Forms & Clinical Handbooks

Tutorials

• Academic Requirement Page Tutorial [PowerPoint]
• Applying for Graduation [Powerpoint]
• Course Enrollment Tutorial [PowerPoint]

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RN to BSN

Clinical Resources/Forms

• BSN Clinical Handbook 
• BSN Clinical Placement Process Resource
• BSN Clinical Clearance Process Resource
• Hepatitis B Vaccine Information Form/Waiver
• HIPAA & Universal Precautions Information/Exams
• How to Request a Clinical Affiliation Agreement 
• Needle Stick Procedures 
• Request for Clinical Affiliation Agreement
• Physical Exam Health Clearance Form

Clinical Course-Specific Forms

BSN 423

• BSN 423 Clinical Sites
• BSN 423 – Learning Contract & Objectives 
• BSN 423 – Clinical Hours-Activity Tracking Log
• BSN 423 - Preceptor Assessment of Student Progress 
• Student Evaluation of Preceptor

BSN 451

• BSN 451 Clinical Sites 
• BSN 451 – Learning Contract & Objectives 
• BSN 451 – Clinical Hours-Activity Tracking Log 
• BSN 451 – Preceptor Assessment of Student Progress
• Student Evaluation of Preceptor

Graduation Forms

• Graduation Application FAQ
• Graduation Application Procedures
• Request for Change of Graduation Date [PDF] - Pay the fee through ToroPay

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MSN

Clinical Handbooks

• FNP Handbook
  • Appendix D in the FNP Handbook must be completed and submitted by students. You can find Appendix D in the FNP Handbook or by clicking this link: Appendix D

• MSN Clinical Site List

  • Clinical list no longer available. Please email SONClinical@csudh.edu with semester, course, where they live and work for assistance.

• MSN Clinical Handbook – Administrator, CNS, & Educator 

Clinical & Preceptor Forms

• Learning Contract 
• Hepatitis B Vaccine Information Form/Waiver
• MSN 559 & 569 - Preceptor Assessment of Student Progress 
• Physical Exam Health Clearance Form 
• Preceptor Information Form
• Request for Clinical Affiliation Agreement
• Role Option Eligibility Process 

Graduation Forms

• Culminating Activity Eligibility Form 
• Graduation Application FAQ
• Graduation Application Procedures
• Request for Change of Graduation Date 

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MSN - Nurse Administrator

=video     =coming soon

• MSN Orientation-Nurse Administrator   
• Graduate Advisement Form  

MSN 560 - Nurse Administrator Role Performance I

• MSN 560 - Evaluation of Clinical Site by Student Template   
• MSN 560 - Evaluation of Preceptor by Student Template   
• MSN 560 - Evaluation Tool for Preceptor Template   
• MSN 560 - Field Experience Log Template   
• MSN 560 - Learning Contract Graduate   
  • objectives, activities, evaluation guide
• MSN 560 - Preceptor Information Form   

MSN 570 - Nurse Administrator Role Performance II

• MSN 570 - Evaluation of Clinical Site by Student Template   
• MSN 570 - Evaluation of Preceptor by Student Template   
• MSN 570 - Evaluation Tool for Preceptor Template   
• MSN 570 - Field Experience Log Template   
• MSN 570 - Learning Contract Graduate   
  • objectives, activities, evaluation guide
• MSN 570 - Preceptor Information Form   

Miscellaneous BSN/MSN Forms

• Nursing Student Handbook
• BSN Orientation: Student Service Center
• Change of Program [PDF] (Add/Drop) Form
• Challenge Exam Info Sheet [Word]
• Examination Request/Proctor Agreement Form GWE [PDF]
• Examination Request/Proctor Agreement Form Challenge Exam [PDF]
• Graduate Course Credit for Seniors form [PDF]
• Graduate Role Option Change Request Form
• Graduate Change of Program Objective [PDF]
• GWAR/GWE Petition for Fulfillment Form [PDF]
• GWAR/GWE Probation Contract [PDF]
• NCLEX Unit Form [PDF]
• BSN-MSN Open University Registration
  • 
    

    Semester	Accepting Open U Form Dates
    FALL 2019	CLOSED
    SPRING 2020	DEC 1, 2019 - JAN 22, 2020
    SUMMER 2020	MAY 1, 2020 - MAY 28, 2020

• Petition for Course Substitution – BSN/MSN Courses [PDF]
• Petition for Course Substitution – General Education 
• Petition for Credit by Examination [Word Doc.] Pay the fee through ToroPay
• Petition for Exception [PDF] - Pay the fee through ToroPay
• Role Option Entry Eligibility Process [Word Doc.]
• Student ID for Distance Learners

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