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Ed, the form should be returned to the Office of Academic Programs (Room 138) for review by the Associate Dean. **Information should be typed online Student Information: Name: UIN: E-Mail: I, Term & Year: Advisor's Name verify that will complete all certificate Student's Name requirements - including all coursework and practicums- by the end of the Current Term. Type of Certificate: Advanced Practice Palliative Care Nurse School Nurse Advanced Practice Forensic Nurse Advanced Practi.

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