Student Documents & Forms

Undergraduate Student Handbook [pdf]	Contains policies and procedures for the Traditional and RN/BS Programs.
Graduate Student Handbook [pdf]	Contains policies and procedures for the Graduate Program for students in all clinical tracks.
Master's Capstone Handbook [pdf]	Contains policies and procedures relevant to the Wegmans School of Nursing Master's Capstone.
DNP Student Handbook [pdf]	Contains policies and procedures relevant to the Wegmans School of Nursing DNP program.
DNP Clinical Scholarship Project Handbook [pdf]	Contains policies and procedures relevant to the Wegmans School of Nursing DNP Clinical Scholarship Project
Clinical Progress Sheet [pdf]	For students needing clinical work remediation.
Health Forms	Health history and physical form is required when a student (freshman, transfer and graduate) enters SJFC. (All students must have a complete history & physical on file at the college.) Freshman/Transfer Health History and Immunizations Form [pdf] Graduate Health History Form [pdf]
Health Update Form [pdf]	Used by students who have the health history and physical form already on file in the Wellness Center and need to update the information annually to meet health requirements for clinical work.
Flu Waiver Form [pdf]	This form should be filled out and signed by your care provider if you are unable to have a seasonal flu shot.
Hep B Waiver [pdf]	This form should be signed and submitted to the Wegmans School of Nursing to meet compliance BEFORE clinical starts if your Hepatitis B series is not completed (3 shots with dates) before clinical starts OR if you have made a decision not to get the Hepatitis B series
Healthcare Organization Orientation Packet [pdf]	Contains material that must be read by undergraduate students, graduate students and faculty (who are not currently employed at an area hospital) before participating in clinical experiences in Rochester area hospitals.
Post-Test for Healthcare Organization Orientation Packet [pdf]	Must be completed and submitted for the student or faculty file.
Graduate Student Acknowledgment Statement for Heathcare Organization Orientation Packet [pdf]	Graduate students taking a clinical course are to print this, fill it out, and turn in to the Wegmans School of Nursing.
Clinical Attestation [pdf]	For graduate nursing students enrolled in the FNP, CNS, or NE tracks.
University of Rochester & Highland Hospital Tuition Voucher [pdf]	To be filled out each semester by all graduate students employed by Highland or the University of Rochester.
FNP Student Clinical Forms	The Patient Log [pdf] in which FPN students document all patient contact. Clinical Skills Inventory [pdf] FNP Patient Contact Log [pdf] FNP Preceptor Evaluation [pdf] Clinical Site Evaluation [pdf] Faculty Evaluation of FNP Student Clinical Performance [pdf]
CNS Student Clinical Forms	CNS Preceptor Evaluation [pdf]
Graduate Student Clinical Forms	The Clinical Application [pdf], which MUST be submitted by all graduate students planning to take a clinical course the next semester. Submit to Administrative Assistant in WSoN. For spring semester clinical courses, submit by 9/1 For summer semester clinical courses, submit by 12/1 For fall semester clinical courses, submit by 2/1 The Clinical Summary Form [pdf], which must be completed by each student for each clinical course and signed by all preceptors for the course, to document the student's clinical hours for graduation and national certification.
Graduate Course Petitions	RN - BSN Petition for Graduate Courses [pdf] Traditional Nursing Petition for Graduate Courses [pdf] Faculty Fast Track Recommendation Form [pdf]
Spring 2014 Application for the Junior Clinical Year [pdf] (Traditional Program)	Completed applications are due by September 1, 2013.
Math Competency (Nursing Math Screening Test)	Math Assessment Level A Review Packet [pdf] Math Assessment Level A Review Packet - Answers [pdf] Math Competency Remediation Contract [pdf]
NURS 428: Patho/Pharm II S1 Math Competency	Math Competency Review Guide [pdf] Math Competency Review PowerPoint [pdf] Math Competency Ticket to Test [pdf] This must be completed prior to the first class; answer key will be posted on Blackboard
NURS 449 Global Health Travel Application [pdf]	To be completed by all candidates interested in global travel for the NURS 449 preceptorship course. The completed application is due November 15 for spring semester travel and April 1 for fall semester travel.
NURS 449 Clinical Adjunct Faculty Reference Form for Travel Experience [pdf]	To be completed by clinical faculty from two of the most recent clinical rotations; one adult health clinical and one specialty clinical. The completed reference must be sent directly to the school by November 15th for spring semester travel and April 1st for fall semester travel.