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Southern Connecticut State University Department of Nursing Program Disclosure Form SECTION I: APPLICANT INFORMATION First Name: Date of Birth: / / Middle Initial: Last Name: Previous Name (s): Email
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How to fill out nursing program disclosure form

How to fill out nursing program disclosure form
01
Step 1: Obtain the nursing program disclosure form from your educational institution.
02
Step 2: Read all the instructions and requirements mentioned on the form.
03
Step 3: Fill in your personal information accurately, including your full name, address, contact details, and date of birth.
04
Step 4: Provide your educational background, including previous nursing education if applicable.
05
Step 5: Answer all the questions related to your health and medical history honestly.
06
Step 6: Disclose any criminal record, if required.
07
Step 7: Sign and date the form to certify the accuracy of the information provided.
08
Step 8: Attach any supporting documents, if necessary, such as copies of academic transcripts or certificates.
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Step 9: Review the completed form to ensure all the required fields are filled out properly.
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Step 10: Submit the form to the designated authority or department as per the instructions provided.
Who needs nursing program disclosure form?
01
Individuals who are applying or planning to enroll in a nursing program, such as a nursing school, college, or university, need to fill out the nursing program disclosure form. This form is typically required by the educational institution to gather essential information about the applicant's personal, educational, health, and legal background. It helps the institution assess the eligibility and suitability of the applicants for admission into their nursing program.
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What is nursing program disclosure form?
The nursing program disclosure form is a document that provides information about a nursing program's curriculum, faculty, facilities, and outcomes.
Who is required to file nursing program disclosure form?
Nursing programs are required to file the disclosure form with the appropriate regulatory body or accrediting agency.
How to fill out nursing program disclosure form?
Nursing programs can fill out the disclosure form by providing accurate and up-to-date information about their program, including student outcomes, faculty qualifications, and curriculum details.
What is the purpose of nursing program disclosure form?
The purpose of the nursing program disclosure form is to ensure transparency and accountability in nursing education, allowing students and stakeholders to make informed decisions.
What information must be reported on nursing program disclosure form?
Information such as program accreditation status, NCLEX pass rates, student demographics, and faculty credentials must be reported on the nursing program disclosure form.
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