Signature Form for Student Information ADN Policies
Signature Form for Student Information ADN Policies
Signature Form for Student Information ADN Policies
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<strong>Signature</strong> <strong>Form</strong> <strong>for</strong> <strong>Student</strong> In<strong>for</strong>mation<strong>ADN</strong> <strong>Policies</strong>RNSGNAME (Print)SOCIAL SECURITY NUMBERHOME PHONEWORK NUMBERADDRESSCITY STATE ZIPI HAVE RECEIVED, READ, UNDERSTAND, AND WILL ABIDE BY THE ASSOCIATE DEGREENURSING PROGRAM POLICIES REGARDING:______________________________________________________________________________________________________________________________________________________1. Attendance2. Readmission3. Infection Control4. Dress Code5. Honesty Policy6. Drop Policy7. Math/Pharm Evaluation8. Grade Determination <strong>for</strong> Theory9. Grade Determination <strong>for</strong> Skills10. Grade Determination <strong>for</strong> Clinical11. Test Review12. Inclement Weather13. Computer Lab Testing Policy14. General Clinical Rules15. Posted eCampus <strong>Policies</strong>SIGNATUREDATEVIII1
VIII2
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