denotes required fields.

General Information
Program Information
Include Name, Address, Date, and Degree
Student Agreement
In accepting CO-OP support services and selecting yes, I agree to the following monitoring procedures of the CO-OP throughout my academic program.

  1. Intensive Advising: I agree to allow CO-OP staff release of information to and from University offices, College of Nursing faculty, community agencies, and tribal offices to CO-OP for monitoring of satisfactory progress and financial stability
  2. Moral Agreement: I agree to mandatory lecture, laboratory, and clinical attendance to show commitment towards admittance to a nursing program or completion of a nursing program and to ensure satisfactory progress of pre-nursing or nursing curriculum
  3. Photo, Video, Voice Permission: I agree to allow CO-OP to take and use my photo, video or voice for educational, media, and publication purposes.