Fillable MSN Family Nurse Practitioner APPLICATION FOR ADMISSION TO CANDIDACY

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MSN Family Nurse Practitioner APPLICATION FOR ADMISSION TO CANDIDACY

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T No.
Name
Course
Number
Course Description
Where
Taken
Term
Completed
Sem.
Hrs.
Credit
Grade
CORE COURSES
NURS 6000 Theoretical Foundations 3
NURS 6001 Health Care Policy 3
NURS 6002 Advanced Nursing Research 3
NURS 6003 Advanced Role Development 3
NURS 6990 Scholarly Synthesis/Research 3
ADVANCED
PRACTICE
CONCENTRATION
REQUIRED
COURSES
NURS 6101 Advanced Health Assessment 3
NURS 6102
Advanced Health Assessment - Clinical (120
hrs)
1
NURS 6103 Advanced Pathophysiology 3
NURS 6104 Advanced Pharmacology 3
FNP
REQUIRED
COURSES
NURS 6601 Family Nurse Practitioner I 3
NURS 6602
2
NURS 6603 Family Nurse Practitioner II 3
NURS 6604
4
NURS 6605 Family Nurse Practitioner III 3
NURS 6606
2
FNP PRACTICUM
REQUIREMENT
4
Total Practice Contact Hours = 720 TOTAL Semester Hours Credit to be Counted Toward Degree
46
Do you anticipate using Human Subjects in your research? ___YES ___NO
If yes, IRB approval is required one semester prior to graduation. Contact your advisor for more information.
6 years expires end of
FINAL GPA
_____
(term)
(year)
Graduate Nursing Program Coordinator
Date
Dean School of Nursing
Date
College of Graduate Studies Designee
Date
ALL SIGNATURES VERIFY APPROVAL OF TOTAL FORM
NOTICE:
1. A graduate student shall be enrolled for at least one course appropriate to the degree objective during the term in
which the degree is awarded.
2. Application for graduation must be submitted by deadline published in catalog and the online Academic Calendar.
MASTER OF SCIENCE NURSING
FAMILY NURSE PRACTITIONER
PROPOSED PROGRAM OF STUDY
NURS 6609
Family Nurse Practitioner Practicum (240
hours)
HANDWRITTEN FORMS WILL NOT BE ACCEPTED
TENNESSEE TECHNOLOGICAL UNIVERSITY
GRADUATE STUDIES
APPLICAT
ION FOR ADMISSION TO CANDIDACY
AND
APPOINTMENT OF ADVISORY COMMITTEE
I hereby apply f
or admission to candidacy and acknowledge that the following members of the
MSN Executive Committee serve on my Graduate Advisory Committee.
ADVISORY COMMITTEE:
STUDENT’S NAME:
Student T Number:
NCLEX-RN: State(s)
License Number(s):
Departmental Use Only:
CANDIDACY:
Major Subject : Master of Science in Nursing (MSN)
Date Admitted to Full Standing:
Graduate Credits Completed at TTU: At Other Universities:
Graduate GPA at TTU: At Other Universities:
TN eCampus MSN Program Coordinator
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MSN Family Nurse Practitioner APPLICATION FOR ADMISSION TO CANDIDACY

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Completed 28 February 2020

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