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Includes instructions for completing a background check without payment, explains how criminal findings can affect clinical placement and employability, and references Washington State crime list sources. Provides guidance for Washington State Patrol Child/Adult Abuse Information clearance, clarifying purpose, limits on record use, and requirements for practicum participation. 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Do not include Green River College if you are/were a student.  \nCollege  \nCollege  \nCollege  \nPierce College  \nHighline College  \n ✔  Electronically  Electronically  \n Electronically  \n Mail  ✔  Mail  Mail  \n In-Person  \n In-Person  \n In-Person  \nACTION REQUIRED Submit online Transcript Evaluation Request form, located [at greenriver.edu/otr](at greenriver.edu/otr).  \nApplication Bonus Points  \nYou can earn up to 10 bonus points on your application. To receive bonus points you must check the box next to each applicable item below and include supporting documents when relevant.  \n✔  \nUnder-Represented Person in Nursing (1)  \nBlack, Indigenous, Person of Color, LGBTQIA+, Male, Financially Disadvantaged Background. Military or Veteran (1)  \nMust include DD214 or DD215 with application materials to receive point.  \nMultilingual (1)  \nLanguages must be noted on your resume to receive point.  \n✔  \n1st Generation Student (1)  \nGraduate of a Green River College Nursing Certificate Program (5)  \nInclude your unofficial transcript with your application materials.  \nFormer or current registered member of Green River's Nurse Org student club (1) .  \n1 of 9  \nApplication  \nASSOCIATE OF APPLIED SCIENCE  \nPRACTICAL NURSING  \nBACKGROUND CHECK  \nFirst Name  \nLast Name  \nPrior Alias(es)  \nSally  \nStudent  \nMiddle Name  \nDate Of Birth  \nM  \nD D M M Y Y  \nSally Little  \nThe following section must be completed and turned in with your application. Do not pay to run the background check. We will contact you when it is appropriate for us to run a background check. Clinical fieldwork is integrated throughout the program and is required for all students. Placement can occur but is not limited to, the following settings: long-term care, rehabilitation care, outpatient clinics, school districts, pediatric clinics, hospitals, and home health. Disqualifying factors on a criminal background check limits or prevents Community Lab/clinical placement and employability. If you have cause for concern regarding your criminal history outcome or any charges related to vulnerable populations (i.e., children, vulnerable adults), contact the  Department of Health to receive clarification about the background as it pertains to licensure. Final admission to the program is dependent upon the results of this background check. See Washington State DSHS Secretary’s List of Crimes and Negative Actions.  \nCHILD/ADULT ABUSE INFORMATION ACT RCW 43.43.830 THROUGH 43.43.845  \nAll students who will be placed in practicum education sites for Green River College's nursing programs are requested to complete the below, Washington State Patrol Abuse Clearance section. The purpose of this abuse clearance is to ensure the safety and well-being of patients, clients, and children who come into contact with students. Practicum education sites are expecting that Green River students will not pose undue risks to the safety of patients/children.  \nThe Washington State Patrol, abuse clearance request, is for the following: “Child/Adult Abuse Information: Response limited to convictions against children or other persons, dependency proceedings, abuse of vulnerable a","cbCaibiZsmtWot22","https://ap.wps.com/l/cbCaibiZsmtWot22","pdf",1972011,"English","# Applicant Information\n## Transcripts Submitted for Evaluation\n## Application Bonus Points\n## Background Check\n## Child/Adult Abuse Information Act RCW 43.43.830 Through 43.43.845\n## Acknowledgment","[{\"question\":\"What information is required in the LPN application form?\",\"answer\":\"The packet requests applicant personal details such as name, address, phone, and email, along with required signatures and supporting materials where applicable.\"},{\"question\":\"How are transcripts submitted and evaluated for admission?\",\"answer\":\"Applicants must list all official transcripts submitted for evaluation and submit the required Transcript Evaluation Request form online.\"},{\"question\":\"What are the background check and abuse clearance requirements for practicum placement?\",\"answer\":\"The background check section must be completed and turned in, and students must complete the Washington State Patrol Child/Adult Abuse Information clearance. Clinical and practicum participation require proof of these clearances, and adverse criminal findings can restrict or prevent placement.\"}]","Green River College Nursing Practical Nursing LPN Application Packet - Application | PDF",1789290221,6]