NURSING
DIVISION
LPN
CAREER MOBILITY EXAMINATION REGISTRATION FORM
The Roane State Community College LPN Career
Mobility program is designed to facilitate the achievement of a registered
nurse level education by LPN’s who qualify for admission. LPN’s who wish to qualify for the program are
required to pass a proficiency test which includes: fundamentals of nursing
You may take the
proficiency exam prior to LPN licensure, but must have an active LPN license
prior to acceptance into the program. On
the day of the examination, you will be required to present an active Tennessee
Practical Nurse license or a signed letter from your LPN program
director stating you are eligible to sit for the LPN licensure exam. Your ID will be verified before being
admitted to the examination. You should
arrive 15 minutes before test to sign in.
Admission to the
LPN Career Mobility program is not automatic.
You must complete the application to the college and to the nursing
program in order to be considered. Academic qualifications as well as test
scores will be considered in the selection process.
Exams will be given on
____ April
12, 2010 1:00 p,m. EST. on the Roane County Campus, Dunbar Building in room D-
107 Please arrive by 12:45 for
processing.
____ April 20, 2010 9:00 a.m. EST. on the Oak Ridge Campus, Room B
– 112 Please
arrive by 8:45 for processing.
Space is
limited. In order to be admitted to the
test, you must submit a copy of this form with your preferred date marked and a
check or money order for $30.00 payable to Roane State Community
College. Return the form to: Roane
State Community College, Business Office, and 276 Patton Lane, Harriman,
Tennessee 37748.
Form must be returned by April 6, 2010. We cannot give reimbursements or apply the
fee to the next test.
For additional information,
contact the Nursing Department at 1-800-GO2-RSCC EXT. 4608 or (865)
882-4608. After payment is received,
your name will be placed on the list to take the examination.
Name:
___________________________ Phone Number
( ) _____-______
Student ID# Number __________________ Email address _____________________
Address______________________________________________________________________
City State Zip Code
Business Office Use
Only Receipt
#: __________________
Received:
__________________ Account: 1-16210-0711