TBSN, LVN to BSN, or ABSN Re-Enrollment Form

Please complete this form for re-enrollment in the TBSN, LVN to BSN, or ABSN program.

Student Information

First Name

Last Name

Email

CSUSM ID #

School of Nursing Program:

Desired term of re-enrollment (e.g. Fall 2023):

Please list all NURS courses for which you are requesting entry in term of re-enrollment:

Select reason(s) for re-enrollment petition (check all that apply):

University approved Leave of Absence
University approved Withdrawal AND successfully passed prior term NURS courses with grades of C or better
Lack of space in a previous re-enrollment period
Repeat of course(s) due to non-passing grade(s)
Return from one or more semesters of non-enrollment in program