Student Clinical Forms

Graduate Information

Graduate Nursing Clinical Initiation Form (.doc) (DNP Only)

Please submit the required information electronically to your Scholarly Chairperson.

See the current version of the Passan School of Nursing Graduate Program Student Handbook for further policy information on clinical requirements.

Â鶹ÊÓƵAPK University Photo 
ID Badge
(*Done once) 

On campus: Office of Public Safety

Off campus: Off campus: Instructions for Uploading a Photo:

  1. Verify that you are eligible to submit a photo online. *Only Online and Transfer students are eligible to submit an ID photo online at this time.
  2. To submit your ID photo online, log on to the  using your net ID and password. 
  3. Click "Upload Photo ID" on the right side menu.
  4. Choose the photo file you like and click "Upload".
  5. You will receive an email within five (5) business days regarding whether your submitted photo is accepted or declined. 


Contact Information:
Paula Eddy
Office Assistant, Graduate Nursing Program
Â鶹ÊÓƵAPK University Passan School of Nursing
84 W. South Street
Â鶹ÊÓƵAPK Barre PA 18766
Fax: (570) 408-3323