Clinton Community College
Nursing A.A.S.
Graduation Application
Effective Fall 2019
SUNY-GER Abbreviations: American History (AH), Basic Communication (BC), Foreign Language (FL), Humanities (H), Math (M), Natural Sciences (NS), Other World
Civilizations (OW), Social Science (SS), The Arts (AR), Western Civilization (WC)
Completion Term
May: ___
Aug: ___
Dec: ___
Year: _________
ID#: C________________________
Print Name Exactly as Diploma Should Read: ____________________________________________________________
Mailing Address to Send Printed Diploma: _____________________________________________________________
Apt. _________________
City: ____________________________________________
State: _______
Zip Code: ___________________
Phone: ________________________________
Email: _________________________________________________
Ceremony (Check One): Will Attend ___ or Will Not Attend ___
Will attend ceremony short credits (≤ 6 cr.): ___ Will transfer credits back from: ______________________________
Discipline
Credit
Hours
Course Title
Scheduled
SUNY-GER
Credits
Earned
English
(3 Credits)
3
ENG 101
English Composition
BC
Nursing
(38 Credits)
7
NUR 103
Fundamentals of Nursing
5
NUR 104
Medical Surgical Nursing I
4
NUR 105
Maternal/Child Nursing
5
NUR 201
Medical Surgical Nursing II
4
NUR 202
Mental Health Nursing
10
NUR 203
Medical Surgical Nursing Ill
3
NUR 204
Pharmacology for Nurses
Social Science
(9 Credits)
3
PSY 101
Introduction to Psychology
SS
3
PSY 230
Human Development
3
SOC 101
Introduction to Sociology
SS
Science with a lab
(12 Credits)
4
BIO 204
Microbiology
NS
4
BIO 228
Anatomy & Physiology I
4
BIO 229
Anatomy & Physiology II
Free Electives
(1 Credit)
1
Health & P.E. Activity Course
or
SPA 110
Spanish for Health Care
Total
63
Student Signature:________________________________________________ Date:____________________
Advisor Signature: ________________________________________________ Date:____________________