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Participation Name

:

Academic Program

Educational Institution:
Fiscal Semester or
Year
Session

SPRING

Grand Canyon University

Course Start
Date

Course
Complete
Date

Course
Number

3/12/2012

4/15/2012

NRS 430

4/16/2012

5/20/2012

NRS 429

5/21/2012

6/24/2012

6/25/2012
SUMMER

Professional Dynamics

3

$1,350.00

$150.00

Family Centered Health Promotion

3

$1,350.00

$150.00

NRS 434

Health Assessment

3

$1,350.00

$150.00

9

$4,050.00

7/29/2012

NRS 427

Concepts in Community and Public Health

3

$1,350.00

$150.00

7/30/2012

9/2/2012

HLT 362

Statistics

3

$1,350.00

$150.00

6

$2,700.00

9/3/2012

10/7/2012

NRS 433

Introduction to Nursing Research

3

$1,350.00

$150.00

Cost of
Cost of Books
Fees

$0.00

$0.00

$450.00

$300.00

10/8/2012

11/11/2012

NRS 437

Ethical Decision-Making in Health Care

3

$1,350.00

$150.00

11/12/2012

12/16/2012

HLT 310

Spirituality in Health Care

3

$1,350.00

$150.00

12/17/2012

1/20/2013

NRS 451

Nursing Leadership and Management

3

$1,350.00

12

$5,400.00

Sub-total

SPRING

5/5/2013

Tuition Cost per
Semester

Sub-total

FALL

Coursework Completion Date:
Semester
Hours

Course Title

Sub-total

2
0
1
2
2
0
1
3

RN/BSN

Computer
Allowance
(One Time)

Sem Total
Fiscal Year Total
Tuition/Books
Cost

$4,500.00

$3,000.00

$150.00
$0.00

$600.00

$6,000.00

1/21/2013

2/24/2013

NRS 410

Pathophysiology and Nursing Management of Client Health

3

$1,350.00

$150.00

2/25/2013

3/31/2013

NRS 440

Trends and Issues in Health Care

3

$1,350.00

$150.00

4/1/2013

5/5/2013

NRS 441

Professional Capstone Project

3

$1,350.00

$150.00

9

$4,050.00

$0.00

$450.00

$4,500.00

36

$16,200.00

$0.00

$1,800.00

$18,000.00

Sub-total

ACCUMULATED TOTALS

Tuition Subject to Change
Student is responsible for meeting eligibility requirements with employer

$18,000.00