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University of Michigan School of Nursing

Office of Student, Academic, & Multicultural Services (OSAMS)
400 North Ingalls, Suite 1160, Ann Arbor,MI 48109-0482
Fax:734.647.1419

Course Description Review Request Form

Complete one Course Description Review Request Form for every course you would like to be reviewed by the School of Nursing. A course description review need only be submitted for courses and institutions NOT listed on the

School of Nursing Course Equivalents website

Please note: The final decision regarding course equivalency may be made by the School of Nursing Admissions Committee. A grade of "C" or above must be earned to transfer a course to the University. Please print clearly & allow 4-6 weeks for processing.

Contact Information

* Date of review submission (mm/dd/yyyy):

* I am applying to:

* First Name

* Last Name

* Phone Number

* Email Address

Course Description

Attach a course description & syllabus of the course you would like the School of Nursing to review. If multiple courses need to be reviewed to meet the requirements of one pre-requisite, then please complete one form with details of all the courses.
This form accepts .txt, .doc, and .pdf files. Please note that it will not accurately transfer .docx files.

* Syllabus

Course Description

* Course Name(s) & Number(s)

* # of Credits

* Grade(s) :

* Institution

* Campus & State

* Prerequisite course the above mentioned course may satisfy:

Other information to add

Submission

Course description review materials may be submitted via mail or fax and can be initiated prior to the application process. Mail materials to: University of Michigan School of Nursing, Office of Student, Academic, & Multicultural Services, 400 Ingalls, Suite 1160, Ann Arbor, MI 48109-0482. Fax materials to: 734.647.1419.
You will be notified via email when a decision has been made or if more information is required to make a decision.

Comments?

Office Use Only

Request for more information

Please provide:

Approved as equivalent by:

Date of Approval

Approved for individual waiver by:

Date of approval:

Denied by:

Date of denial:

Reason for course denial:

Institution accreditation approval from OUA:

Date:

* Indicates Response Required