Michigan State University College of Nursing

Name while at MSU (if different):

Nursing Degree:

Graduation Year:

Location?
On-Campus
Lansing BSN
Muskegon MSN
Northern Michigan MSN

Are you an Alumni Association member? Yes No

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Spouse's Occupation:

Is your spouse an MSU alumnus? Yes No

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State:

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Work Phone:

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Salary (confidential):

Primary Care Practice? Yes No

Medically Underserved? Yes No

Professional and Educational Achievements:

Additional Degrees (university, degree, year):

Family and Personal Accomplishments: