CSUDH now has the capability of issuing ID cards to School of Nursing students if you provide a picture and proof of payment ($5.00).  Please make your check payable to: CSUDH

Nursing personnel will scan your photo and Admissions and Records will create a school ID that can be punched to wear on a lanyard or clip to a pocket*.  The ID card will be mailed to your home.  The BRN requires every registered nurse must be clearly identified with picture identification and title.  This identification card should be worn in any clinical settings where students are participating.

Picture
The picture must be 2x2 inches.  It can be in color or black and white.  The picture must be full face, front view and in normal street attire.  Any passport photo can be used for the picture on the identification badge. 

 If you would like to utilize this service, please provide the following information.  Be sure to include a picture with this form.

Name: _________________________________________________________________
(as it appears on your school record)

Student ID#: ____________________________________________________________

Address: _______________________________________________________________

City: _____________________________ State: _______ Zip: ____________________

Phone, Day: ___________________________ Eve: _____________________________

CSUDH Email: __________________________________________________________

Please return this form to:
Picture ID
School of Nursing—700
CSU Dominguez Hills
1000 E. Victoria St.
Carson, CA 90747

*lanyard or clip not provided.

PLEASE NOTE:
School of Nursing does not issue the validation sticker. Please contact Cashier’s Office at 310-243-3812.