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Change NP to Educator Option
Enter Student Information:
Student Name:
PSU ID #:
PSU Email:
Street Address:
City, State, Zip Code
Telephone Number:
Adviser Name:
Option Change:
Adult Gerontology Acute Care Nurse Practitioner to Nurse Educator
Adult Gerontology Primary Care Nurse Practitioner to Nurse Educator
Family Nurse Practitioner to Nurse Educator
Please write a new professional goal statement as to why you are requesting the option change:
Would you like to change your campus from the University Park Campus to World Campus permanently?
Yes
No
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