Application form 2026

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The document outlines the application process for the Fall 2020 LPN to RN Bridge program at Lane Community College, specifically focusing on the verification of Licensed Practical Nursing work experience. It requires applicants to provide details about their employment, including hours worked and job duties, and mandates that verification forms be submitted by employers. The document emphasizes the need for accurate information and specifies submission instructions.

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How to use or fill out the Fall 2020 LPN to RN Bridge Application

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Click ‘Get Form’ to open it in the editor.
Begin by entering your name, license number, email, and phone number in the designated fields. Ensure all information is accurate for verification purposes.
Fill in your employer's name and address where you earned your LPN hours. This is crucial for validating your work experience.
Indicate the total number of LPN work experience hours and your job title. Be precise as this impacts your application eligibility.
Provide a detailed description of your job duties. Use clear language to outline responsibilities that demonstrate your nursing skills.
Sign and date the form at the bottom. Your signature authorizes Lane Community College to verify the provided information.
If applicable, have your employer complete their section, ensuring they verify the accuracy of your submitted details.

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Versions	Form popularity	Fillable & printable
2020	4.9 Satisfied (25 Votes)
2019	4.2 Satisfied (67 Votes)

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