Maxine S. Jacobs Nursing Program
HANDBOOK & POLICY ACKNOWLEDGEMENT AND RELEASE
I have read/received the Truckee Meadows Community College Nursing Program Handbook.
I understand that I am responsible for reading and abiding by the policies and procedures of the program that are
contained in the handbook and on the TMCC Nursing Program's website.
_____________________________________________________________________________
Name (print)
_____________________________________________________________________________
Signature
____________________________________________
Date
I agree to release my name, address, and TMCC identification number, dates of attendance and program status when
requested by government or regulatory bodies. This is required for clinical attendance at area clinical facilities. Identifying
information must be provided in order to obtain access to electronic medical records.
_____________________________________________________________________________
Signature
____________________________________________
Date
All changes of name, address or telephone information during your program dates must be reported to Admissions and
Records and the Nursing Program office immediately.
Page 1 of 1; Handbook and Policy Acknowledgement Release
TMCC is an EEO/AA institution. See http://eeo.tmcc.edu for more information.
Created: 7/11/2014; Rev: 7/11/2014