You must have JavaScript enabled to use this form. Required fields are marked with an asterisk '*'. Date * Student ID # * Enter 7 digit ID Number Contact Information * Name * Full legal name including first name, middle initial, and last name CravenCC Student Email Address * You must include your Craven Community College email address. Using an email other than your official college student email may delay your application Phone * Mailing Address * street address City/Town State ZIP/Postal Code * Additional Last Names Enter any additional last names that you have used Alternate Email Address Alternate Phone Number What city/state are you currently living in? Where did you graduate with your PN Diploma/Certificate? * NC PN License number * Enter your NC PN license number. If you have not taken the exam, please submit a test date if known, otherwise enter n/a If you do not have your LPN at this time, you must have your NC LPN license during the application timeline. Please see the TADN timeline for dates and deadlines. Do you understand? * Yes No Have you previously applied to any other health programs at Craven Community College * Yes No When and Which Program have you previously applied to? Have you completed, with a C or above, or are you currently taking the following classes: *required by 12/31/2022 ACA 111/118/122 College Success * Yes No ENG-111 (Writing and Inquiry) * Yes No BIO-168 (Anatomy and Physiology I) * Yes No PSY-150 (General Psychology) * Yes No What year did you take BIO 168? Have you taken a high school or college level chemistry with a C or better? * Yes No Year Graduation High School / GED Earned * List all post-secondary institutions attended * Do you have a bachelor's degree? * Yes No What institute did you receive your bachelor degree from? Have you sent Craven CC all of your official high school and/or GED transcripts? * Yes No Have you sent Craven CC all of your official college transcripts? * Yes No Please send your official transcripts as soon as possible. This is an application requirement Are you CPR certified (American Heart Association Basic Life Support Provider)? * Yes No Are you an EMT? * Yes No Are you a Certified Medical Assistant? * Yes No Have you taken the TEAS test before? * Yes No I understand that I must submit TEAS scores from the past 12 months (See TADN Dates and deadlines for specific dates) * I understand that I if I have not taken the TEAS within the last 12 months or wish to retake it, I will need to test during the application period and can only test once during this time. * I understand that it is my responsibility to send all official transcripts to the Registrar at Craven Community College so that my application can be processed. * Leave this field blank