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 Master of Science in Nursing Middle Present Address: _______________________________________________ Number and Street City, State Emphasis (check one) Clinical Care Management Clinical Nurse Specialist Administration / Entrepreneurial Leadership Public Health/Community Nursing 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 Electives for Emphasis (List appropriate courses) 9 INSTITUTION (if transfer)* GRADE INPROG. OR TO DO Culminating Experience (one of the following) NURS 895 Field Studying in Nursing 3 NURS 898 Master's Thesis 3 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