Idaho State University
College of Nursing (CON) Undergraduate Program Petition
Date CON Received
:
Name (Last Name, First Name) ISU Student ID Number
Email Address Telephone Number
CON Program:
____ Accelerated
____ Traditional
____ ADRN to BSN Completion
Petition Type:
____ Completed Course(s)
____ Course Pre-Approval
____ Other (Include Statement*)
*Documents Included:
____ Course Description(s)
____ Course Syllabi
____ Unofficial Transcript(s)
* Course description(s), course syllabi from the semester and year the course was taken, and transcript(s) with the grade(s) for the course(s)
being considered must be attached. Please attach typed explanation to petition for submission, if necessary.
Course # Course Title (or Other Item) Institution Term Grade
College of Nursing Requirement
ISU College of Nursing required course(s) number and title
Student Signature/Date
---------------------------------------------------------------------- College of Nursing Review ----------------------------------------------------------------------
Recommend Do Not Recommend
College of Nursing
Instructor or
Advisor/Date
Advisor Comments
Approved Not Approved
Admission & Advancement Committee/Chairperson/Date
Committee Comments
Date of
Decision
Date
S
e
n
t
to Stud
e
n
t
Date
S
e
n
t
to
Reg
is
trar
if
A
pp
r
o
ve
d
Revised 7/3/2018; Record Schedule: SG18302
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