Program Policy Agreement
Nursing Program
1. Receipt of Indian Hills Community College Practical/Associate Degree Nursing Program Policy Manual
2018-2019.
I have received information on accessing an electronic copy of the program policy manual. I understand
I am responsible to read it completely and will be held accountable for complying with all policies and
procedures of the nursing program. It is my responsibility to ask for clarification from the Program Director
of Nursing regarding any policy or procedure I do not understand. I will read new policies or procedures
that are issued by the program and incorporate them into my policy manual. I understand that I am also
responsible to read and comply with the general student policies of IHCC.
2. Responsibility for Conduct and Actions as a Nursing Student
I understand that having been admitted to the IHCC Nursing program, I am held responsible for my
conduct and actions as a nursing student. I understand that breech of IHCC or Nursing program policies
or nursing ethics may result in consultation, and perhaps probation, suspension or dismissal depending on
the nature of my actions. I understand that client safety, privacy and dignity are of the highest priority in
nursing and nursing education.
3. Titles VI and XII of the Civil Rights Act of 1964 and Title IX of the Education Amendments of 1972
I understand that IHCC complies with Titles VI and XII of the Civil Rights Act of 1964, Title IX of the
Education Amendments of 1972, and other federal laws and regulations, and does not discriminate on
the basis of race, color, national origin, sex, age, religion, handicap, or status as a veteran in any of its
policies, practices, or procedures. This includes, but is not limited to admissions, employment, financial aid
and educational services. I understand I may follow the grievance procedure guidelines described in this
handbook if I wish to file a complaint.
4. Medical Treatment
I understand I am responsible for payment for any medical treatment that may be necessary and is not
covered under the provisions of the Iowa Code.
5. Computer User Agreement
As a condition of using the IHCC computer equipment, I agree not to use the equipment to duplicate
copyrighted software in violation of its end user’s license agreement, whether it is my personal copy or is
owned by IHCC. I assume liability for any copyright infringements caused by me.
Student Signature: Date:
THIS COPY IS TO REMAIN IN THE PROGRAM POLICY MANUAL
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