Undergraduate Forms
Certificate Forms
BSN Program Forms
- 230 Level Student Clinical Performance Evaluation
- 251 Level Student Clinical Performance Evaluation
- 300 Level Student Clinical Performance Evaluation
- 400 Level Student Clinical Performance Evaluation
- NURS 495
- NURS 496
- Preceptor Information Form
- Request for Assignment for International Study
RN to BSN Forms
- Agency Letter of Agreement
- Credit by Portfolio Assessment for the licensed Registered Nurse
- NURS 475 and NURS 495 Clinical Evaluation Form
- Student Evaluation of Preceptor/Mentor
- Preceptor Information Form
- Remediation Plan (RN to BSN)
- Report of Student Initiated Contact for Academic Difficulty
- RN to BSN Program Preceptor/Mentor Guide
Graduate Academic Advisement Forms
Questions regarding graduate academic advising forms can be directed to Xiao Sheng at 814-863-2211 or Khushi Patel at 717-531-4211
Advisement Forms
- Change of Adviser
- Change of NP Options
- Change Administrator/Educator to NP Option
- Change of NP to Administrator Option
- Change of NP to Educator Option
- Change Administrator to Educator Option
- Change Educator to Administrator Option
Ph.D. Forms
Other Forms
Nurse Administrator and Nurse Educator Preceptor Forms
All Practicum Courses
Please review the current MSN Handbook for practicum information.
N843
N848
Nurse Practitioner Forms: Family and Adult Gerontology (Acute and Primary Care)
All Nurse Practitioner Courses
- Alternative Clinical Experience Form
- Student, Preceptor, and Faculty Responsibilities
- Preceptor Agreement Form
N862
N863
N864
N872/N872A
- N872 Preceptor Evaluation of Student Clinical Performance
- N872A Preceptor Evaluation of Student Clinical Performance
N873/N873A
- N873 Preceptor Evaluation of Student Clinical Performance
- N873A Preceptor Evaluation of Student Clinical Performance
N874/N874A
- N874 Preceptor Evaluation of Student Clinical Performance
- N874A Preceptor Evaluation of Student Clinical Performance
N876