San Francisco State University
Graduate Division ADM-254 (415) 338-2234
GRADUATE APPROVED PROGRAM
Date:_____________________
Name:_________________________________________________
Last
First
Degree Objective:
Official Degree Title from Bulletin
Middle
Present
Address: _______________________________________________
Number and Street
City, State
Master of Science in Nursing:
Family Nurse Practitioner
Zip code
Local Telephone Number: __________________________________
Social Security No: _______________________________________
The program requirements listed below are from the University Bulletin for the year:
THE DEGREE REQUIREMENTS LISTED BELOW MUST BE COMPLETED BY: _______________________________________________
Note: Upon approval of the GAP read graduate Academic Policies and Procedure section in the Bulletin regarding conditions for maintaining its validity.
COURSE PREFIX
AND NO.
COURSE TITTLE
SEMESTER
TERM
***Transfer work must be evaluated by the University prior to filing this
UNITS
REQUIRED
form***
NURS 700
The Theoretical Basis of Nursing
3
NURS 706
Health Care Policy/Nursing Issues
3
NURS 732
Ethics for the Advanced Practice Nurse
3
NURS 733
Nursing Role Development: Theory
2
NURS 734
Nursing Role Development: Application Seminar
2
NURS 794
Seminar in Research
3
NURS 801
Graduate Nursing Practicum I
4
NURS 802
Graduate Nursing Practicum II
4
INSTITUTION
(if transfer)*
GRADE
INPROG.
OR TO DO
Culminating Experience (one of the following)
NURS 895
Field Study in Nursing
3
NURS 898
Master's Thesis
3
Concentration in Family Nurse Practitioner
NURS 501
Principles of Pharmacology
3
NURS 708
Diagnosis and Management in Primary Care
4
NURS 711
2
NURS 730
Advanced Physical Assessment and Health
Promotion/Maintenance
Advanced Nursing Physiology
NURS 731
Advanced Nursing Pathophysiology
2
NURS 803
Graduate Nursing Practicum III
4
NURS 804
Nurse Practitioner Skills
2
2
Total Units
Report of Completion:
AND
NURS 895 Field Study OR
NURS 898 Master’s Thesis
GRADUATE MAJOR ADVISER: Please check off below the manner by which this student has or will have satisfied written English proficiency in your
graduate program, i.e. ability to write in a scholarly manner in the major field.
SECOND LEVEL TO BE COMPLETED BY:
(A Report” form must be filed with the Graduate Division when completed)
NURS 794 Seminar in Research
THIS GRADUATE APPROVED PROGRAM REPRESENTS ADVANCEMENT TO CANDIDACY FOR A GRADUATE DEGREE.
GRADUATE ADVISER (Required):
_____________________________________ ______________________________ ____________
Type/Print last name
Signature
SCHOOL GRADUATE COMMITTEE (Required): _____________________________________
Date
______________________________ ____________
Type/Print last name
Signature
______________________________________________
Dean of the Graduate Division
Date
______________
Date