Wilkes University

Student Clinical Forms

Nursing Student Health Form

  • Health Screening Requirements- In keeping with the rules and regulations of the Pennsylvania State Board of Nursing and health care agencies, each nursing student is required to submit the following documents to the Passan School of Nursing, contact Lori Drozdis at (570) 408-4092 if you have any questions.

Clinical Agency and Preceptor/Mentor Form
Click on the link above to retrieve this form. Please submit the required information electronically, as directed on the form.

Certified Profile | Brought to you by: CastleBranch.com
Click the links above for further instructions on completing clinical clearance requirements. See the current version of the Passan School of Nursing Graduate Program Student Handbook for further policy information on clinical requirements.

Wilkes 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 https://get.cbord.com/wilkes/full/login.php, 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
Wilkes University Passan School of Nursing
84 W. South Street
Wilkes Barre PA 18766
Fax: (570) 408-3323

Graduate Nursing Clinical Initiation Form (DNP Only)
Click on the link above to retrieve this form. Please submit the required information electronically to your Scholarly Chairperson.

Clinical Agency and Preceptor/Mentor Form
Click on the link above to retrieve this form. Please submit the required information electronically, as directed on the form.

Certified Profile | Brought to you by: CastleBranch.com
Click the links above for further instructions on completing clinical clearance requirements. See the current version of the Passan School of Nursing Graduate Program Student Handbook for further policy information on clinical requirements.

Wilkes 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 https://get.cbord.com/wilkes/full/login.php, 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
Wilkes University Passan School of Nursing
84 W. South Street
Wilkes Barre PA 18766
Fax: (570) 408-3323

 


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