Attestations must be filled completely and returned by the appropriate school official. Attestations returned by the student, or if incomplete, will not be accepted. The attestation is a form validating the following items. If your school does not require any of the items, it is the student’s responsibility to provide the information to your school official.

1. OIG/GSA Verification
2. Current BLS (AHA) for all clinical rotation
3. Current health insurance- optional, but recommended
4. Proof of Negative TB test (within 12 months) or a Health Screen Form
5. MMR x 2 or Positive Titer: Rubella. If titer negative, documentation of additional vaccine x 2
6. MMR x 2 or Positive Titer: Mumps If titer negative, documentation of additional vaccine x 2
7. MMR x 2 or Positive Titer: Measles. If titer negative, documentation of additional vaccine x 2
8. Varicella x 2 or Positive Titer: Chicken Pox
9. Hepatitis B Vaccine Complete or Titer showing immunity or declination form signed
10. Drug Screen Completed: 10 panel (cleared and appropriate to work in a hospital setting)
11. Negative Background Check (cleared and appropriate to work in a hospital setting)
12. Checked Sexual Offender Registry (for state of residency and state of clinical rotation: cleared and appropriate to work in a hospital setting)
13. Current Influenza Vaccination received prior to starting Spring rotation
14. Current RN license for state of clinical rotation or practicum. (LA or MS).

Resources

• Attestation instructions
• Attestation form