Nursing Documents and Forms

Handbooks for Nursing Students

• Nursing Student Handbook [pdf] - all programs
• Master's Nursing Capstone Handbook [pdf]
• DNP Project Handbook [pdf]

Undergraduate Student Newsletters

Information to help you begin the next academic year.

• Junior 1 Newsletter [pdf]
• Junior 2 Newsletter [pdf]
• Senior 1 Newsletter [pdf]
• Senior 2 Newsletter [pdf]

Clinical Year Application

• Nursing Clinical Year Application

Math Competency

• Level A Review Packet [pdf]
• Level A Answers [pdf]
• Math Competency Remediation Contract [pdf]

Test Taking Skills Resources

• Preparation Management of Stress and Test Taking Skills [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]

Clinical Progress

• Clinical Progress Sheet [pdf]

Global Travel Forms for NURS 449

• Global Health Travel Application [pdf]
• Clinical Faculty Reference Form for Travel Experience [pdf]

Honors in Nursing

• NURS 498H: Honors Project Protocol [pdf]

Graduate Course Petitions

• RN-BS Petition for Graduate Courses [pdf]
• S1 Fast Track: Traditional Nursing Student Petition for Graduate Course(s) [pdf]
• S2 Fast Track: Traditional Nursing Student Petition for GNUR 509 [pdf]
• Faculty Fast Track Recommendation Form [pdf]
• B.S. Fast Track Information for J2 [pdf]

Clinical Practicum Applications

• AGACNP Clinical Practicum Applications [pdf]
• AGCNS Clinical Practicum Applications [pdf]
• AGPCNP Clinical Practicum Application [pdf]
• FNP Clinical Practicum Application [pdf]
• PMHNP Clinical Practicum Application [pdf]

Additional Clinical Forms for Graduate Students

• Clinical Course Summary Form [pdf]
• Graduate Program Attestation [pdf]

Primary Care Nurse Practitioner Clinical Forms

• Clinical Skills Inventory [pdf]

Clinical Nurse Specialist (CNS) Clinical Forms

• Preceptor Evaluation [pdf]
• Clinical Site Evaluation for CNS Students [pdf]
• Preceptor Evaluation of CNS Student Performance [pdf]

Long Range Plans - All Graduate Programs

Adult/Gero Clinical Nurse Specialist (AGCNS)

• AGCNS - Full Time - Fall Start [pdf]
• AGCNS - Full Time - Spring Start [pdf]
• AGCNS - Part Time - Fall Start [pdf]
• AGCNS - Part Time - Spring Start [pdf]

Adult/Gero Primary or Acute Care Nurse Practitioner (AGPCNP or AGACNP)

• AGPCNP or AGACNP - Full Time - Fall Start [pdf]
• AGPCNP or AGACNP - Full Time - Spring Start [pdf]
• AGPCNP or AGACNP - Part Time - Fall Start [pdf]
• AGPCNP or AGACNP - Part Time - Spring Start [pdf]

Doctor of Nursing Practice (DNP)

• DNP Post-M.S. - Full Time - Fall Start [pdf]
• DNP Post-B.S. Primary Care Family Nurse Practitioner (PCFNP) - Full Time - Fall Start [pdf]
• DNP Post-B.S. Primary Care Adult/Gero Primary/Acute Care Nurse Practitioner (AGPCNP or AGACNP) - Full Time - Fall Start [pdf]
• DNP Post-B.S. Psychiatric Mental Health Nurse Practitioner (PMHNP) - Full Time - Fall Start [pdf]
• DNP Post-B.S. Adult/Gero Clinical Nurse Specialist (AGCNS) - Full Time - Fall Start [pdf]

Psychiatric/Mental Health Nurse Practitioner (PMHNP)

• PMHNP - Full Time - Fall Start [pdf]
• PMHNP - Part Time - Fall Start [pdf]

Additional Graduate Forms

• Academic Change Form [pdf] - to change your track in the Advanced Nursing Practice program
• University of Rochester and Highland Hospital Tuition Voucher [pdf]

Writing Support

• APA Guidelines [pdf]
• Writing Center
• Smarthinking - access through mySJFC

These documents contain material that must be read by undergraduate students, graduate students, and faculty before participating in clinical experiences in Rochester area hospitals.

• Healthcare Organization Orientation Packet & Post-Test [pdf]
• Post-Test for Healthcare Organization Orientation [pdf]
• Graduate Student Acknowledgment Statement for Healthcare Organization Orientation Packet [pdf]

Health History Forms

All students must have a complete health history and physical on file and have it updated annually to meet health requirements for clinical work.

• Nursing Health History Form and Mandatory Physical Examination [pdf]
• Pharmacy and Nursing Student Update Form [pdf]

Health Waiver Forms

• Flu Waiver Form [pdf]
• Hep B Waiver [pdf]