The links below are forms for the LSBN. Forms should be typed, printed, and returned to either room 607 or 611.
*Application for Permission to Enroll in a Clinical Course - All incoming students must complete this packet.
*Fingerprint Authorization Form - All incoming students must complete this packet.
Instructions for Application for Enrollment - These are the directions directly from the LSBN to help guide students in completing the two previous forms.
LSBN Clinical Disclosure Form - This form should be used if a student needs to change their answer to one of the questions after they have already submitted the application. This can be used at anytime while in school.
Clinical Nursing Student Medical-Mental Condition diagnostician / Treating Provider Form - This form is to be used for all incoming and continuing students marking "Yes" for a medical condition or prescribed medication. It must be completed by the physician.
* The documents with the asterisk must be filled out and submitted as part of the packet.
If marking "yes" for question #4 in the LSBN packet, you will also need the last document listed.