3. Describe how the performance by graduates on the certifying examinations is used to evaluate the effectiveness of the program and to modify the goals and objectives. SECTION 9. SIGNATURES If this form was completed by the please provide the following information: Program Coordinator, Program Coordinator Name: Telephone Number: E-mail: The signatures below attest to the completeness and accuracy of the information provided. Please use the appropriate electronic signature (see example below), or sign and fax only this signature page to UCNS at 612-454-2750. Insertion of an electronic signature: By typing your name in the space provided, you are submitting the electronic equivalent of a legal signature. You are also asserting that you completed the application. To verify the contents of the application, the signatory must enter his/her name in the space provided Acceptable should be preceded and followed by the forward slash (/) symbol. “signatures” Acceptable must be as follows: /John Doe/. “signature” Program Director Name: Signature: Date: Department Chair Name: Signature: Date: Designated Institution Official Name: Signature: Date: Please use the Appendices A-J template for submitting Appendices A-J. Please note, program applications are not considered complete until all of the following are received by UCNS: Completed and signed Program Information Form (all signatures must be included) Application fee paid by check or money order (credit cards and electronic fund transfers are not accepted) Completed Appendices A-J (provided templates must be used)
3. Describe how the performance by graduates on the certifying examinations is used to evaluate the effectiveness of the program and to modify the goals and objectives. SECTION 9. SIGNATURES If this form was completed by the Program Coordinator, please provide the following information: Program Coordinator Name: Telephone Number: E-mail: The signatures below attest to the completeness and accuracy of the information provided. Please use the appropriate electronic signature (see example below), or sign and fax only this signature page to UCNS at 612-454-2750. Insertion of an electronic signature: By typing your name in the space provided, you are submitting the electronic equivalent of a legal signature. You are also asserting that you completed the application. To verify the contents of the application, the signatory must enter his/her name in the space provided Acceptable “signatures” should be preceded and followed by the forward slash (/) symbol. Acceptable “signature” must be as follows: /John Doe/. Program Director Name: Signature: Date: Department Chair Name: Signature: Date: Designated Institution Official Name: Signature: Date: Please use the Appendices A-J template for submitting Appendices A-J. Please note, program applications are not considered complete until all of the following are received by UCNS: Completed and signed Program Information Form (all signatures must be included) Application fee paid by check or money order (credit cards and electronic fund transfers are not accepted) Completed Appendices A-J (provided templates must be used)
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