A copy of this form will be emailed to you upon submission.
Number of students tutored:
Number of total hours:
Signature (Type your name):
Please print off the corresponding tutorial sign-in sheet.
College of Allied Health - Kevin Howard
College of Dentistry - Joyce Hurst
College of Nursing at Kearney - Gloria Geiselman
College of Nursing at Lincoln - Amy Frizzell
College of Nursing at Norfolk - Diana Rizzo
College of Nursing at Omaha - Juli K Bohnenkamp
College of Nursing at Scottsbluff - Karen Schledewitz
College of Pharmacy - Michelle Parks
Graduate Studies - Sherman Petite
Interdisciplinary Graduate Program in Biomedical Sciences (IGPBS) - Kim Rothgeb
Form last updated 08/24/17