Space Available Petition

*Last Name

*First Name

*Email Address

CSUSM ID Number

*Phone Number

Admitted to which Nursing Program?

Traditional BSN

Accelerated BSN

LVN to BSN

RN to BSN

Not Applicable

*Desired Term for Re-entry? (Select One)

Spring 2014

Summer 2014

Fall 2015

Spring 2015

Last term of attendance in NURS courses at CSUSM, if applicable?

Spring 2013

Fall 2012

Summer 2012

Spring 2012

Fall 2011

*Please list all NURS Courses Requesting to Enter in Term Indicated Above? (i.e. NURS 212A)

*Reason for Request (Select One)

Students who have received an unsatisfactory grade (C - or below) in a NURS course.

Students who have withdrawn from the course(s) based on approval of a University Withdrawal Petition.

Students who are on an Approved or Unapproved Nursing Leave of Absence.

Students who are on an approved School of Nursing 'Part-time' study.

Students who are transferring into the CSUSM School of Nursing from other Nursing Program.

Letter received from the BRN states that you are missing 1-3 NURS courses.

If applicable, please describe the cause of receiving a bad grade previously and what is different this time around so that the unsatisfactory grade won't be repeated.

An advisor will confirm receipt via email of your submitted petition.

Space Available Petition for Entering One or More NURS Courses in a Particular Term