Basic BSN Prerequisite Course Data Verification Form reflecting USP 2015

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University of Wyoming
Fay W. Whitney School of Nursing
Basic BSN Prerequisite Course Data Verification Form
For Applicants held to the University Studies Program (USP) 2015 Requirements
Complete the following chart as indicated.
Column 1 – Identified are the prerequisite courses required for admission consideration into the nursing major component of the
program. (Grade of at least a C in all required courses with one exception; grade of B or better is required in CHEM 1000.)
Column 2 – Identify the course information for the course completed or plan to complete to satisfy the prerequisite course
requirement.
 Show the actual course that was completed to satisfy each requirement; for transferred courses, identify that schools course information
for the course completed to meet the requirement at UW.
 If a prerequisite was waived (e.g. USP Q due to Math ACT score) or that was satisfied with an AP Exam, please see examples below.
Column 3 – Indicate semester & year prerequisite courses were completed or plan to be completed.
Column 4 – Place an X in this column if course was repeated or is currently being repeated.
Column 5 – Identify the school where the course was/will be completed.
PREREQUISITE COURSES
(UW course numbers shown)
Identify Course
Completed or To Be
Completed that
Fulfills the
Requirement
(e.g. ZOO 3115)
Semester/Year
(e.g. F2012)
Course Completed or To
Be Completed
(e.g. S2016)
Flag Course
Repeats
(place X in
box)
Identify School Where the
Course Was/Will Be Completed
(e.g. UW, LCCC, etc.)
Examples…
ENGL 1010 – College Composition & Rhetoric (COM1)
ENGL 1010
S2014
MATH 1400 – College Algebra (Q)
High Math ACT Score
Waived
LIFE 1010 – General Biology (PN)
BIOL 1010 / LIFE 1010
F2014 / S2015
PHCY 4450 – Pathophysiology *
PSYC 1000 – General Psychology (H)
UW
X
LCCC / UW
PHCY 4450
S2016
UW
PSYC AP Exam
SM2014
AP Exam
ENGL 1010 – College Composition & Rhetoric (COM1)
Communication 2 course (COM2) (2nd Writing course)
MATH 1400 – College Algebra (Q)
STAT 2050 or 2070 – Statistics (Q)
LIFE 1010 – General Biology (PN)
CHEM 1000 – Introductory (PN) or
CHEM 1020 – General (PN)
KIN/ZOO 2040 – Human Anatomy Lecture
KIN/ZOO 2041 – Human Anatomy Lab)
KIN/ZOO 3115 – Human Systems Physiology #
PHCY 4450 – Pathophysiology *
MICR/MOLB 2240 – Medical Microbiology
PSYC 1000 – General Psychology (H)
FCSC 1140 or 1141 – Nutrition
NURS 2340 – Developmental Influences on Health
(Lifespan Development)
# Human Systems Physiology must be upper division (3000/4000 level); lower division/community college level courses do not satisfy this requirement. Transfer
courses need reviewed for transfer equivalency potential (provide syllabus if not previously evaluated by School of Nursing).
* Pathophysiology must be upper division (3000/4000 level); lower division/community college level courses do not satisfy this requirement. Transfer courses need
reviewed for transfer equivalency potential (provide syllabus if not previously evaluated by School of Nursing).
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