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Blizzard}{\creatim\yr2007\mo3\dy19\hr14\min57}{\revtim\yr2007\mo3\dy19\hr14\min57} {\printim\yr2005\mo11\dy10\hr15\min18}{\version2}{\edmins1}{\nofpages12}{\nofwords446}{\nofchars2544}{\*\company Bellarmine University}{\nofcharsws2985}{\vern24579}}\margl720\margr720\margt576\margb720 \widowctrl\ftnbj\aenddoc\noxlattoyen\expshrtn\noultrlspc\dntblnsbdb\nospaceforul\hyphcaps0\horzdoc\dghspace120\dgvspace120\dghorigin1701\dgvorigin1984\dghshow0\dgvshow3\jcompress\viewscale100\nolnhtadjtbl\rsidroot736229 \fet0\sectd \psz1\sbknone\linex0\headery475\sectdefaultcl\sectrsid736229\sftnbj {\*\pnseclvl1\pnucrm\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl2\pnucltr\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl3\pndec\pnstart1\pnindent720\pnhang {\pntxta .}} {\*\pnseclvl4\pnlcltr\pnstart1\pnindent720\pnhang {\pntxta )}}{\*\pnseclvl5\pndec\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl6\pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta 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\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\i\f1\fs20\insrsid3166306\charrsid6765576 KRS Laws Governing Denial of Licens ure as a Registered Nurse: The Applicant is 1) }{\b\i\f1\fs20\ul\insrsid3166306\charrsid6765576 NOT}{\b\i\f1\fs20\insrsid3166306\charrsid6765576 eligible for the NCLEX examination or Licensure if convicted of a felony within five (5) years of filing; or, misdemeanor within two (2) years of filing; 2) Notice to deny Licensure shall be issued; and, 3 ) a hearing may be requested. 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\cellx8154\clvertalt \clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx9531\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx10908\row }\pard\plain \s30\qc \li0\ri0\nowidctlpar\intbl\tx204\faauto\rin0\lin0\pararsid6765576\yts46 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\insrsid13046331 \par ______}{\f1\fs20\insrsid13046331\charrsid6765576 \cell }{\f1\fs20\insrsid13046331 \par }{\f1\fs20\insrsid13046331\charrsid6765576 BIOL 108\cell }\pard \s30\qc \li0\ri0\nowidctlpar\intbl\tx204\faauto\rin0\lin0\pararsid3670445\yts46 {\f1\fs20\insrsid13046331 \par ______}{\f1\fs20\insrsid13046331\charrsid6765576 \cell }{\f1\fs20\insrsid13046331 \par ______}{\f1\fs20\insrsid13046331\charrsid6765576 \cell }{\f1\fs20\insrsid13046331 \par ______}{\f1\fs20\insrsid13046331\charrsid6765576 \cell }\pard \s30\qc \li0\ri0\nowidctlpar\intbl\tx204\faauto\rin0\lin0\pararsid6765576\yts46 {\f1\fs20\insrsid13046331 \par }{\f1\fs20\insrsid13046331\charrsid6765576 BIOL 109\cell }\pard \s30\qc \li0\ri0\nowidctlpar\intbl\tx204\faauto\rin0\lin0\pararsid3670445\yts46 {\f1\fs20\insrsid13046331 \par ______}{\f1\fs20\insrsid13046331\charrsid6765576 \cell }{\f1\fs20\insrsid13046331 \par ______}{\f1\fs20\insrsid13046331\charrsid6765576 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\insrsid13046331\charrsid6765576 \trowd \irow1\irowband1\ts46\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol \clvertalt\clbrdrt\brdrtbl \clbrdrl \brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx1269\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx2646\clvertalt\clbrdrt \brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx4023\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx5400 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx6777\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx8154\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx9531\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx10908\row }\pard\plain \s30\qc \li0\ri0\nowidctlpar\intbl\tx204\faauto\rin0\lin0\pararsid3670445\yts46 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\insrsid16331205 \par ______}{\f1\fs20\insrsid16331205\charrsid6765576 \cell }\pard \s30\qc \li0\ri0\nowidctlpar\intbl\tx204\faauto\rin0\lin0\pararsid6765576\yts46 {\f1\fs20\insrsid16331205 \par }{\f1\fs20\insrsid16331205\charrsid6765576 ENG 101\cell }\pard \s30\qc \li0\ri0\nowidctlpar\intbl\tx204\faauto\rin0\lin0\pararsid3670445\yts46 {\f1\fs20\insrsid16331205 \par ______}{\f1\fs20\insrsid16331205\charrsid6765576 \cell }{\f1\fs20\insrsid16331205 \par ______}{\f1\fs20\insrsid16331205\charrsid6765576 \cell }{\f1\fs20\insrsid16331205 \par ______}{\f1\fs20\insrsid16331205\charrsid6765576 \cell }\pard \s30\qc \li0\ri0\nowidctlpar\intbl\tx204\faauto\rin0\lin0\pararsid6765576\yts46 {\f1\fs20\insrsid16331205 \par FR SEM}{\f1\fs20\insrsid16331205\charrsid6765576 \cell }\pard \s30\qc \li0\ri0\nowidctlpar\intbl\tx204\faauto\rin0\lin0\pararsid3670445\yts46 {\f1\fs20\insrsid16331205 \par ______}{\f1\fs20\insrsid16331205\charrsid6765576 \cell }{\f1\fs20\insrsid16331205 \par ______}{\f1\fs20\insrsid16331205\charrsid6765576 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\insrsid16331205\charrsid6765576 \trowd \irow2\irowband2\ts46\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol \clvertalt\clbrdrt\brdrtbl \clbrdrl \brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx1269\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx2646\clvertalt\clbrdrt \brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx4023\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx5400 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx6777\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx8154\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx9531\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx10908\row }\pard\plain \s30\qc \li0\ri0\nowidctlpar\intbl\tx204\faauto\rin0\lin0\pararsid3670445\yts46 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\insrsid16331205 \par ______}{\f1\fs20\insrsid16331205\charrsid6765576 \cell }\pard \s30\qc \li0\ri0\nowidctlpar\intbl\tx204\faauto\rin0\lin0\pararsid6765576\yts46 {\f1\fs20\insrsid16331205 \par }{\f1\fs20\insrsid16331205\charrsid6765576 PSY 101\cell }\pard \s30\qc \li0\ri0\nowidctlpar\intbl\tx204\faauto\rin0\lin0\pararsid3670445\yts46 {\f1\fs20\insrsid16331205 \par ______}{\f1\fs20\insrsid16331205\charrsid6765576 \cell }{\f1\fs20\insrsid16331205 \par ______}{\f1\fs20\insrsid16331205\charrsid6765576 \cell }{\f1\fs20\insrsid16331205 \par ______}{\f1\fs20\insrsid16331205\charrsid6765576 \cell }\pard \s30\qc \li0\ri0\nowidctlpar\intbl\tx204\faauto\rin0\lin0\pararsid6765576\yts46 {\f1\fs20\insrsid16331205 \par PSY 218}{\f1\fs20\insrsid16331205\charrsid6765576 \cell }\pard \s30\qc \li0\ri0\nowidctlpar\intbl\tx204\faauto\rin0\lin0\pararsid3670445\yts46 {\f1\fs20\insrsid16331205 \par ______}{\f1\fs20\insrsid16331205\charrsid6765576 \cell }{\f1\fs20\insrsid16331205 \par ______}{\f1\fs20\insrsid16331205\charrsid6765576 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\insrsid16331205\charrsid6765576 \trowd \irow3\irowband3\ts46\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol \clvertalt\clbrdrt\brdrtbl \clbrdrl \brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx1269\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx2646\clvertalt\clbrdrt \brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx4023\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx5400 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx6777\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx8154\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx9531\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx10908\row }\pard\plain \s30\qc \li0\ri0\nowidctlpar\intbl\tx204\faauto\rin0\lin0\pararsid3670445\yts46 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\insrsid16331205 \par ______}{\f1\fs20\insrsid16331205\charrsid6765576 \cell }\pard \s30\qc \li0\ri0\nowidctlpar\intbl\tx204\faauto\rin0\lin0\pararsid6765576\yts46 {\f1\fs20\insrsid16331205 \par }{\f1\fs20\insrsid16331205\charrsid6765576 FR FOCUS\cell }\pard \s30\qc \li0\ri0\nowidctlpar\intbl\tx204\faauto\rin0\lin0\pararsid3670445\yts46 {\f1\fs20\insrsid16331205 \par ______}{\f1\fs20\insrsid16331205\charrsid6765576 \cell }{\f1\fs20\insrsid16331205 \par ______}{\f1\fs20\insrsid16331205\charrsid6765576 \cell }{\f1\fs20\insrsid16331205 \par ______}{\f1\fs20\insrsid16331205\charrsid6765576 \cell }\pard \s30\qc \li0\ri0\nowidctlpar\intbl\tx204\faauto\rin0\lin0\pararsid6765576\yts46 {\f1\fs20\insrsid16331205 \par NURS 200}{\f1\fs20\insrsid16331205\charrsid6765576 \cell }\pard \s30\qc \li0\ri0\nowidctlpar\intbl\tx204\faauto\rin0\lin0\pararsid3670445\yts46 {\f1\fs20\insrsid16331205 \par ______}{\f1\fs20\insrsid16331205\charrsid6765576 \cell }{\f1\fs20\insrsid16331205 \par ______}{\f1\fs20\insrsid16331205\charrsid6765576 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\insrsid16331205\charrsid6765576 \trowd \irow4\irowband4\ts46\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol \clvertalt\clbrdrt\brdrtbl \clbrdrl \brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx1269\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx2646\clvertalt\clbrdrt \brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx4023\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx5400 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx6777\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx8154\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx9531\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx10908\row }\pard\plain \s30\qc \li0\ri0\nowidctlpar\intbl\tx204\faauto\rin0\lin0\pararsid3670445\yts46 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\insrsid16331205 \par ______}{\f1\fs20\insrsid16331205\charrsid6765576 \cell }\pard \s30\qc \li0\ri0\nowidctlpar\intbl\tx204\faauto\rin0\lin0\pararsid6765576\yts46 {\f1\fs20\insrsid16331205 \par }{\f1\fs20\insrsid16331205\charrsid6765576 WEST. EXP. \cell }\pard \s30\qc \li0\ri0\nowidctlpar\intbl\tx204\faauto\rin0\lin0\pararsid3670445\yts46 {\f1\fs20\insrsid16331205 \par ______}{\f1\fs20\insrsid16331205\charrsid6765576 \cell }{\f1\fs20\insrsid16331205 \par ______}{\f1\fs20\insrsid16331205\charrsid6765576 \cell }{\f1\fs20\insrsid16331205 \par ______}{\f1\fs20\insrsid16331205\charrsid6765576 \cell }\pard \s30\qc \li0\ri0\nowidctlpar\intbl\tx204\faauto\rin0\lin0\pararsid6765576\yts46 {\f1\fs20\insrsid16331205\charrsid6765576 \cell \cell \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\insrsid16331205\charrsid6765576 \trowd \irow5\irowband5 \ts46\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx1269\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx2646\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx4023\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx5400\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx6777\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx8154\clvertalt \clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx9531\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx10908\row }\pard\plain \s30\qc \li0\ri0\nowidctlpar\intbl\tx204\faauto\rin0\lin0\pararsid3670445\yts46 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\insrsid16331205 \par ______}{\f1\fs20\insrsid16331205\charrsid6765576 \cell }\pard \s30\qc \li0\ri0\nowidctlpar\intbl\tx204\faauto\rin0\lin0\pararsid6765576\yts46 {\f1\fs20\insrsid16331205 \par NURS 110}{\f1\fs20\insrsid16331205\charrsid6765576 \cell }\pard \s30\qc \li0\ri0\nowidctlpar\intbl\tx204\faauto\rin0\lin0\pararsid3670445\yts46 {\f1\fs20\insrsid16331205 \par ______}{\f1\fs20\insrsid16331205\charrsid6765576 \cell }{\f1\fs20\insrsid16331205 \par ______}{\f1\fs20\insrsid16331205\charrsid6765576 \cell }{\f1\fs20\insrsid16331205 \par ______}{\f1\fs20\insrsid16331205\charrsid6765576 \cell }\pard \s30\qc \li0\ri0\nowidctlpar\intbl\tx204\faauto\rin0\lin0\pararsid6765576\yts46 {\f1\fs20\insrsid16331205\charrsid6765576 \cell \cell \cell }\pard\plain \ql 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\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx6777\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx8154\clvertalt \clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx9531\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1377\clshdrawnil \cellx10908\row }\pard\plain \s30\ql \li0\ri0\nowidctlpar\tx204\faauto\rin0\lin0\itap0\pararsid16135664 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid6765576\charrsid11534804 \par }\pard\plain \s29\ql \li0\ri0\sl480\slmult1\nowidctlpar\brdrb\brdrs\brdrw30 \tx1440\tx2880\tx5805\tx7245\faauto\rin0\lin0\itap0\pararsid6899786 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid9579665\charrsid9579665 __________________________________________________________________________________________}{\fs22\insrsid3166306\charrsid9579665 \line }{\b\f1\fs22\insrsid4791500\charrsid16212336 }{\b\f1\insrsid11534804\charrsid16212336 List any experiences you have had as a volunteer or through full or part time employment.}{\b\f1\insrsid6899786\charrsid16212336 \par }{\f1\insrsid2716418 \par \par \par \par \par \par \par }\pard\plain \s39\ql \li0\ri0\sl-459\slmult0\nowidctlpar\tx204\faauto\outlinelevel0\rin0\lin0\itap0\pararsid1470343 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\f1\insrsid10973734\charrsid12994009 Explain why you have chosen a nursing career. \par }\pard \s39\ql \li0\ri0\sl-459\slmult0\nowidctlpar\tx204\faauto\rin0\lin0\itap0 {\f1\insrsid10973734 \par }{\f1\insrsid2716418 \par \par \par \par \par \par }\pard\plain \ql \li0\ri0\sl-459\slmult0\nowidctlpar\tx204\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\insrsid7961142\charrsid2061073 \tab \tab \tab \tab \tab \tab \tab \tab }{\f1\insrsid3166306\charrsid2061073 \par }\pard \ql \li0\ri0\nowidctlpar\tx5045\faauto\rin0\lin0\itap0 {\insrsid3166306 \par }{\insrsid16212336 \par \par \par }\trowd \irow0\irowband0\lastrow \ts46\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr \brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth11016\clshdrawnil \cellx10908\pard\plain \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0\pararsid3103667\yts46 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\fs16\insrsid16212336\charrsid16212336 \par }{\b\f1\fs16\insrsid16212336\charrsid16212336 Have you ever been convicted of a misdemeanor? }{\b\f1\fs48\insrsid16212336\charrsid16212336 \u9633\'3f }{\b\f1\fs16\insrsid16212336\charrsid16212336 No }{\b\f1\fs48\insrsid16212336\charrsid16212336 \u9633 \'3f }{\b\f1\fs16\insrsid16212336\charrsid16212336 Yes Year ____________ Signature _______________________________ \par }{\b\fs16\insrsid16212336\charrsid16212336 \par }{\b\f1\fs16\insrsid16212336\charrsid16212336 Have you ever been convicted of a felony? }{\b\f1\fs48\insrsid16212336\charrsid16212336 \u9633\'3f }{\b\f1\fs16\insrsid16212336\charrsid16212336 No }{ \b\f1\fs48\insrsid16212336\charrsid16212336 \u9633\'3f }{\b\f1\fs16\insrsid16212336\charrsid16212336 Yes Year ____________ Signature _______________________________ \par }{\b\fs16\insrsid16212336\charrsid16212336 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\fs16\insrsid16212336\charrsid16212336 \trowd \irow0\irowband0\lastrow \ts46\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr \brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth11016\clshdrawnil \cellx10908\row }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0\pararsid16212336 {\b\fs16\insrsid16212336\charrsid16212336 \par }{\b\f1\fs20\insrsid16212336\charrsid16212336 If marked yes to either of the above statements, all official court record(s) must be forwarded to the School of Nursing prior to any further review of your application. These official documents should be forwarded to Ms. Nettie Wilson, Faculty Secretary , at 2001 Newburg Road, Louisville, KY 40205. \par }\pard \ql \li0\ri0\nowidctlpar\tx5045\faauto\rin0\lin0\itap0 {\insrsid16212336 \par \par \par \par \par \par \par \par \par }{\insrsid3801855 \tab _____________________________\tab }{\insrsid16212336 \par }\pard\plain \s44\ql \li5046\ri0\nowidctlpar\tx5045\faauto\outlinelevel0\rin0\lin5046\itap0\pararsid1470343 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\f1\insrsid3801855\charrsid16212336 Applicant\rquote s signature and date \par }\pard\plain \ql \li0\ri0\nowidctlpar\tx5045\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid16212336 \par \par \par \par }\pard\plain \s21\ql \li0\ri0\sl-249\slmult0\nowidctlpar\tx204\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22\insrsid3166306\charrsid2061073 FOR THE BACCALAUREATE ADMISSION, PROGRESSION, AND GRADUATION, COMMITTEE of the Lansing School of Nursing and Health Sciences \par }\pard\plain \s45\ql \li0\ri0\nowidctlpar\tqdec\tx153\tx447\tx2902\faauto\outlinelevel0\rin0\lin0\itap0\pararsid1470343 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22\insrsid3166306\charrsid2061073 \tab [}{ \f1\fs22\insrsid2061073\charrsid2061073 }{\f1\fs22\insrsid3166306\charrsid2061073 ]\tab Approved\tab }{\f1\fs22\insrsid7961142\charrsid2061073 [}{\f1\fs22\insrsid2061073\charrsid2061073 }{\f1\fs22\insrsid7961142\charrsid2061073 ]}{ \f1\fs22\insrsid3166306\charrsid2061073 Deferred}{\f1\fs22\insrsid2061073\charrsid2061073 w/ explanation}{\f1\fs22\insrsid7961142\charrsid2061073 \tab \tab \tab [}{\f1\fs22\insrsid2061073\charrsid2061073 }{\f1\fs22\insrsid7961142\charrsid2061073 ] Denied \par }\pard\plain \s43\ql \li0\ri0\sl-249\slmult0\nowidctlpar\tqdec\tx153\tx447\tx2902\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\f1\fs22\insrsid7961142\charrsid2061073 \tab \tab \tab \tab \tab }{ \b\f1\fs22\insrsid3166306\charrsid2061073 \line }{\b\insrsid7961142 \par }\pard \s43\ql \li0\ri0\sl-249\slmult0\nowidctlpar\tqdec\tx153\tx447\tx2902\faauto\outlinelevel0\rin0\lin0\itap0\pararsid1470343 {\f1\fs22\insrsid7961142\charrsid2061073 APG Committee Chairperson or designated representative: ________________________________ \par }\pard \s43\ql \li0\ri0\sl-249\slmult0\nowidctlpar\tqdec\tx153\tx447\tx2902\faauto\rin0\lin0\itap0 {\f1\fs22\insrsid7961142\charrsid2061073 \par \tab \tab \tab \tab \tab \tab }{\f1\fs22\insrsid4615228 }{\f1\fs22\insrsid7961142\charrsid2061073 ________________________________ \par }{\f1\insrsid7961142\charrsid2061073 date \par }\pard\plain \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\fs16\insrsid16664423 \par }{\f1\fs16\insrsid2061073\charrsid16743662 Updated: }{\f1\fs16\insrsid16743662 11}{\f1\fs16\insrsid2061073\charrsid16743662 /}{\f1\fs16\insrsid16743662 10}{\f1\fs16\insrsid2061073\charrsid16743662 /2005 \par }}