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Typically the clinicals meet a few weekdays per week.Can I miss a clinical or skills day?No. Once the schedule is set it cannot be changed.Do I need to fill out the clinical packet? Can I make changes to the packet? Whatif I can’t complete part of the packet?We cannot make changes to the clinical packet. All parts of the packet are requirements of theclinical site. We cannot alter or change the clinical packet in any way. All parts of the clinical packetmust be complete. Students who do not turn in a complete packet before the required clinicalorientation will not be allowed to attend orientation, skills, or clinical sessions.I’m enrolled, now what?Now that you have enrolled and paid, we can order your online class through OU. It will takeapproximately 2 business days to receive your enrollment information from OU.After you receive your login information from OU please start your class right away!Remember to keep pace and make sure that you will either finish the online class before skills/clinicalor you must at least be through module 8 and successfully completed dosage calc to qualify toattend skills/clinical.We will email you information to complete your background check and drug screen.For details see the other questions in this FAQ.We will be emailing you dates for the clinical orientation. You will need to attend this atMercy Ardmore. The dress is business casual and it is a requirement prior to attending any skills orclinical sessions. You cannot attend orientation if your clinical packet is complete – your packet isused to register you for the orientation.Once we have begun the class we will begin working on solidifying the skills/clinical schedule. Wecan have the schedule to you as soon as it is approved. We will email the schedule as soon as wehave it; look for it in your email.What happens when the class is over?When the class is over, if you have successfully completed all 3 components of theNurse Refresher program, we will sign, seal, and send the information on each student whocompletes to the Oklahoma Board of Nursing.We will email you when we send your completion to the OBN; it will be sent certified mail.

*We reserve the right to change, without notice, any information within this document and pertainingto the Nurse Refresher program offered at Southern Tech. This document is not a guarantee oftraining, funds, scheduling nor does it make any other guarantees.

ENROLLMENTFORMWWW.SOTECH.EDUStudent ID:Name:Date of Birth:Physical Address:City, State, Zip:Mailing Address (if different than Physical):City, State, Zip:Home Phone:Cell Phone:E-mail:HIGHEST EDUCATION LEVEL ACHIEVED:Less than a H.S. DiplomaH.S. DiplomaSome CollegeTechnical DiplomaAssociates DegreeBachelors DegreeMasters DegreeDoctorate DegreeG.E.D.Social Security Number:Gender :MaleFemaleRACE - Please check all that apply: (The following information is optional.)Black/African AmericanAmerican Indian or Alaska NativeNative Hawaiian/Other Pacific ic,LatinoCourse Title/Date:Cost:Course Title/Date:Cost:Course Title/Date:Cost:CashDiscoverVISAMasterCARDCARD Holder’s Name:CC#:Check # (DL#, 2 phone #’S and address required)Exp Date:I CONSENTCID Code:I DO NOT CONSENTto receiving non-emergency Automated Calls from Southern Tech at the telephone number(s) I provided to the District within thisform. By signing below, I agree to the terms above:Student’s Signature:Date:Payment is required at the time of enrollment. Must be at least 18 years old to enroll in most courses. You may be asked to provideproof of residency and/or “tax letter” at time of enrollment.For information on billing,invoicing, enrolling or refunds, please call 580-224-8201 or visit www.sotech.eduSouthern Tech does not discriminate on the basis of race, color, national origin, gender, age, religion, disability, or veteran status.CAMPUS LOCATIONS:ARD- ARDMORE CAMPUS LCEC- LOVE COUNTY EXTENSION CENTER MCEC- MURRAY EXTENSION CENTER WEC- WESTERN EXTENSION CENTER31

Nurse Refresher CourseName:FirstMILastHome Address:City:State:Home/Cell Phone:Zip:Bus. Phone:Email:Name of Technology CenterPlease check one:Educated as LPN OREducated as RN Please check one:I plan to take the theory, skills lab, and clinical components of the course. ORI plan to take the theory portion only. Reason for taking the course (Please check one): I am currently licensed in Oklahoma, and just want to refresh my nursing knowledge. To be eligible for the NCLEX examination For reinstatement of my Oklahoma nursing license (I have previously been licensed in Oklahoma.) For endorsement of my nursing license (I am currently or have been previously licensed in another state orcountry.) Board ordered

Acceptable Use of Information Systems atThe University of Oklahoma Health Sciences CenterGeneral PrinciplesAccess to computer systems and networks owned, operated, or provided by the University is predicated oncompliance with certain responsibilities and obligations and is granted subject to University policies and local, state and federal laws. Byusing University information systems or computing resources, you agree to abide by and comply with the applicable policies, proceduresand laws. Acceptable use must be ethical, reflect academic honesty, and show responsible use in the consumption of shared resources.Acceptable use also demonstrates respect for intellectual property, ownership of data, system security mechanisms, and freedom fromintimidation and harassment. Information created or stored on University computer resources, networks and systems may be subject to theOklahoma Open Records Act.In making acceptable use of information resources you MUST: Comply with all University policies, procedures, and local, state, and federal laws Use resources only for authorized administrative, academic, research or clinical purposes; or other University business Protect your user-ID and system from unauthorized use. (you are responsible for all activities on your user-ID or that originatefrom your system); Access only information that is your own, that is publicly available, or to which you have been given authorized access; Comply with all copyright laws, licensing terms, patent laws, trademarks, trade secrets and all contractual terms Be responsible in your use of shared resources (refrain from monopolizing systems, overloading networks, degrading services, orwasting computer time, connect time, disk space, printer paper, manuals, or other resources.)In making acceptable use of information resources you MUST NOT: Use another person's system, files, or data without express authorization Use another individual's user id or password Use computer programs to decode passwords or access control information; Attempt to circumvent or subvert system or network security; Engage in any activity that might be harmful to systems or to any information stored thereon, such as creating or propagatingviruses, disrupting services, damaging files, or making unauthorized modifications to or sharing of university data; Use university systems for commercial, private, personal, or political purposes, such as using electronic mail to circulateadvertising for products or for political candidates; Harass or intimidate another person including, but not limited to, broadcasting unapproved, unsolicited messages, repeatedlysending unwanted or threatening mail, or using someone else's name or user-id Waste computing resources or network resources including, but not limited to, intentionally placing a program in an endless loop,printing excessive amounts of paper, or sending chain letters or unapproved, unsolicited mass mailings Attempt to gain access to information or services to which he/she has no legitimate access rights Engage in any other activity that does not comply with the general principles presented above, university policies and procedures,or applicable law;EnforcementThe University considers any violation of acceptable use principles or guidelines to be a serious offense and reserves theright to copy, monitor and/or examine any files or information residing on University systems, networks, or computing resources allegedlyrelated to unacceptable use, and to protect its systems and networks from events or behaviors that threaten or degrade operations.Violators are subject to disciplinary action including, but not limited to, penalties outlined in the Student Code, Staff Handbook, or FacultyHandbook. Offenders also may be prosecuted under laws including, but not limited to, the Communications Act of 1934 (amended), FamilyEducational Rights and Privacy Act of 1974, Computer Fraud and Abuse Act of 1986, Computer Virus Eradication Act of 1989, InterstateTransportation of Stolen Property, Digital Millennium Copyright Act, Health Insurance Portability and Accountability Act, ElectronicCommunications Privacy Act, Oklahoma Open Records Act, and state conflicts of interest laws.Individuals using computer systems owned by the University do so subject to applicable laws and University policies. The user assumes allrisk of loss of materials or data or damage thereto. The University disclaims any responsibility and/or warranties for information andmaterials residing on non-University systems or available over publicly accessible networks. Such materials do not necessarily reflect theattitudes, opinions or values of the University, its faculty, staff or students. These guidelines should not be construed as a limit on anyindividual's right under the Constitution of the United States or the laws of Oklahoma.Instructions:Please print your name and your college in the box below, sign and date this policy agreement (page 1), and return withthe rest of your paperwork or bring to orientation.I have read and understand the above policy and agree to abide by this policy in my use of OUHSC computer resources.Resident:Last NameUser’s Signature:Form SEC01 (NurCE)First NameMiddle InitialDepartment: Nursing Date:Policy Approved by the Senior Vice President and Provost, January 19, 2000 - Revised 8/21/03

The University of Oklahoma Health Sciences CenterInformation TechnologyNursing Continuing Education Computer Account Request* Please Print Legibly *Student’s Name:LASTFIRSTSSN (last 4 digits):Personal Email Address:MIDDLE INITIALDepartment: NURSINGAccess Privileges: Each resident account holder will be granted access to the following:Electronic MailInternet Access* Account Sponsor Only *As an account sponsor, I (1) agree to assume limited responsibility for the use of this user account as outlined inthe attached OUHSC Information Technology Computer Account Policy and (2) state that this user accountis necessary for an official university activity/endeavor or to conduct university business.Sponsor’s Name:Patrice BrownSponsor’s Signature:Form SEC01 (NurCE)Title:Sr. Administrative AssistantDate:Policy Approved by the Senior Vice President and Provost, January 19, 2000 - Revised 8/21/03

Nurse Refresher Course Facts 1. Meets requirements of the Oklahoma Board of Nursing as an approved Nurse Refresher course. 2. Operates as self-paced, online nursing review with instructor support and faculty supervision for all lab skills and clinical rotation. 3. For more information contact OU College of Nursing's website: http: nursing .