Graduate Nursing Student Forms

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Forms from the Graduate Studies (e.g., Graduate Special Application, Intent to Return Forms, etc) may be found on their website at:  http://www.winona.edu/gradstudies/

 

Application to Nursing Graduate Program

 

 
Application for Candidacy

 
Application--Graduate Special-- Complete these forms to request admission to Graduate Special courses.  Graduate Special status will allow students to register for any graduate special courses available on both the main campus and the Rochester campus. A reminder that a maximum of twelve (12) semester credits earned as a Graduate Special student may be applied to a degree program. (redirects to Graduate Studies website)

  

 
Application to Graduate--Applications for graduation must be submitted at least one term prior to graduation.  It is the sole responsibility of the student to ensure that all incompletes and program requirements are completed and submitted to the Office of Graduate Studies within ten (10) working days following the end of the semester of graduation.  Late completion and submission of requirements will result in postponement of graduation to a later semester.  (redirects to Graduate Studies website)

 

 
Background Check - Minnesota (Signed form to be returned to Department of Nursing Office in Winona)

 
Background Check - Wisconsin Background Information Disclosure Instructions

 
Background Check - Wisconsin (Signed form to be returned to Department of Nursing Office in Winona)

 
Certificate Program Completion - (Post-Master's Students Only).  Submission of this form activates a program completion review and mailing of a Certificate. (Redirects to Graduate Studies where you may find form.)

 
Certificate Program Plan - (Post-Master's Students Only).  This form must be submitted prior to or during the first term of the program outlining your plan of study. (Redirects to Graduate Studies where you may find form.)

 
Clinical Log

 
Functional Abilities For Admission (Information sheet) (NEW)

 
Functional Abilities Statement by Health Care Provider (NEW)

 
Functional Abilities Statement by Student (NEW)

 
Graduate Assistant Application--Submit this form to the appropriate department chairperson if you wish to be a graduate assistant. You must be admitted into a Master's or Specialist degree program. (redirects to Graduate Studies where you can complete the form online)

 

 
Graduate Study Lab Access Card

 
Health Information And Requirements For Participation Form (NEW)

 

 
HIPAA Verification

 
Immunization Requirement--This form must be completed by every student BORN AFTER 1956 and enrolled in a public or private post-secondary university, college, or other school. Registration will be blocked if this form is not on file. (redirects to Student Health Services)

 
Important Notices Form (formerly titled: Reasonable Accommodations) - There are conditions for which accommodations may be appropriate under the Americans with Disabilities Act.  The Nursing Program will make all reasonable accommodations required by law for otherwise qualified individuals.

 
Liability Insurance Form - Malpractice Insurance is mandatory for all students who are enrolled in clinical courses for the Graduate Programs in Nursing at WSU.

 
Milestones in Graduation

 
Name Badge Form & Procedures

 
Permission to Use Student Work

 
Student Authorization of Release of Information Form

 
Supplement to Candidacy--This form must be submitted if you have added or deleted courses from your approved program of study on your Application for Admission to Candidacy. Download the Word form only if you plan to type the required information on your computer. Download the PDF form if you plan to fill out the form in pencil or ink. (redirects to Graduate Studies where you can complete the form online)

 

 
Thesis Binding Information Form

 
Traineeship: "Application for Traineeship Grant" Form - This form, along with the "Statement of Appointment" form, must be filled out and sent to the Graduate Programs in Nursing Office in order to be eligible for a Traineeship Grant.  This form must be filled out at the beginning of Fall semester.

 
Traineeship: "Statement of Appointment" Form - This form, along with the "Application for Traineeship Grant" form, must be filled out and sent to the Graduate Programs in Nursing Office in order to be eligible for a Traineeship Grant.  This form must be filled out at the beginning of Fall semester.

 

 

Last Modified: Tuesday, November 27, 2012 9:24 AM

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