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Excelsior college verification form

Verification of Health Care Experience (Associate Degree in Nursing) 2025

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The document outlines the requirements for applicants to the Associate Degree in Nursing program at Excelsior University, specifically focusing on the verification of health care experience. It mandates that applicants submit a signed form confirming their current employment in a nursing-related role, detailing their job responsibilities and hours worked within the past year. Additionally, it requires supervisor verification to ensure compliance with program standards.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out the 'Applicant/Student Information' section. Enter your name, email, address, and phone number accurately to ensure proper communication.
In the 'Applicant/Student Work Experience' section, provide details about your current position and organization. Select your credential type from LPN/LVN, Paramedic, or Military.
Indicate the hours worked in your nursing-related role within the past year. This is crucial for verifying your eligibility.
Describe the patient care you provide in detail. This helps demonstrate your hands-on experience and aligns with program requirements.
Sign and date the form in the 'Applicant/Student Signature' section to confirm that all information is accurate and truthful.
Finally, ensure your supervisor completes their section by signing and providing their credentials. This verification is essential for approval.

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Versions	Form popularity	Fillable & printable
2022	4.8 Satisfied (87 Votes)
2021	4.4 Satisfied (60 Votes)
2019	4.1 Satisfied (57 Votes)

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What score do I need to pass my TEAS test?

Grade Point Average Excelsior requires an overall 2.0 GPA for completion of an undergraduate degree and an overall 3.0 GPA for completion of a graduate degree and graduate certificates.

What score do you need on the Excelsior College TEAS test?

In a single attempt, you must complete Reading, Mathematics, Science and English and earn a minimum composite score of 58.7%.

What is the TEAS score for Excelsior University?

What TEAS Score Do You Need for Nursing School? InstitutionMinimum TEAS requirement for admission Excelsior College Minimum Composite Score of 58.7% Western Governors University Minimum Composite Score of 60%; Minimum Reading Content Area Score of 60%3 more rows