Nursing & Health Sciences

BSN Transfer Student Intake Form

Today’s date___________     Faculty completing evaluation________________________________________

Student Name________________________________________Transferring from______________________

Contact Info __________________________________________Email_______________________________

Documents Needed:

  • Clinical course evaluations
  • Portfolio of student work
  • Transcripts all colleges
  • LCSC Basic Skills Checklist (complete for self assmt)
  • Administrator letter
  • Statement from student
  • Nursing syllabi of completed courses
  • Letter(s) re: failed courses
List colleges:

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List syllabi:

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Notes: