PARAMEDIC TO ADN MOBILITY - FAULKNER STATE COMMUNITY COLLEGE APPLICATION - FAULKNER STATE COMMUNITY COLLEGE

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FAULKNER STATE COMMUNITY COLLEGE
         NURSING PROGRAMS INFORMATION
                Revised January 2015

FAULKNER STATE COMMUNITY COLLEGE

 PARAMEDIC TO ADN MOBILITY
            APPLICATION

                                          1
FAULKNER STATE COMMUNITY COLLEGE
                          NURSING PROGRAMS INFORMATION
                                 Revised January 2015

Dear Prospective Student:

Thank you for your interest in the Paramedic to ADN Mobility Program at Faulkner State
Community College. Enclosed you will find information to assist you with the application
process. Read the entire packet carefully as an application that does not meet all of the
requirements is rendered incomplete and will not be considered for admittance. Admittance is
based on a point system and it is competitive; therefore, it is imperative for you to pay particular
attention to the point system. There is no waiting list. Use this information packet as your guide
for successful entry into the program.

The Paramedic to ADN Mobility Program students attend classes in the Tyson Building on the
Bay Minette Campus for one to two days per week. Additional time is required for clinicals.
The required number of hours per week varies with each nursing course. This program is a
daytime course with set meeting times. Course times are not scheduled around rotating
shifts. It is advisable to complete all general education course requirements prior to the start of
nursing courses. Reliable transportation, a flexible schedule, and willingness to commute to
several area hospitals are required.

       You may call the Nursing Department at (251) 580-2257 if you have further questions.
We are pleased that you have chosen Faulkner State Community College’s nursing program to
prepare you for a career in the nursing profession.

Sincerely,

Jean D. Graham, MSN, ANP, CNOR
Director of Nursing and Allied Health

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FAULKNER STATE COMMUNITY COLLEGE
                         NURSING PROGRAMS INFORMATION
                                Revised January 2015
                     FAULKNER NURSING PROGRAM APPLICATION
                          PARAMEDIC TO ADN MOBILITY

Application Deadline: April 1 - June 1. There is one admission for this program Fall Semester annually
and it is located at the Bay Minette Campus.

I. PERSONAL DATA                                                                  Date: ______________

Last Name: _______________________ First: ____________________ MI: ___ Maiden: _____________

Social Security Number: ___________________________ FSCC Student Number: ___________________

Mailing Address: ________________________________________________________________________

City: _____________________ State: ___ Zip Code: ___________ Telephone: (___)__________________

E-mail address: ______________________________

Emergency Contact: _____________________________________ Telephone: (                )__________________

II. EDUCATION
High School Graduation Year: _______ High School Name: _____________________________________

GED (if applicable): _________________________________________ Date Completed: ______________

Are you currently taking college courses? Yes ___ No ___ If yes, what college: _______________________

List all colleges attended and the year(s) attended. (Add separate page as necessary)

        Name of College (DO NOT ABBREVIATE)                   Year(s) attended     Degree (if completed)

HAVE YOU PREVIOUSLY BEEN ADMITTED TO A NURSING PROGRAM? YES _____ NO _____

If YES, a letter from that program Dean/Director must be sent to the FSCC Nursing Department
indicating you have not been dismissed for disciplinary or unsafe practice. List the college(s), dates
attended, and reason for withdrawal.
_____________________________________________________________________________________
_____________________________________________________________________________________

A COPY OF YOUR TEAS V EXAM RESULTS MUST BE ATTACHED. NOTE: Score must be
achieved within 3 years of application deadline to satisfy eligibility requirement. Your name, as listed when
tested: ______________________________________

III. EMPLOYMENT
Are You Currently Employed? Yes _____ No _____ Place of Employment:________________________

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FAULKNER STATE COMMUNITY COLLEGE
                           NURSING PROGRAMS INFORMATION
                                  Revised January 2015
MINIMUM ADMISSION STANDARDS INCLUDE:
___1. Unconditional admission to the college (Application must be updated if student did not attend
      Faulkner State last semester). Original transcripts from ALL colleges and high school attended
      must be in the Admissions Office by the deadline (transcript must be sent by the institution’s
      registrar directly to Faulkner State’s Registrar).

___2. Submission of completed nursing application to the Nursing Department between April 1-June 1

___3.   Minimum of 2.5 GPA on a 4.0 scale based on the last 24 credit hours of college coursework
        completed

___4.   Good standing with Faulkner State (minimum cumulative 2.0 GPA)

___5.   Meeting the Alabama Community College System Essential Functions for nursing

___6. Submission of Nursing Entrance Exam (TEAS V) score; valid for three years

___7.   Submission of copy of unencumbered Alabama Paramedic license

___8.   Submission of employer documentation for one year full time work experience as a Paramedic
        within the last 20 months

___9.   Completion of the following prerequisite courses with a grade of “C” or better:
        ENG 101        English Composition I
        MTH 100        Intermediate College Algebra (or higher level Math)
        BIO 201        Anatomy & Physiology I
        BIO 202        Anatomy & Physiology II
        BIO 220        Microbiology
        PSY 200        General Psychology
        SPH 107        Fundamentals of Speech
        Humanities Elective: ART 100, MUS 101, REL, PHL, Foreign Language

___10. AAS degree in Paramedic or higher degree

I understand that completion of this application is a component of the student profile and does not
in itself grant admission to the program. I understand a new application must be submitted if I am
not selected and wish to reapply. I certify that the information given in this application is true and
correct. I understand that providing false information may be deemed sufficient reason to dismiss
the student and/or to refuse admission. All application materials become the property of Faulkner
State Community College. It is the sole responsibility of the applicant to ensure that the Nursing
Department has received all of the requested documentation.
All information must be submitted by the appropriate deadline or the application will be
considered incomplete. It is recommended that applicants check with the Admissions Office, at
(251) 580-2111, to confirm that their College application and transcripts are on file and up to date.

___________________________________                              ________________________________
      Applicant’s Signature                                                          Date

Please mail, or hand deliver, this application to: Faulkner State Community College Nursing
Department at 1900 Hwy 31 S, Bay Minette, AL 36507.

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FAULKNER STATE COMMUNITY COLLEGE
                         NURSING PROGRAMS INFORMATION
                                Revised January 2015

                                          TEAS
                          NURSING ENTRANCE EXAM

The Test of Essential Academic Skills (TEAS) measures basic essential skills in the academic
content areas of reading, mathematics, science, and English and language usage.

       Reading is 58 minutes with 48 questions
       Mathematics is 51 minutes with 34 questions
       Science is 66 minutes with 54 questions
       English and Language usage is 34 minutes with 34 questions

Total time limit for testing is 209 minutes. The TEAS is composed of a total of 150 multiple-
choice questions, each with four options. Questions not answered count against the student.

                                     Registering for TEAS
All individuals preparing to take the TEAS must create an ATI account to register for the test.
Create an account by going to ATI’s website at www.atitesting.com and click on “Create a New
Account” then, follow the screen prompts. Registration is only required once. Click the tab for
“online store” to order the TEAS exam.

All tests are given by the Student Development Office located on the Bay Minette Campus in the
Memorial Hall Building (same location as Admissions and Financial Aid). Bring ATI ID and a
pencil to test. No calculators are allowed. The cost for the TEAS is $56. Payment is made on-
line at the time of registration for the test.

                                    Preparing for the TEAS
The following items are available for purchase at www.atitesting.com for an additional cost:

       Learning Strategies: Your Guide to Classroom and Test-Taking Success
       TEAS Pre-Test Study Manual
       TEAS Online Practice Test (2 versions)

                                             Rescheduling
A notice of 48 hours is required to reschedule a testing date. Failure to notify ATI within 48
hours constitutes forfeit of the registration testing fee.

                                          Retesting
The TEAS test may be repeated once during any semester. The student’s highest score may be
submitted with the nursing application, provided it is within the three-year time frame. The
TEAS score is good for three years.

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FAULKNER STATE COMMUNITY COLLEGE
                                           NURSING PROGRAMS INFORMATION
                                                  Revised January 2015

          POINT SYSTEM TO DETERMINE ADMITTANCE

Paramedic to ADN applicants are rank-ordered using the point system below. Those with the most
points are offered admittance into the program if they have met all other criteria.

1.	
  	
  	
   Score	
  from	
  the	
  Nursing	
  Entrance	
  Exam,	
  TEAS	
  V,	
  (150	
  points	
  possible).	
  	
  TEAS	
  V	
  must	
  have	
  been	
  taken	
  
               within	
  the	
  past	
  3	
  years	
  for	
  consideration.	
  	
  	
  The	
  test	
  is	
  scored	
  by	
  a	
  percentage.	
  	
  Take	
  the	
  percent	
  
               times	
  150	
  points	
  to	
  determine	
  your	
  score,	
  i.e.	
  a	
  score	
  of	
  68%	
  is	
  .68	
  x	
  150	
  =	
  102	
  points	
  
	
  
2.	
  	
  	
   *Points	
  for	
  Grades	
  in	
  Select	
  College	
  Courses	
  	
  (90	
  points	
  possible)	
  
	
   Grade	
                         	
             	
  	
  	
  	
   	
   	
  	
  	
  A	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  B	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  C	
   	
   	
  
	
   BIO	
  201,	
  Anatomy	
  &Physiology	
  I	
   30pts	
  	
  	
  20pts	
  	
  	
  10pts	
   	
                                                                                 	
  
	
   BIO	
  202,	
  Anatomy	
  &Physiology	
  II	
   30pts	
  	
  	
  20pts	
  	
  	
  10pts	
   	
                                                                                	
  
	
   BIO	
  220,	
  Microbiology	
  	
  	
  	
                            30pts	
  	
  	
  20pts	
  	
  	
  10pts	
  
	
  
	
   For	
  example,	
  a	
  student	
  who	
  has	
  an	
  ‘A’	
  in	
  Anatomy	
  I,	
  a	
  ‘B’	
  in	
  Anatomy	
  II,	
  and	
  a	
  ‘B’	
  in	
  Microbiology	
  has	
  70	
  
               points.	
  	
  Students	
  with	
  A’s	
  and	
  B’s	
  are	
  generally	
  more	
  competitive	
  and	
  have	
  a	
  much	
  higher	
  chance	
  of	
  gaining	
  
               admittance	
  into	
  the	
  program	
  because	
  of	
  the	
  higher	
  number	
  of	
  points.	
  	
  	
  
	
  
	
   	
  
3.	
  	
   Additional	
  Points	
  	
  	
  
	
   1	
  point	
  each	
  for	
  completion	
  of	
  the	
  following	
  courses	
  with	
  a	
  C	
  or	
  higher:	
  English	
  Comp	
  I,	
  Intermediate	
  College	
  
               Algebra,	
  General	
  Psychology,	
  Human	
  Growth	
  &	
  Development	
  (or	
  Developmental	
  Psych),	
  Fundamentals	
  of	
  
               Speech,	
  and	
  a	
  Humanities	
  Elective	
  such	
  as	
  Art	
  or	
  Music	
  Appreciation,	
  Religion,	
  Foreign	
  Language,	
  
               Philosophy,	
  or	
  Ethics.	
  	
  (6	
  points	
  possible)	
  
	
  
	
   5	
  points	
  for	
  completion	
  of	
  Chemistry,	
  or	
  a	
  higher	
  level	
  Math	
  such	
  as	
  Pre-­‐Cal,	
  Finite	
  Math,	
  or	
  Statistics,	
  with	
  a	
  
               C	
  or	
  higher.	
  	
  (5	
  points	
  possible)	
  
	
  
	
   Total	
  Score	
  _________	
  	
  	
  
	
  
	
   	
  
A	
  total	
  of	
  251	
  points	
  are	
  possible	
  with	
  these	
  selection	
  criteria.	
  

                                                                                                                                                                       6
FAULKNER STATE COMMUNITY COLLEGE
                           NURSING PROGRAMS INFORMATION
                                  Revised January 2015

              FAULKNER STATE COMMUNITY COLLEGE PARAMEDIC TO ADN MOBILITY
                               BAY MINETTE CAMPUS

Prerequisite Courses:
           • MTH 100        Intermediate College Algebra, or Higher Level Math
           • ENG 101        English Composition I
           • *BIO 201       Human Anatomy and Physiology I
           • *BIO 202       Human Anatomy and Physiology II
           • *BIO 220       Microbiology
           • PSY 200        General Psychology
           • SPH 107        Fundamentals of Speech
           • Humanities Elective: Art or Music Appreciation, Religion, Philosophy, or Foreign
               Language

Total Prerequisites: 27 credit hours
*BIO 103 – General Biology is pre-requisite to Anatomy and Physiology I. Students must seek
permission from the Biology Chairperson to waive the BIO 103 prerequisite. ORI 101 Orientation to
College is required for those with no previous college coursework.

Fall Semester
Course                                       Theory     Lab    Clinical    Credit    Contact
Paramedic to ADN Mobility                      8         1        3         12         20
NUR 111
Term Total                                      8        1        3          12        20

Spring Semester
Course                                      Theory    Lab Clinical         Credit    Contact
Nursing Through the Lifespan II                3              3              6         12
NUR 202
Term Total                                     3              3              6         12
(PSY 210 must be taken this term if not previously completed)

Summer Semester
Course                                       Theory     Lab    Clinical    Credit    Contact
Nursing Through the Lifespan III               4                  2          6         10
NUR 203
Role Transition for the Registered Nurse        2                 2          4          8
NUR 204 (Preceptor 3:1)
Term Total                                      6                 4          10        18

Program Totals:
      Total Credit Hours:       72 Credit Hours
      General Education:        30 Credit Hours
      Nursing Hours:            42 Total Credit Hours (28 hours NUR coursework plus 14
                                additional nursing credit hours are awarded upon completion of the
                                Paramedic to ADN Mobility curriculum)

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FAULKNER STATE COMMUNITY COLLEGE
                            NURSING PROGRAMS INFORMATION
                                   Revised January 2015
ANTICIPATED EXPENSES FOR COMPLETION OF DEGREE
The following is an approximate list of expenses that can be expected throughout the Nursing program.
Keep in mind that these expenses are estimates only and may vary (immunizations, physical, etc.).

                ITEM                                                                  COST

Tuition ADN Program including general courses (In state)                           $10,080
Books ADN Program (estimate)                                                         5,000
Uniforms & Shoes                                                                       250
Clinical tools                                                                          80
Drug & Background Screening                                                            120
Achievement Tests                                                                    1,100
Immunizations & Physical                                                           400-700
CPR Certification                                                                       45
Graduation Fees                                                                         75
TOTAL                                                                  Approximate $17,450

OTHER
NCLEX Fee                                                                                $200
State Licensure Application                                                                85
Temporary Licensure                                                                        50
Optional Nursing Pin                                                                       70

*STANDARDIZED TESTS
The Nursing Department requires students to participate in a standardized testing program to assist in
evaluating achievement of the content of the courses throughout the curriculum. Included in this testing
are examinations to evaluate areas that are essential for academic success:
    1. Diagnostic and Achievement Tests help to identify your strengths and areas which need
        remediation in comprehending the content of the courses.
    2. Pre-RN mock licensure examination provides reliable predictors of success for the NCLEX
        (National Council Licensure Exam).
    4. Specific examinations may be required as a part of progression in identified nursing courses.

NOTES REGARDING OTHER ENROLLMENT REQUIREMENTS
After acceptance to the Nursing Program, students will be required to provide the following:
    • Current History & Physical Evaluation Form, completed by a licensed physician, nurse
        practitioner, or physician’s assistant – (Form provided by nursing department)
    • Current two-man professional CPR Certification – (Classes offered through nursing department)
    • Documentation of immunizations – (Form provided by nursing department)
    • Proof of having medical insurance – (Student plan available for purchase)
    • Drug screening and background check as stipulated by the agencies which the Department of
        Nursing contracts for clinical experiences
    • Ability to meet all Essential Functions of the Nursing Program with or without reasonable
        accommodations. (Note: Any student requiring accommodations must meet with the Dean of
        Student Development.)
    • Internet access to access the college website for daily assignments by computer

 HIV or HEPATITIS B REPORTING POLICY
Public law #102-141, Section 633, and “The Alabama Infected Health Care Worker Management Act”
require HIV or Hepatitis B infected healthcare workers to notify the State Health Officer within 30 days

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FAULKNER STATE COMMUNITY COLLEGE
                             NURSING PROGRAMS INFORMATION
                                    Revised January 2015
of the time the diagnosis is confirmed. Physicians caring for HIV or Hepatitis B infected healthcare
workers are mandated to notify state health officials within 7 days of the diagnosis. All students are
required to comply with this law.

ALABAMA COMMUNITY COLLEGE SYSTEM NURSING 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 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 groups

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FAULKNER STATE COMMUNITY COLLEGE
                              NURSING PROGRAMS INFORMATION
                                     Revised January 2015
    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 Motor Function
    h) Handle small delicate equipment/objects without extraneous movement, contamination or destruction
    i) Move, position, turn, transfer, assist with lifting or lift and carry clients without injury to clients, self or
       others
    j) Maintain balance from any position
    k) Stand on both legs
    l) Coordinate hand/eye movements
    m) Push/pull heavy objects without injury to client, self or others
    n) 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
    o) Walk without a cane, walker or crutches
    p) Function with hands free for nursing care and transporting items
    q) Transport self and client without the use of electrical devices
    r) Flex, abduct and rotate all joints freely
    s) Respond rapidly to emergency situations
    t) Maneuver in small areas
    u) Perform daily care functions for the client
    v) Coordinate fine and gross motor hand movements to provide safe effective nursing care
    w) Calibrate/use equipment
    x) Execute movement required to provide nursing care in all health care settings
    y) Perform CPR and physical assessment
    z) Operate a computer

4) 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 care
   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

                                                                                                                   10
FAULKNER STATE COMMUNITY COLLEGE
                            NURSING PROGRAMS INFORMATION
                                   Revised January 2015
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. FSCC 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 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: The Dean of Student Development,
(251) 580-2180.

REQUIREMENTS FOR LICENSURE
The Alabama Board of Nursing will require applicants to answer the following questions when applying
to take the licensure examination at the conclusion of a nursing program of study. Eligibility to take the
examination is the decision of the ABN; graduation from an accredited school such as FSCC does not
ensure eligibility.

1.   Have you ever been arrested for, been charged with, been convicted of, entered a plea of guilty to,
     entered a plea of nolo contendre or no contest for, received deferred prosecution or adjudication
     for, had judgment withheld for, received pretrial diversion for, or pleaded not guilty by reason of
     insanity or mental defect to any crime other than a minor traffic violation in any state, territory, or
     country? A crime related to driving while impaired or while under the influence of any substance is
     not a “minor traffic violation.”
2.   In the past five years, have you abused alcohol, drugs (whether legal or illegal, prescribed or
     unauthorized), and/or other chemical substances or received treatment or been recommended for
     treatment for dependency to alcohol, drugs (whether legal or illegal, prescribed or unauthorized),
     and/or other chemical substances?
3.   Have you ever been arrested or convicted for driving under the influence of drugs/alcohol?
4.   In the past five years, have you had, or do you now have, a physical or mental health problem that
     may impair your ability to provide safe nursing care?
5.   Has the licensing authority of any state, territory, or country denied, revoked, suspended,
     reprimanded, fined, accepted your surrender of, restricted, limited, placed on probation, or in any
     other way disciplined your nursing and/or any other occupational license, registration, certification,
     or approval?
6.   Is the Board of Nursing or other licensing authority of any state, territory, or country, including but
     not limited to the Alabama Board of Nursing, currently investigating you?
7.   Is disciplinary action pending against you with the Board of Nursing or other licensing authority of
     any state, territory, or country, including but not limited to the Alabama Board of Nursing?
8.   Have you ever been placed on a state and/or federal abuse registry?
9.   Has any branch of the armed services ever administratively discharged you with any
     characterization of service besides “Honorable” and/or court-martialed you?

        A “yes” answer will not necessarily prevent you from eligibility but will require submission of an
           explanation accompanied by certified documents.

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