Health Sciences Nursing Programs
Pre-Enrollment Policy Acknowledgment Form

For your application to be reveiwed by the Health Sciences Division, you must submit this form within the dates for the Enrollment Filing Period.

·      I have reviewed and sought clarification as needed of the referenced policies.    

·      I agree to abide by these policies while enrolled in a Health Sciences program.  

·      I am aware that I must notify my instructor or Dean of Health Sciences immediately of any situation relevant to these policies as directed in the program policy.   

I have read and understand the following policies:       

• Pre-Enrollment CBC & Drug Screening  
• CBC/Criminal Convictions/Drug Screening-Enrolled Students 
• Clinical Requirements  
• Safe Clinical Practice  
• Technical Standards 
• Program appropriate Enrollment Policy (i.e., Associate Degree Nursing ,  Vocational Nursing, Nurse Aide/Home Health Aide)  

If you need clarification of the above policies, or need to discuss personal issues related to these policies, please contact the Health Sciences and University Programs at 530-339-3606. Staff can provide clarification and answer questions or, if appropriate, can schedule an appointment for you with the Dean. 
 

I understand this acknowledgment will be placed in my student file.