Scribd Logo
Upload

Welcome to Scribd!

  • Affiliation Form

    Uploaded by

    Nokz M. Raki-in
    38 views1 page
    This document is an affiliation form from the College of Nursing at NAME OF UNIVERSITY. It provides information on the hospital, department, clinical hours, class, and dates for a group of nursing students. The form must be prepared by the clinical instructor, clinical coordinator, and Dean and then approved by the Nurse VI-Training Officer and Chief Nursing Officer.

    Original Description:

    Original Title

    affiliation form.doc

    Copyright

    © © All Rights Reserved

    Available Formats

    DOC, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document is an affiliation form from the College of Nursing at NAME OF UNIVERSITY. It provides information on the hospital, department, clinical hours, class, and dates for a group of nursing students. The form must be prepared by the clinical instructor, clinical coordinator, and Dean and then approved by the Nurse VI-Training Officer and Chief Nursing Officer.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    38 views1 page

    Affiliation Form

    Uploaded by

    Nokz M. Raki-in
    This document is an affiliation form from the College of Nursing at NAME OF UNIVERSITY. It provides information on the hospital, department, clinical hours, class, and dates for a group of nursing students. The form must be prepared by the clinical instructor, clinical coordinator, and Dean and then approved by the Nurse VI-Training Officer and Chief Nursing Officer.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    of 1

    NAME OF UNIVERSITY

    College of Nursing
    Cagayan de Oro City
    SEM _____S.Y.______

    Affiliation Form

    Hospital: ________________ Department: __________________ Date: _______________


    Clinical Hr.:______________ Class: _______________________ Days: _______________

    Name of Students

    1.
    2.
    3.
    4.
    5.

    Prepared By:

    __________________ ____________________ _____________________


    Clinical Instructor Clinical Coordinator Dean (College of Nursing)

    Approved by:

    MARITHEL R. MORENO, RN, PhD ________________________


    Nurse VI- Training Officer Chief Nursing Officer

    NAME OF UNIVERSITY
    College of Nursing
    Cagayan de Oro City
    SEM _____S.Y.______

    Affiliation Form

    Hospital: ________________ Department: __________________ Date: _______________


    Clinical Hr.:______________ Class: _______________________ Days: _______________

    Name of Students

    1.
    2.
    3.
    4.
    5.

    Prepared By:

    __________________ ____________________ _____________________


    Clinical Instructor Clinical Coordinator Dean (College of Nursing)

    Approved by:

    MARITHEL R. MORENO, RN, PhD ________________________


    Nurse VI- Training Officer Chief Nursing Officer

    You might also like