Associate Degree Nursing (ADN)


200 Building Entrance         Sim Lab


NURSING INFORMATION - Step by Step Process


Gainesville Campus


North Central Texas College's ADN program is approved by the Texas Board of Nursing and has full accreditation from the National League for Nursing Accrediting Commission. (NLNAC: 3343 Peachtree Rd NE Ste 850, Atlanta GA 30326 Telephone: (404) 975-500.  Program Learning Outcomes are the Differentiated Essential Competencies (DEC) as outlined by the Texas Board of Nursing.


Gaining Admission

Being admitted to North Central Texas College does NOT mean you are automatically admitted to the ADN program. To be officially admitted to the ADN program at NCTC, students must meet additional qualification requirements and carefully follow the step-by-step process described in Phase One and Phase Two below.



The following steps must be completed by ALL applicants before they will be considered for admission to the ADN program:

Step One:


Apply for Admission to NCTC through Apply Texas or print the NCTC Admissions Application in PDF format. Please submit your application as far in advance of registration as possible. Complete the college admission process as outlined on the NCTC web site.  Fill out and submit a Degree Audit/Transcript Evaluation form to the NCTC Admissions Office. This should be done a minimum of two months prior to applying to the nursing program.

Step Two:


Attend a pre-nursing advisement/information session. Times and locations of information sessions are updated and posted as changes occur on the Information Session link.   Applying for the Next Class has more detailed information regarding testing and a checklist of things to be gathered before entering the program.  Attendance is encouraged, but not mandatory. 

Step Three:


Once all admission requirements are met, you will be notified by the Registrar's Office of your acceptance to the college and will be ready to begin the process of registering for the prerequisite and support courses.  See the Associate Degree Nursing curriculum for a list of required courses.    



The following procedure is to be followed by applicants who have met all the requirements of Phase One and are asking for clearance to enroll in the ADN program.

Step One:


Once you have completed all items under PHASE ONE, you are ready to seek official admission to the ADN Program. First, you must complete and submit an Associate Degree Nursing Application to the ADN Program Office (in person) at the Gainesville campus.   Copies of transcripts from all colleges other than NCTC and a copy of the degree audit must be provided at the time the ADN Application is completed.  (The nursing office can print a copy of the NCTC transcript so it is not necessary to provide a copy). The application must be completed between:

•  May 1--June 1 for Fall Semester admission to the ADN Program


•  September 15 -- October 1  for Spring Semester admission

These nursing applications do NOT "carry over." If for any reason you are not admitted to the ADN Program after submitting your first nursing application, you must submit a new form in order to be considered again for admission.

Step Two:  


After you have completed Step One above, your transcripts will then be evaluated to determine priority points. Applicants will be ranked according to the priority points.


Step Three:  

All applicants who have submitted nursing applications will be notified of their enrollment status BY MAIL. Only a limited number of applicants with the highest Priority Point scores will receive letters stating that they are candidates to take the pre-admission exam (Kaplan).

Candidates with the highest pre-admission exam scores will be considered for admission to the Associate Degree Nursing Program. Candidates with the next highest exam scores will be listed as alternates. If any of those who have been admitted are not able to begin the program for that particular semester, the next highest scoring alternate will be admitted. Minimum passing score is 70%.  Any applicant (including alternates who did not get in) wishing to reapply the following semester must go through this admission procedure again in order to be considered for the upcoming semester. (The pre-admission exam may only be taken one time in any given semester--Potential students may not take the exam more than twice.)  Those students accepted for admission to the ADN Program will be registered in the first semester nursing courses.  

Step Four:

Those students selected for admission will need to have the following items: 


•  Physical Examination form signed by a physician certifying that the applicant has been examined thoroughly.
•  Proof of current CPR Certification (American Heart Association Health Care Provider) and required Immunizations

•  Proof of major medical insurance or accident insurance coverage.

• Students must also purchase malpractice insurance (costing approximately $18). This is added to the tuition/fees bill at registration. Malpractice insurance must be renewed each fall semester.

•  A student must have a valid social security number in order to enter the ADN program as clinical affiliations require valid Social Security numbers for Criminal Background checks

•  A Drug Screen and a Criminal Background Check will be required of all students.  


NOTE: Any student who has a history of mental illness or substance abuse must file paperwork with the Board of Nursing (BON) BEFORE applying to the ADN Program. Any student who has ever been arrested will need to submit a Petition for a Declaratory Order to the Board of Nursing and receive resolution from the BON prior to applying to the nursing program. Contact the ADN Program Director for more details.

Criminal background checks will be completed on all applicants to the program.   The following histories will disqualify an individual from consideration for clinical rotations.  

1) felony convictions, 2) misdemeanor convictions or felony deferred adjudications involving crimes against persons (personal or sexual), 3) felony deferred adjudications for the sale, possession, distribution, or transfer of narcotics or controlled substances, and 4) registered sex offenders. Applicants with these histories will not be accepted into the program.  

If a clinical agency does not allow a student to attend clinicals at their site, the student may be dropped from the program since they may not be able to meet the objectives of the program. 


About Transfer Credit


Admission by Transfer is considered on a space available basis. Applicants must meet all requirements of the nursing program in addition to those of North Central Texas College.   All college credits from other institutions will be evaluated on an individual basis to determine their possible application to the nursing curriculum requirements.   A letter grade of "C" (75) or better is required for transfer for all previous nursing courses and academic support courses.   Students who have not been academically successful in other nursing programs will not be considered for transfer.   Previous nursing courses must be from an accredited program of nursing. A transfer will not be considered if the student has missed a full semester of enrollment in a nursing program. The student must submit

  • •  A letter stating the reason for transfer
  • •  Course descriptions and/or course syllabi for previous nursing courses.
  • •  Resume of previous clinical experience to include documentation of skills provided by the faculty of the transferring school.
  • •  Letter of recommendation from the Department Head of the school from which the applicant is transferring.
  • •  Students will be evaluated on an individual basis by the Program Director to determine their level of entry.


To Earn Your Associate Degree

To successfully complete the ADN program, earn an Associate of Applied Science Degree and apply to take the state licensing exam for Registered Nurses, students at NCTC must complete a total of 60 semester credit hours -- 36 in Nursing courses and 24 in prerequisites and required support courses.  Transition students complete fewer hours due to credit given for LVN license. Remember that nursing courses are grouped in progressive levels of complexity, and students must successfully complete all course work in one level before progressing to the next. If students remain on the prescribed track, completing all coursework and clinicals required to graduate with an Associate Degree normally takes two years from the time they enroll in the first nursing course.  Failure to successfully complete the Clinical Math Exams will result in a clinical failure and dismissal from the nursing program. 


Succeeding In the ADN Program

Progression Criteria: To remain in good standing and progress within the ADN curriculum, students must:


•  Make a grade of "C" or higher in all required courses and maintain an overall grade point average of 2.0;

•  Have already taken the support courses required in the degree plan for that level or be enrolled concurrently

•  Maintain current CPR certification and immunization status.


Any student not satisfying these criteria will not be allowed to continue enrolling in ADN courses. However, when deficiencies are corrected, the student may be readmitted to the appropriate courses but ONLY on a space-available basis.


Grading Policy


Grades in classroom (non-clinical) work are based on numerical average with corresponding letter grades.  A grade of "C" or higher is required in ALL courses in the ADN curriculum.

90-100 = A           81-89 = B          75-80 = C          66-74 = D          65 or lower = F

Grades for clinical courses are based on performance in the clinical area and other assignments. Failure to successfully complete the Clinical Math Exams will result in clinical failure and dismissal from the nursing program.

About Clinicals

Applicants to the ADN Program should understand that clinical courses require students to travel to sites off the college campus. Clinical sites include, but are not limited to, hospitals and other health care facilities in Gainesville, Ardmore, Denton, Muenster, and Corinth.  Students must be prepared to drive to ANY of these locations for clinicals; sites close to your home are not always available.


Students who have an interruption in the normal progression of their nursing studies--whether by withdrawal from a nursing course or earning a grade lower than a "C" in a nursing course - will no longer be enrolled in the Associate Degree Nursing Program.  The ADN Admission, Progression, Advisement (APA) Committee considers appeals for readmission on an individual basis.  Refer to the NCTC Associate Degree Nursing Student Handbook for more detailed information about this procedure.

Cost Considerations for ADN Students

Summary of Costs:


The total per-semester cost of enrolling in the ADN Program at North Central Texas College is the sum of:  (1) tuition; (2) "combined" student fees; (3) laboratory fees; (4) textbooks; (5) supplies & incidentals; and (6) nursing kits. Except for items 5 and 6, charges are figured just as they are for all other students. However, ADN students should be aware that, due to the special nature of the program, expenses in categories 3-6 will probably be considerably higher than those paid by students in most other majors. Estimated cost for the entire Associate Degree Nursing portion of the program is approximately $10,000.

Laboratory Fees:


These are extra fees charged for all courses requiring a lab (in addition to the classroom lecture). For ADN students, a lab fee of $24 will also be charged for each clinical course. Lab fees for other non-nursing science courses are normally $24.  



Nursing textbooks are highly specialized medical books and can be expensive. You will spend as much as $1100 for books for the program.You'll buy all of your nursing books during the first semester. Therefore, book costs will be considerably less in later semesters of the ADN portion of the program.

Supplies & Incidentals:


Once admitted to the program, ADN students will need to buy uniforms, patches, a lab coat, shoes, stethoscope, and skills kit.  A good wristwatch with second hand is essential. Also, the student will need normal school supplies, and other costs will include such items as major medical insurance, physical examination (including immunizations), Hepatitis B vaccine, CPR training, assessment test fees, graduation fees, state board fees, and school pin. Additional fees for Malpractice Insurance and Drug Screening will be added to the tuition/fees bill.  Additional costs may include Criminal Background Testing and a State Board Review Course. Most of these expenses occur at the beginning of the program so expect the first semester to cost around $3500.  A computer with internet access, printer, ink, and computer paper are a necessity during the nursing program.

NOTE: All tuition rates, fees and other elements of expense for attending North Central Texas College are subject to change by the NCTC Board of Regents. 



ADN students completing requirements for their Associate of Applied Science Degree are highly encouraged, as are all graduates, to participate in the college's formal commencement ceremonies.


Graduates may apply to take the National Council Licensure Examination for Registered Nurses (NCLEX-RN) which is  administered by the Texas Board of Nursing. Graduates must pass the state-mandated jurisprudence with a minimum grade of 75 before applying for the NCLEX-RN.  Graduates become Registered Nurses after passing the exam.  NCTC ADN graduates are encouraged to  continue nursing education toward a bachelor's degree or higher. 

Department of Health Sciences



Nursing Pin


Associate Degree Nursing Program

North Central Texas College

1525 West California Street

Gainesville , Texas   76240 - 4699

Telephone:   940/668-4264




North Central Texas College does not discriminate against or exclude from participation in any of its programs or activities, either in the student body or the staff, any person on the grounds of sex, race, color, religion, age, handicap, national origin or veteran status. Special emphasis will continue to be placed on correcting conditions which may inadvertently discriminate against any individual with a disability.