University of South Alabama College of Nursing
Important Forms for Practicum Students
Filling out a Form
All forms have to be completed before you can begin your practicum

Forms
Letter of Explanation to students/faculty from Dean, Debra Davis
Letter of Notification and Appreciation (1 Page Fillable pdf form- requires Adobe Acrobat 5.0 to complete online)
Two Page Agreement(Fillable pdf form- requires Adobe Acrobat 5.0 to complete online)
Verification of Liability Insurance Coverage 2014-2015
Combination of Practicum Prerequisite and Verification of Health Insurance Form (Fillable pdf form- requires Adobe Acrobat 5.0 to complete online)
Request to Establish Affiliation Agreement

For Additional Information

Office of Student Services
USA College of Nursing - HAHN 3082
5721 USA Drive N.
Mobile AL 36688-0002
(251) 445-9400
Email: conbsn@usouthal.edu
FAX: (251) 445-9416

The BSN, MSN, and DNP programs at the University of South Alabama College of Nursing are accredited by the Commission on Collegiate Nursing Education,
One Dupont Circle, NW, Suite 530
Washington, DC 20036
(202) 887-6791

https://jagpay.southalabama.edu/
University of South Alabama - Mobile Alabama 36688-0002 (251) 445-9400
For questions or comments Contact Us
http://www.southalabama.edu/nursing/cmnforms.html
text only
Text Only Options

Top of page


Text Only Options

Open the original version of this page.

Usablenet Assistive is a UsableNet product. Usablenet Assistive Main Page.