Nursing 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.

Masters Capstone Handbook [pdf] Contains policies and procedures relevant to the Wegmans School of Nursing Masters 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.)

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.

Bursar's Tuition Remission Eligibility Form [pdf]

To be filled out annually by all graduate students employed by Highland or the University of Rochester.

FNP Preceptor Orientation

Contains instructions and forms needed by preceptors of FNP graduate students in all clinical courses including evaluation forms.

FNP Student Clinical Forms

CNS Student Clinical Forms

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 Fall & Summer semester clinical courses: submit by 3/1.
    • For Spring semester clinical courses: submit by 10/1.
    • This does NOT register you for the course. It alerts the track coordinator that you will need a preceptor for the next semester. You must also register on-line for the course.
  • 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

Undergraduate Clinical Instructor Forms

Forms used by undergraduate nursing adjunct instructors

NURS 413: Complex Care Preceptor Orientation

Contains information for preceptors about policies and procedures, including a student/faculty/preceptor agreement and student evaluation forms

Spring 2013 Application for the Junior Clinical Year [pdf] (Traditional Program)

Completed applications are due by September 1, 2012.

Math Competency

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