Kristen Kubik

RN-BSN STUDENT CHECKLIST

PORTFOLIO ITEMS: Save a copy of this page as a word document as signatures and materials
are added. Student should provide a brief title and the date in the appropriate box when
adding/deleting an item from the portfolio. Faculty teaching each course will sign in their
appropriate box and also place initials in the box next to the students written description. (If
online, use electronic code for signature when returning to student.) The colored boxes represent
the required minimum number of items for each criterion.
NURS 320
CHECKPOINT
FACULTY SIGNATURE
NURS 340
CHECKPOINT
FACULTY SIGNATURE
NURS 350
CHECKPOINT
FACULTY SIGNATURE
NURS 440
CHECKPOINT
FACULTY SIGNATURE

& DATE:

& DATE:

& DATE:

320f13-69dl
N340mjd ~ Fall 2014 Portfolio assignment completed

Peggy Ursuy 1121 August 2014

& DATE:

Elec option with tabs

(submit in 320)
Criterion 1
COLLABORATIVE
LEADERSHIP
(Min. of 2 items)
Criterion 2
THEORETICAL BASE
FOR PRACTICE
(Min. of 2 Items)
Criterion 3
GENERALIST
NURSING PRACTICE
(Min. of 2 Items)
Criterion 4
SCHOLARSHIP FOR
PRACTICE
(Min. of 2 Items)
Criterion 5
HEALTH CARE
ENVIRONMENT
(Min. of 2 Items)
Criterion 6
PROFESSIONALISM
(Min. of 2 Items)
Resume (1)
(Submit in 450)
Intro Pages (1 )for
each section--Submit
in 450)
Other Sections (as
appropriate)

320f1369dl
2 items

1 item

1 item

2 items

2 items