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College & Training

Following your Balanced route → Registered Nurse (ADN) — Medical-Surgical or ER

Step 1 · Do you need college?

Not right away. You need an associate degree by year 2 to become an RN.

The first two stages — CNA and PCT — need no college at all, just a state exam and on-the-job experience. The ADN (associate degree in nursing) is the required credential to sit for the NCLEX-RN and work as a registered nurse, so you will need those two years of community college nursing school.

  • What you need: No degree on this route. Certificates or classes along the way.
  • How long: About 4 years to Registered Nurse (ADN) — Medical-Surgical or ER.
  • Earn while you learn: Your first stage pays: $14–17/hr as Certified Nursing Assistant (CNA).
Your route ends atRegistered Nurse (ADN) — Medical-Surgical or ER · ~4 years
Education along your route
  1. 1
    Certified Nursing Assistant (CNA)
    ~3–6 months$14–17/hr
    TN CNA exam; may be eligible before June 2027 graduation if Health Science class is state-approved. Start applying to UT Medical Center, Tennova or Covenant Hea
    Certificate
  2. 2
    Patient Care Technician (PCT) — hospital
    ~1.5 years$16–20/hr
    Hospital PCT roles at UT Medical Center or Tennova often come with tuition assistance for nursing students. Apply for TN Reconnect Grant and FAFSA before ADN st
    On the job
  3. 3
    ADN Nursing Student (enrolled)
    ~2 years$16–20/hr (continuing PCT work)
    Pellissippi State ADN program (2-year, NCLEX-pass rates above state average). Entrance requires Anatomy & Physiology I and II, Microbiology, and a TEAS score. B
    Classes
  4. 4
    Registered Nurse (ADN) — Medical-Surgical or ER
    ~4 years$30–37/hr ($62,000–$77,000/yr)
    Pass NCLEX-RN. Bilingual (English/Spanish) RNs are actively recruited at UT Medical Center and Tennova hospitals — may command a higher starting rate.
    On the job

From your route on Career Paths. Pay is an estimate; education needs are typical for each role, not rules.

2Pick a path

Three ways to get the education your route needs. Pick one and the rest of this page follows it. EstimateBuilt for the Balanced route

Your choice · best fit

CNA now → PCT → ADN at community college

First paycheckMonth 3-6
How long2 years (ADN portion, after CNA/PCT pha…
Est. cost$6k-$12k total
To your goal~4-5 years
Your pay covers the cost in2–4 months

This is exactly the route you chose: earn your CNA fast, get hired as a PCT with hospital tuition assistance, then complete the ADN program — all while earning income. TN Reconnect Grant and FAFSA can cover most or all of the community college cost.

First step: Check whether your Health Science CNA unit at Riverbend is state-approved for the TN CNA exam — ask your teacher this week so you can test before or right after graduation.
See your plan
Certificate

CNA certificate program → work → ADN later

First paycheckMonth 2-3
How long4-8 weeks (CNA certificate)
Est. cost$800-$1,800 (CNA only)
To your goal~5-6 years
Your pay covers the cost in<1 month

If your high school class does not qualify you for the TN CNA exam directly, a short standalone CNA certificate gets you working fast. You still need the ADN later, so this adds a little time but gets income started quickly.

First step: Search 'TN state-approved CNA programs Knoxville' on the Tennessee Department of Health website to find programs that start after your graduation in 2027.
4-Year University

BSN direct-entry after high school

First paycheckYear 4-5
How long4 years
Est. cost$15k-$40k/yr
To your goal~5-6 years
Your pay covers the cost inabout 1.9–5 years

A BSN opens doors to leadership and specialty roles faster, and bilingual BSN nurses are in high demand. However, it costs significantly more and delays your first nursing paycheck by four years — the ADN route gets you to RN pay sooner and you can always complete an RN-to-BSN bridge program online later.

First step: Look up BSN programs in Tennessee and compare their NCLEX-RN pass rates and total cost before deciding if this path is worth the extra time and debt over the ADN route.

Your education plan

0 of 5

CNA now → PCT → ADN at community college

  • ApplyCheck whether your Health Science CNA unit at Riverbend is state-approved for the TN CNA exam — ask your teacher this week so you can test before or right after graduation.
  • Apply for Aid & Scholarships
  • Get Accepted
  • Year 1
  • Graduate (Associate)

This plan also shows on your Roadmap and dashboard.

Questions to ask an advisor

  1. Is my Health Science CNA unit at Riverbend approved by the Tennessee Department of Health so I can take the CNA exam before or right after graduation?
  2. What prerequisite courses — like Anatomy & Physiology and Microbiology — can I start at a community college right after high school to get into the ADN program…
  3. How does the TN Reconnect Grant work alongside hospital tuition assistance if I am working as a PCT while enrolled in the ADN program?

3Shortlist schools

Look up a school you're considering and we'll tell you how it fits your route. For official prices, graduation rates and earnings, search the U.S. Department of Education's College Scorecard.

Find schools on College Scorecard

4Pay for it

Official sources only
Are you working right now?
Which state do you live in?
Have you served in the military?
Household income (rough)
Private and optional. Saved with this kit only, never on your documents or shared.

Help that may fit you

Ask your employerOften free

Many employers pay for courses, exams or part of a degree. Ask HR or your manager before you pay or enroll.

Federal Pell GrantUp to $7,395/yr

Many families in this range get all or part of it. Pell is free money for school or training, not a loan, and it comes from your FAFSA. The official estimator gives you a number in about 10 minutes, no account needed.

Federal Student Aid Estimator
TRIO programsFree help

Free federal programs for first-generation and lower-income students: help with applications, the FAFSA and staying in school. Look for an Educational Opportunity Center near you; they help adults go back to school.

About TRIO
Workforce PellNew

Since July 2026, Pell can pay for some short job-training programs (about 8 to 15 weeks) once your state approves them. Ask the school if your program qualifies, and file the FAFSA.

About Pell
Scholarship Finder9,500+ awards

Free from the U.S. Department of Labor. Use these filters: Where you live → Tennessee; Level of study → Associate Degree.

Search scholarships
Tennessee grantsVaries

Most state grants come from your FAFSA, and your state sets its own deadline.

Find Tennessee's aid agency
American Job CenterFree help

Your local American Job Center can check if you can get job-training money (WIOA) and help you plan.

Find a center

“May” because each program decides for itself. Every link goes to the official site; check its rules and deadline there.

Your FAFSA checklist

2027–28 · open now

The FAFSA isn't just for teens. Adults can get Pell Grants too.

  • Make your StudentAid.gov account (FSA ID)Do it a few days before you start the form.Start
  • If the FAFSA asks for a parent, they make their own accountMost people 24 or older, married, veterans, or raising children don't need parent info.
  • Have your 2025 tax info readyYou and your parent both agree to the IRS transfer.
  • Add the schools you're consideringYou can list several; it doesn't commit you.
  • Submit, and check your state's deadlineFederal deadline: June 30, 2028. State and school deadlines come first.Deadlines
Open the FAFSA
FAFSA and grant basicsThe basics, in plain words

The FAFSA is the free form for federal, state and school aid. It opens every October for the next school year, and one form covers every school you list.

Federal Pell GrantUp to $7,395/yrFrom your FAFSA · 2026–27 maximum · free money, not a loan · Details
Your state's grantsVariesMost come from your FAFSA, and states set their own deadlines · Find your state
9,500+ scholarships, free to searchSearch The U.S. Department of Labor's Scholarship Finder

We don't make up scholarships. Every one here links to an official site.

4 more ways to save
Employer tuition helpMany employers pay part of a degree once you work there. Ask in interviews.
Credit for a certificateSome schools count a certificate toward a degree. Ask before you apply.
Paid apprenticeshipsTrain on the job with a paycheck. Search apprenticeship.gov

5Apply & enroll

0/5

Get into your program for CNA now → PCT → ADN at community college: five steps, one at a time. Open a step, tick the small steps, then mark it done.

    • List each school's application steps
    • Ask for your transcripts or test scores to be sent
    • Write your personal statement if one is asked for
    • Submit, and save each confirmation email

    Community colleges usually take everyone who applies. Applying early leaves more time for aid.

Key dates

1Oct
2027–28 FAFSA opened
Oct 1, 2026
30Jun
FAFSA federal deadline
June 30, 2028 · state and school deadlines come first

Change your route

College & Training follows the route you chose on Career Paths: the Balanced route to Registered Nurse (ADN) — Medical-Surgical or ER. Pick another route there and this page updates to match. Your checklists stay.

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