SCHOOL OF NURSING BETTY WHITE HEALTH CENTER
Graduate Nursing Program
Student Acknowledgment of Receipt of Graduate Nursing Handbook
My signature below indicates that I have received and read the Graduate Nursing Handbook.
I understand that the policies contained within these documents apply directly to me and to all students in the Graduate Nursing Program. I agree to abide by these policies, and recognize that not abiding by these policies could result in dismissal from the Graduate Nursing Program and/or affect my standing as a student at Kentucky State University.
Name (please print): ___
CWID (Student ID): ___
Signature: ___
Date: ___
Contact information (please PRINT clearly):
Local Address: ___
Local Phone: ___
KSU E-Mail: ___