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 423 Clinical Placement Process Resource
• 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

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

• Graduate Clinical Handbook

• MSN FNP Clinical Site List

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 Registration

  • Deadline to Register: April 1 for Fall Graduation

  • Deadline to Register: October 1 for Spring Graduation

• Graduation Application FAQ
• Graduation Application Procedures
• Request for Change of Graduation Date 

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Miscellaneous BSN/MSN Forms

• Nursing Student Handbook
• Student ID Request Form
• BSN Orientation: Student Service Center
• Change of Program [PDF] (Add/Drop) Form
• Examination Request/Proctor Agreement Form GWE [PDF]
• Graduate Course Credit for Seniors form [PDF]
• Graduate Role Option Change Request Form
• GWAR/GWE Petition for Fulfillment Form [PDF]
• GWAR/GWE Probation Contract [PDF]
• NCLEX Unit Form
• Petition for Course Substitution – BSN/MSN Courses [PDF]
• Petition for Course Substitution – General Education 
• Petition for Exception [PDF] - Pay the fee through ToroPay
• Role Option Entry Eligibility Process [Word Doc.]
• For Student ID's click the following link:
  •  https://www.csudh.edu/records-registration/identification-card/

Open University forms

• BSN-MSN Open University Application [Online]

• BSN 423 Open U students need to follow: BSN 423 Clinical Placement Process Resource

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• [Adobe Reader]
• [Excel App]
• [PowerPoint App]
• [Word App]

For more information, please email SONdepartment@csudh.edu