Get Washington State University College Of Nursing Criminal History Disclosure Form 2016-2025

Completing the Washington State University College of Nursing Criminal History Disclosure Form is an essential step for students aiming to participate in clinical placement. This guide will provide clear, step-by-step instructions to help users successfully fill out the form online.

Follow the steps to complete the disclosure form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Review the introduction section. It outlines the purpose of the form and underscores the importance of providing accurate information regarding any criminal history.
3. Proceed to Section A, where you will indicate if you have ever been charged or convicted of specific crimes against persons. Check all that apply and prepare to provide detailed information in Section G.
4. Move to Section B, which asks about any judicial or administrative proceedings related to domestic violence or exploitation. Select 'yes' or 'no' and include necessary details in Section G if applicable.
5. In Section C, address any charges or convictions related to drug-related crimes. Again, if you respond 'yes', be ready to elaborate in Section G.
6. Section D requires you to disclose any involvement with Medicare or Medicaid related crimes. Mark your answer appropriately and provide additional context in Section G if needed.
7. Review Section E regarding any healthcare licensure issues. Confirm your status and provide details in Section G where necessary.
8. Complete Section F, detailing any other convictions in the past ten years, excluding minor traffic violations. Attach additional pages if you require more space for your response.
9. In Section G, give specific details for all items marked 'yes' in previous sections, including court dates and current standings.
10. Read and acknowledge the statement at the end of the form. Ensure you understand the implications of your answers and certify the information provided.
11. Finally, provide your printed name, signature, and the date before submitting the form. Make sure to save any changes made during this process.

Complete your Washington State University College of Nursing Criminal History Disclosure Form online today to ensure your eligibility for clinical placements.