Step #10: Contact Information

It is important that you provide the College of Nursing with current contact information that includes your name, student ID number, mailing address, e-mail address, phone number and acknowledgment of Completion of Orientation. Please complete the form now and follow the directions enclosed with the form. This information will be placed in your file.

Please check your answers before submission for correctness. If you need to make changes, please click in the appropriate area and make those changes. If you wish to totally redo the form, click the reset button and all answers will be cleared and you can restart the form.

When you have completed the survey, click the SUBMIT button. NOTE: Once you have clicked the submit button, you will not be able to go back and change your answers.

Contact Information Form

Return to Step #9 Go to Step #11