MTSU

Advancement to Candidacy Form for Master’s or Specialists’ Degree Programs

Concentration:  Family Nurse Practitioner

College of Graduate Studies * Office of the Dean * Middle Tennessee State University

1.        A copy of your candidacy form should be submitted to the Nursing Advisor before the completion of nine (9) graduate hours according to your program’s curricular requirements.  Forms may be mailed to MSN Advisor, 1500 Greenland Drive, Box 81, Murfreesboro, TN 37132.

2.        We will secure the signatures of the appropriate persons and submit the signed form to the College of Graduate Studies and to the Tennessee Board of Regents.

Name:_           Student Identification#

Address:          Telephone#

Degree:  Master of Science in Nursing          Major:  Nursing          Concentration:  Family Nurse Practitioner

                                                                                                                                Date:_______________                         Copy to Graduate Studies     

Signature of Candidate

I certify the above degree plan:                                                                               Date:________________                       Copy to TBR    

Signature of Graduate Advisor                                              

                                                                                                                                Date:________________

Signature of Dean, College of Graduate Studies or Graduate Analyst