NUR 115 EXEMPTION NOTIFICATION FORM

I completed the NUR 115 exemption test on (date)

MonthDayYear
Date
I received email confirmation that I passed the exam on (date)

MonthDayYear
Date
This completes my requirements for consideration in order to have my name placed on the interview list to attend a future Nursing orientation session.
Student Name
First and Last
Student ID Number
Today's Date

MonthDayYear
Date
Should be Empty: