Print Name Student Signature Date Potential employers and others often contact this office for a list of graduates. By law we may not give this information without your approval. If you would like your contact information released, please sign below. ___________________________________ ______________________________________ Name Student Signature Date This form is to be returned to the Nursing Office. Once you have signed this page, remove from handbook and hand in to the nursing department for your records. This is due by the end of the first week of classes. Appendix B Northern New Mexico College / College of Nursing and Health Sciences Associate Degree Nursing Program Communicable Disease Student Release Form Addendum to Contract with Christus St. Vincent Regional Medical Center In consideration for participating in the College of Nursing and Health Sciences Associate Degree Nursing Program at Northern New Mexico College (the I “School”) _____________________________________ to indemnify and hold Christus St. Vincent Regional Medical Center (“Hospital”) and NNMC (“School”), their personal representatives, agents and employees, harmless against any and all liability, claims, demands, causes of actions,
Print Name Student Signature Date Potential employers and others often contact this office for a list of graduates. By law we may not give this information without your approval. If you would like your contact information released, please sign below. ___________________________________ ______________________________________ Name Student Signature Date This form is to be returned to the Nursing Office. Once you have signed this page, remove from handbook and hand in to the nursing department for your records. This is due by the end of the first week of classes. Appendix B Northern New Mexico College / College of Nursing and Health Sciences Associate Degree Nursing Program Communicable Disease Student Release Form Addendum to Contract with Christus St. Vincent Regional Medical Center In consideration for participating in the College of Nursing and Health Sciences Associate Degree Nursing Program at Northern New Mexico College (the “School”) I _____________________________________ to indemnify and hold Christus St. Vincent Regional Medical Center (“Hospital”) and NNMC (“School”), their personal representatives, agents and employees, harmless against any and all liability, claims, demands, causes of actions,
Nursing-student-nursing-handbook-2016-2017.docx