CSUDH Bannercsudh_banner index Page Search Page CSUDH Home Page

Forms & Clinical Handbooks

In order to view and print the forms below, you will need to have Acrobat Reader in you computer. Acrobat Reader is FREE for downloading from: http://www.adobe.com/products/acrobat/readstep.html


BSN Clinical Handbook

pdfMSN Clinical List

pdfMSN Clinical Handbook – Administrator, CNS, & Educator

pdfMEPN Clinical Handbook

pdfFNP Handbook

pdfNeedle Stick Procedure

Button HIPAA & Universal Precautions


pdfCourse Enrollment Tutorial


pdfLearning Contract (Save and fill it out online)

pdfPreceptor Evaluation (Specific to BSN 451L)

pdfPreceptor Information Form(see attached PDF)

pdfPreceptor Assessment of Student Progress

pdfPreceptor Evaluation By Student(see attached new form)

Button  Request for Clinical Affiliation Agreement - Online Form

Button Hepatitis B Vaccine Information Form/Waiver


pdfApplication for Award of Degree - Pay Here

Application for Award of Degree application Procedures:

pdf(BSN) Undergraduate graduation application procedures
pdf(MSN) Graduate graduation application procedures

Button Application for Award of Degree - Late Fee - Pay Here!

pdfBSN Program Plan For Graduation-Graduation Advisement Form

pdfCulminating Activity Eligibility Form  - MSN

pdfRequest for Change of Graduation Date - Pay Here!


pdfChange of Program (Add/Drop) Form

pdfExamination Request/Proctor Agreement Form

pdfGraduate Course Credit for Seniors form

pdfGraduate Change of Program Objective

pdfGWAR/GWE Petition for Fulfillment Form

pdfGWAR/GWE Probation Contract

pdfPetition for Course Substitution – BSN/ MSN Courses

pdf Petition for Course Substitution - General Education

pdfPetition for Credit by Examination

pdfPetition for Exception - Pay Here!

pdfPetition for Outdated Coursework Validation for Graduate Program

pdfPicture ID Cards for Nursing Students

pdfRole Option Entry Eligibility Checklist (fill it out online)

pdfStudent Dress and Appearance Policy