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SCHOOL OF NURSING - MAJOR CLEARANCE
BACHELOR OF SCIENCE DEGREE IN NURSING
Semester/Year of Graduation: ______ / _______
Name
Last First Middle
Student I.D. Number
Telephone ___________________________________ E-mail_______________________________________
Instructions: Complete this form in ink. Provide exact course numbers (and semester/year when taken) of all work
completed. If you repeated a course, list all attempts. Submit this form to the School of Nursing office, attn. Julie
Garnett, for approval. A copy will be made for your file in the nursing office and the original will be forwarded to
the Academic Evaluations office for you.
Course
Number
Course Title
Semester/Year Name of College
Sem.
Grade
NURS 255 Evidence-Based Practice 1
NURS 283
Nursing Foundations
4
NURS 284 Practicum in Nursing
Foundations
4
NURS 285 Nursing Assessment
3
NURS 303 Med_Surg Nursing I/Pharm 4
NURS 304 Practicum in Acute Care 4
NURS 311 Nursing Informatics
2
NURS 312 Nursing Research 2
NURS 313
Maternal-Child Nursing 4
NURS 314 Practicum Maternal-Child
Nursing
3
NURS 343 Med-Surg Nursing II 3
NURS 344
Med-Surg Nursing II Clinical
2
NURS 400 Capstone Nursing Simulation
Practicum
2
NURS 403 Integrative Nursing Theory 2
NURS 404
Practicum Integrative Nursing 2
NURS 412
Health Policy 1
NURS 413 Nurs. Mgmt. Maladaptive
Behavior
3
NURS 414 Pract Mgmt. Maladaptive
Behavior
2
NURS 422 Leadership/management/
Prof Issues Nursing
3
NURS 424 Pract. in Patient Care Mgmt.
3
NURS 474 Pract. Community Health
Nursing
3
NURS 475 Public Health Nursing 3
course taken where course was taken
Units
at CSU, Chico
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Required Supporting Courses
Semester/Year
Name of College where
course was taken
Sem.
Units Grade
Human Anatomy 4
Human Physiology
4
Allied Health Microbiology
4
Chemistry 4
Academic Writing
3
Speech Comm. Fundamentals
Small Group Communication
3
3
Critical Thinking
3
Statistics
3
Child Development or
Human Development
3
Basic Nutrition
Human Nutrition
3
3
Principles of Psychology
3
Human Cultural Diversity
Cultural Anthropology
Introduction to Sociology
3
3
3
Applicant Certification:
I understand this form represents a request for clearance in my major only, and that I will receive an official report
of my status toward completion of University requirements from the Evaluations Office.
Student Signature _______________________________________________________ Date
S
chool of Nursing Director Approval:
This certifies the courses listed constitute an approved major.
School Director Date
Revised March 2019
Enter course
number below
course taken