of my application and possible dismissal from the program.

	Applicant Printed Name:*field type single line	Applicant Signature:*field type signature	Date:field type date
row 1	Applicant Printed Name:*field type single line Input blocked. Maximum character limit of 4000 characters reached.	Applicant Signature:*field type signature	Date:field type date Date will be captured on form submission

Nursing Programs | Admission Application Packet

Texas House Bill 1508 Compliance Statement

As a point of information required by Texas HB 1508 and the Texas Occupations Code 58.001,

if you are applying for admission to a program that may prepare an individual for an initial occupational license as defined under Texas Occupations Code 58.00 l and/or if you later decide to change to a program that prepares you for an initial occupational license as defined under Texas Occupations Code 58.001, in accordance with state law, please be advised of the following:
1. An individual who has been convicted of an offense may be ineligible for issuance of an occupational license upon completion of the educational program;
2. Each licensing authority that may issue an occupational license to an individual who completes an educational program must establish guidelines which state the reasons a particular crime is considered to relate to a particular license and any other criterion that affects the decisions of the licensing authority.
3. Local or county licensing authorities may issue additional guidelines related to criminal history. Applicants should contact their respective local or county licensing authority for more details.
4. A person may request a criminal history evaluation letter regarding the personal eligibility for a license issued by a licensing authority under Texas Occupations Code 53.102
Applicants are encouraged to review all applicable eligibility requirements related to the respective occupational license. Questions related to eligibility requirements should be directed to the applicable licensing authority.

My signature verifies that I am aware of and understand House Bill (HB) 1508 and its implications.

	Applicant Printed Name:*field type single line	Applicant Signature:*field type signature	Date:field type date
row 1	Applicant Printed Name:*field type single line Input blocked. Maximum character limit of 4000 characters reached.	Applicant Signature:*field type signature	Date:field type date Date will be captured on form submission

Nursing Programs | Admission Application Packet

Statement of Student Responsibility

I acknowledge that this application contains policies, regulations, and procedures in existence at the time of publication. I also acknowledge that Tarrant County College and the Department of Nursing reserve the right to make changes at any time to reflect current Board of Trustees policies, administrative regulations and procedures, and applicable State and Federal regulations. Furthermore, I understand that the information included in this packet does not constitute a contract expressed or implied, between any applicant, student, or faculty member, and Tarrant County College.

I have read and understand the admission process for the Nursing Program. By submitting an application, I agree to abide by the admission requirements of the Nursing Program. I accept full responsibility for submitting a complete nursing admission packet prior to or by the designated application filing deadline, and I understand that I cannot be accepted into the Nursing Program until I have completed all of the admission requirements.

Once I have submitted my application packet, I understand that it is my responsibility to inform the nursing office personnel of any change in my status, email address, address, telephone number, intentions to enter the program, or any other information that would affect my entrance into the Nursing Program.

I acknowledge that once admitted to the program, I will be assigned to clinical rotations at area health care facilities, which will require proof of personal health care insurance coverage and proof of immunizations and/or immunity to selected communicable diseases, as well as tuberculosis screening.

I am aware that, according to Dallas - Fort Worth Hospital Council Guidelines, I will be required to undergo a criminal background check and mandatory drug screening prior to admission to the Nursing Program. I understand that clinical facilities require, for each clinical rotation, written verification that students, listed by name, meet all criteria required by the Dallas - Fort Worth Hospital Council Guidelines, to include:
- Negative criminal background checks
- Negative drug screen
- Current immunizations, and TB screening, physical exam
- Current Healthcare Provider BLS (CPR & AED) Program completion card from American Heart Association
- Successful completion of Dallas-Fort Worth Hospital Council Standard Hospital Student Orientation Test
- Current Health Insurance
- Completion of three (3) orientation days
I understand that the purpose of this program is to prepare me to be eligible to write the NCLEX-RN licensing examination to become a registered nurse. In order to be eligible, I must hold a high school diploma or General Education Development certificate. Furthermore, it is my responsibility to notify the Texas Board of Nursing prior to admission to the Nursing Program, if I have ever been denied licensure by a licensing authority for nurses; have ever had disciplinary action taken against me by a licensing/certifying authority; have ever been convicted of a crime other than a minor traffic violation; am unable to safely practice professional nursing due to physical or mental disability/illness which may endanger the health and safety of persons under my care; have been hospitalized or treated for chemical dependency within the past five years; am currently an intemperate user of drugs or alcohol; have ever been issued a Declaratory Order by the Board of Nurse Examiners for the State of Texas; or if I have ever taken the State Board Test Pool Examination, National Council Licensure Examination for Registered Nurses, or the Canadian Nurses Association Testing Service Examination. If so, I will need to petition in writing, and provide requested documents to the Board of Nurse Examiners for the State of Texas in order to be eligible to take the NCLEX-RN examination. This review and eligibility approval may take 12-24 months to obtain from the Board of Nurse Examiners for the State of Texas who will assess a fee to the individual for review. Board of Nurse Examiners for the State of Texas approval is required prior to acceptance into the Nursing Program.

	Applicant Printed Name:*field type single line	Applicant Signature*field type signature	Datefield type date
row 1	Applicant Printed Name:*field type single line Input blocked. Maximum character limit of 4000 characters reached.	Applicant Signature*field type signature	Datefield type date Date will be captured on form submission

Nursing Programs | Admission Application Packet

Social Security Number:*field type single line
Input blocked. Maximum character limit of 11 characters reached.
Student ID:*field type single line
Input blocked. Maximum character limit of 7 characters reached.
Date of Birth:*field type date
Last Name:*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
First Name:*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Middle Name:field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Address:*field type address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Cell Phone:*field type single line
Input blocked. Maximum character limit of 14 characters reached.
Other Phone:field type single line
Input blocked. Maximum character limit of 14 characters reached.
MyTCC Email Address:*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Personal Email Address:*field type email
Signing this Contact Information section indicates you agree to receive text messages from Tarrant County College District.

Emergency Contact Information

Full Name:*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Phone Number:*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Relationshipfield type single line
Input blocked. Maximum character limit of 4000 characters reached.
Address:field type address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country

By providing the electronic signature below, I certify that all information provided in this application is accurate to the best of my knowledge. I also understand that providing inaccurate information may result in the disqualification of my application and possible dismissal from the program.

	Applicant Printed Name:*field type single line	Applicant Signature:*field type signature	Date:field type date
row 1	Applicant Printed Name:*field type single line Input blocked. Maximum character limit of 4000 characters reached.	Applicant Signature:*field type signature	Date:field type date Date will be captured on form submission

Nursing Programs | Admission Application Packet

College/University (Only include approved degrees and coursework as per the TCC degree audit process)

	School Name:*field type multi line	Certificate:*field type drop-down	From:*field type date	To:*field type date	GPA*field type number
Row 1×	School Name:*field type multi line	Certificate:*field type drop-down	From:*field type date	To:*field type date	GPA*field type number	×

Add

Prior Nursing Education

Have you ever attended TCC nursing program?*field type radio button
Have you ever attended TCC nursing program?YesNo
Nursing Programs Attended
From*field type date To*field type date
row 1 From*field type date
To*field type date
Add
Did you graduate from TCC?*field type radio button
Did you graduate from TCC?YesNo
If yes, what semester and year*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Have you previously taken any nurses courses at TCC or another institution?*field type radio button
Have you previously taken any nurses courses at TCC or another institution?YesNo
If Yes, did you have a score of below "C" on two or more nursing courses within the past two years?*field type radio button
If Yes, did you have a score of below "C" on two or more nursing courses within the past two years?YesNo
Please note that applicants with scores below “C” on two nursing courses within the past two years are not eligible for enrollment into the nursing program until two years from the completion of the last nursing course with a below “C” grade.

	From*field type date	To*field type date
row 1	From*field type date	To*field type date

By providing the electronic signature below, I certify that all information provided in this application is accurate to the best of my knowledge. I also understand that providing inaccurate information may result in the disqualification of my application and possible dismissal from the program.

	Applicant Printed Name:*field type single line	Applicant Signature:*field type signature	Date:field type date
row 1	Applicant Printed Name:*field type single line Input blocked. Maximum character limit of 4000 characters reached.	Applicant Signature:*field type signature	Date:field type date Date will be captured on form submission

Nursing Programs | Admission Application Packet
Do you currently work for JPS or Medical City and are you eligible for the Cohort?*(?)field type radio button
Do you currently work for JPS or Medical City and are you eligible for the Cohort?YesNo
If you selected "Yes", which cohort are you eligible for?field type radio button
If you selected "Yes", which cohort are you eligible for?JPSMedical City
Which hospital do you work for?*field type radio button
Which hospital do you work for?JPSMedical City
Which department do you currently work in at JPS or Medical City?*field type single line
If yes, check with your JPS or Medical City supervisor for eligibility
Input blocked. Maximum character limit of 4000 characters reached.

By providing the electronic signature below, I certify that all information provided in this application is accurate to the best of my knowledge. I also understand that providing inaccurate information may result in the disqualification of my application and possible dismissal from the program.

	Applicant Printed Name:*field type single line	Applicant Signature:*field type signature	Date:field type date
row 1	Applicant Printed Name:*field type single line Input blocked. Maximum character limit of 4000 characters reached.	Applicant Signature:*field type signature	Date:field type date Date will be captured on form submission

Nursing Programs | Admission Application Packet

Demographic Information

Gender:*field type radio button
Gender:MaleFemalePrefer not to disclose
Race:*field type radio button
Race:American/Alaska NativeAsianBlack or African AmericanHawaiian/Pacific IslanderHispanic/LatinoInternationalMultiRace UnknownWhitePrefer not to disclose
Veteran Status*field type radio button
Veteran StatusVeteranNot Veteran
Veteran Documentation*field type file upload
You have reached the maximum file limit: 10.
Is English your native or first language?*field type radio button
Is English your native or first language?YesNo
If You are an international student, do you possess an F1 Visa?*field type radio button
If You are an international student, do you possess an F1 Visa?YesNoNot Applicable
TOEFL-iBT/IELTS Instructions

If you did not graduate from a high school in the United States or a high school on a US military installation where English was the primary language used:

Provide documentation of graduation from high school from an English speaking country such as Canada (other than Quebec), Great Britain, Australia, New Zealand, South Africa, and Ireland. If graduated from English speaking high school in a country not listed above in #2, provide official transcripts and a notarized letter from the headmaster/principal of the high school stating that English was the primary language of the courses taught.

If English was NOT the primary language of your high school you must provide documentation of proof of English proficiency by submitting the results of either of the following:
1. TOEL - iBT - Test of English as a Foreign Language-Internet Based Test - passing score of 83. This is the recommended score to apply for licensure from the Texas BON (Board of Nursing) http://www.ets.org/toefl/
2. IELTS - Academic version- International English Language Testing System -IELST Band Score - over all 6.5 with a minimum score of 6 in all areas. This is the recommended score to apply for licensure from the Texas BON (Board of Nursing).
TOEFL-iBT/IELTS Supporting Documentation Upload:*field type file upload
Accepted files: PDF, JPEG, PNG, Word Doc, TIFF
You have reached the maximum file limit: .
U.S Associates or U.S Healt Care License is acceptable documentation for ESL students.
Would you like more information on Exito Juntos?*(?)field type radio button
Would you like more information on Exito Juntos?YesNo

By providing the electronic signature below, I certify that all information provided in this application is accurate to the best of my knowledge. I also understand that providing inaccurate information may result in the disqualification of my application and possible dismissal from the program.

	Applicant Printed Name:*field type single line	Applicant Signature:*field type signature	Date:field type date
row 1	Applicant Printed Name:*field type single line Input blocked. Maximum character limit of 4000 characters reached.	Applicant Signature:*field type signature	Date:field type date Date will be captured on form submission

{/_honeypot}

{/_draft_html}

Degree Audit

Associate of Applied Science Program

Pre-requisite Courses

Licensed Vocational Nursing Program

Pre-requisite Courses

Fast Track to Associate of Applied Science Program

Pre-requisite Courses

HESI Requirements

Pre-requisite Courses

Immunization Requirements

Recommendation Letters

Applicant Signature

By providing the electronic signature below, I certify that all information provided in this application is accurate to the best of my knowledge. I also understand that providing inaccurate information may result in the disqualification of my application and possible dismissal from the program.

Nursing Program Eligibility Questions

Attestation

By providing the electronic signature below, I certify that all information provided in this application is accurate to the best of my knowledge. I also understand that providing inaccurate information may result in the disqualification of my application and possible dismissal from the program.

Texas House Bill 1508 Compliance Statement

My signature verifies that I am aware of and understand House Bill (HB) 1508 and its implications.

Statement of Student Responsibility

Emergency Contact Information

By providing the electronic signature below, I certify that all information provided in this application is accurate to the best of my knowledge. I also understand that providing inaccurate information may result in the disqualification of my application and possible dismissal from the program.

College/University (Only include approved degrees and coursework as per the TCC degree audit process)

Prior Nursing Education

Nursing Programs Attended

By providing the electronic signature below, I certify that all information provided in this application is accurate to the best of my knowledge. I also understand that providing inaccurate information may result in the disqualification of my application and possible dismissal from the program.

By providing the electronic signature below, I certify that all information provided in this application is accurate to the best of my knowledge. I also understand that providing inaccurate information may result in the disqualification of my application and possible dismissal from the program.

Demographic Information

By providing the electronic signature below, I certify that all information provided in this application is accurate to the best of my knowledge. I also understand that providing inaccurate information may result in the disqualification of my application and possible dismissal from the program.