Verified Credentials

If you are uncertain about your ability to comply with this deadline, please contact me at jane.carpenter@washburn.edu as soon as possible. Please take time to carefully review the enclosed information and instructions. Let me know of any questions, and I look forward to working with you throughout your program of study

The following documentation is required:

• Complete Pre-entrance Background Check
• Complete Drug Screen
• Pre-entrance physical examination - must use form located in Verified Credentials, under the Miscellaneous Tab.  Current Washburn University students may use Student Health for physical.
• Varicella (Chicken Pox) Immunization- Students will electronically submit evidence of 2 varicella vaccinations or titer/blood test demonstrating positive immunity. If students have only had 1 of the vaccinations, they must obtain the 2nd immunization or submit a titer with positive results. The program will NOT accept documentation of disease as evidence of immunity. Enter all dates accurately or the submission will be rejected.
• Influenza Immunization – Students will electronically submit evidence of an influenza (i.e. flu) vaccination appropriate for the influenza season occurring during the student’s enrollment in the program or a waiver. Note that clinical sites are under no obligation to accept a waiver of immunization and may refuse placement to students submitting an immunization waiver for any reason. If a student elects to waive this requirement, they may be disqualified from some or all clinical sites and potentially unable to complete the program.
• Measles, Mumps and Rubella Immunization - Students will electronically submit evidence of 2 MMR vaccinations or titer/blood test demonstrating positive immunity to each. Enter all dates accurately or the submission will be rejected.
• Hepatitis B Immunization – Students will electronically submit evidence of a 3 series vaccination, titer/blood test demonstrating positive immunity, or signed waiver. If the student has not had all 3 vaccinations, visit with your healthcare provider about fulfilling this requirement. The approved waiver form is provided within the Verified Credential system. Enter all dates accurately or the submission will be rejected.
• CPR Certification - American Heart Association HeartCode® Basic Life Support – only American Heart Association is accepted. Students must submit current certification and maintain certification throughout the program (must be valid throughout the current semester).
• Tdap (Tetanus, Diphtheria, and Pertussis) - Type Td or Tdap must be indicated on record.  Students will electronically submit evidence of a tetanus/diphtheria vaccination (Td or Tdap given within the past 10 years. If the tetanus/diphtheria vaccine was given over 10 years ago, the student must submit evidence of a Td booster vaccine.   Enter all dates accurately or the submission will be rejected.
• Tuberculosis (PPD) - Students will submit evidence of a 2-step Tuberculosis skin test result completed within the past 12 months. Two ste TB testing is defined as 2 skin tests, with the 2nd test at least 7 days after the first, but within a 4 week time frame.  If a test is positive, please contact the Associate Dean of Undergraduate Programs for more information.  Enter all dates accurately or the submission will be rejected.
• Evidence of Personal Health Insurance – Students must submit a copy of an insurance card which states the student’s name, policy number, and insurance carrier. If the student is on a parent’s, spouse’s, or partner’s policy and the insurance card does NOT have the student’s name listed, a letter from the insurance carrier verifying coverage will have to be submitted in the Verified Credential system.
• Student Conduct Pledge – Students are required to sign (electronically) this pledge indicating that they have read and understand the professional ethics and values described in the Pre-licensure Student Handbook. The form is available on the Verified Credentials website. Pre-licensure Student Handbooks are available online on the School of Nursing website.

The following documentation is required:

• Complete Pre-enrollment Background Check
  (Note: If you have already completed a student background check with PreCheck, you are not required to do another one with Verified Credentials (see fee structure).
• Provide Proof of current RN licensure
• Varicella (Chicken Pox) Immunization - Students will electronically submit evidence of 2 varicella vaccinations or titer/blood test demonstrating positive immunity. If students have only had 1 of the vaccinations, they must obtain the 2nd immunization or submit a titer with positive results. The program will NOT accept documentation of disease as evidence of immunity. Enter all dates accurately or the submission will be rejected.
• Influenza Immunization - Students will electronically submit evidence of an influenza (i.e. flu) vaccination appropriate for the influenza season occurring during the student’s enrollment in the program or a waiver. Note that clinical sites are under no obligation to accept a waiver of immunization and may refuse placement to students submitting an immunization waiver for any reason. If a student elects to waive this requirement, they may be disqualified from some or all clinical sites and potentially unable to complete the program.
• Measles, Mumps and Rubella Immunization - Students will electronically submit evidence of 2 MMR vaccinations or titer/blood test demonstrating positive immunity to each. Enter all dates accurately or the submission will be rejected.
• Hepatitis B Immunization – Students will electronically submit evidence of a 3 series vaccination, titer/blood test demonstrating positive immunity, or signed waiver. If the student has not had all 3 vaccinations, visit with your healthcare provider about fulfilling this requirement. The approved waiver form is provided within the Verified Credential system. Enter all dates accurately or the submission will be rejected.
• CPR Certification for the Health Care Provider or Professional Rescuer – Students must submit current certification and maintain certification throughout the program (must be valid throughout the current semester).
• Tdap (Tetanus, Diphtheria, and Pertussis) - Students will electronically submit evidence of a tetanus/diphtheria vaccination (Td or Tdap given within the past 10 years. If the tetanus/diphtheria vaccine was given over 10 years ago, the student must submit evident of a Td booster vaccine. Enter all dates accurately or the submission will be rejected.
• Tuberculosis (PPD) - Students will submit evidence of one 2-step Tuberculosis skin test result completed within the past 12 months. If a test proves positive, a chest x-ray for Tuberculosis evaluation will be required and students must submit the radiologist’s report. If a student has previously tested positive for Tuberculosis exposure and the student’s last Tuberculosis evaluation chest x-ray was completed more than 12 months ago, the student must see a medical provider to complete the Absence of TB Symptoms Form (official form contained in the Verified Credentials System). If a student’s chest x-ray results are positive for Tuberculosis, students must visit their healthcare provider to complete treatment and in this case the Program Director must be notified immediately. Enter all dates accurately or the submission will be rejected.
• Evidence of Personal Health Insurance – Students must submit a copy of an insurance card which states the student’s name, policy number, and insurance carrier. If the student is on a parent’s, spouse’s, or partner’s policy and the insurance card does NOT have the student’s name listed, a letter from the insurance carrier verifying coverage will have to be submitted in the Verified Credential system.
• Student Conduct Pledge – Students are required to sign (electronically) this pledge indicating that they have read and understand the professional ethics and values described in the RN to BSN Student Handbook. The form is available on the Verified Credentials website. RN to BSN Student Handbooks are available online on the School of Nursing website.

The following documentation is required:

• Pre-entrance Background Check
• Provide Proof of current RN licensure
• Varicella (Chicken Pox) Immunization - Students will electronically submit evidence of 2 varicella vaccinations or titer/blood test demonstrating positive immunity. If students have only had 1 of the vaccinations, they must obtain the 2nd immunization or submit a titer with positive results. The program will NOT accept documentation of disease as evidence of immunity. Enter all dates accurately or the submission will be rejected.
• Influenza Immunization (Due no later than Oct. 1) - Students will electronically submit evidence of an influenza (i.e. flu) vaccination appropriate for the influenza season occurring during the student’s enrollment in the program or a waiver. Note that clinical sites are under no obligation to accept a waiver of immunization and may refuse placement to students submitting an immunization waiver for any reason. If a student elects to waive this requirement, they may be disqualified from some or all clinical sites and potentially unable to complete the program.
• Measles, Mumps and Rubella Immunization - Students will electronically submit evidence of 2 MMR vaccinations or titer/blood test demonstrating positive immunity to each. Enter all dates accurately or the submission will be rejected.
• Hepatitis B Immunization – Students will electronically submit evidence of a 3 series vaccination, titer/blood test demonstrating positive immunity, or signed waiver. If the student has not had all 3 vaccinations, visit with your healthcare provider about fulfilling this requirement. The approved waiver form is provided within the Verified Credential system. Enter all dates accurately or the submission will be rejected.
• CPR Certification for the Health Care Provider or Professional Rescuer – Students must submit current certification and maintain certification throughout the program (must be valid throughout the current semester).
• Tdap (Tetanus, Diphtheria, and Pertussis) - Students will electronically submit evidence of a tetanus/diphtheria vaccination (Td or Tdap given within the past 10 years. If the tetanus/diphtheria vaccine was given over 10 years ago, the student must submit evident of a Td booster vaccine. Enter all dates accurately or the submission will be rejected.
• Tuberculosis (PPD) - Students will submit evidence of one 2-step Tuberculosis skin test result completed within the past 12 months. If a test proves positive, a chest x-ray for Tuberculosis evaluation will be required and students must submit the radiologist’s report. If a student has previously tested positive for Tuberculosis exposure and the student’s last Tuberculosis evaluation chest x-ray was completed more than 12 months ago, the student must see a medical provider to complete the Absence of TB Symptoms Form (official form contained in the Verified Credentials System). If a student’s chest x-ray results are positive for Tuberculosis, students must visit their healthcare provider to complete treatment and in this case the Program Director must be notified immediately. Enter all dates accurately or the submission will be rejected.
• Evidence of Personal Health Insurance – Students must submit a copy of an insurance card which states the student’s name, policy number, and insurance carrier. If the student is on a parent’s, spouse’s, or partner’s policy and the insurance card does NOT have the student’s name listed, a letter from the insurance carrier verifying coverage will have to be submitted in the Verified Credential system.
• Student Conduct Pledge – Students are required to sign (electronically) this pledge indicating that they have read and understand the professional ethics and values described in the Graduate Student Handbook. The form is available on the Verified Credentials website. Graduate Student Handbook is available online on the School of Nursing website.
• The Health Insurance Portability and Accountability Act (HIPPA) Notice - Students are required to sign (electronically) this form indicating that they have read and understand the professional expectations and responsibilities described in the notice. The form is available on the Verified Credentials website.

The following documentation is required:

• Pre-entrance Background Check
• Provide Proof of current RN licensure
• Varicella (Chicken Pox) Immunization - Students will electronically submit evidence of 2 varicella vaccinations or titer/blood test demonstrating positive immunity. If students have only had 1 of the vaccinations, they must obtain the 2nd immunization or submit a titer with positive results. The program will NOT accept documentation of disease as evidence of immunity. Enter all dates accurately or the submission will be rejected.
• Influenza Immunization (Due no later than Oct. 1) - Students will electronically submit evidence of an influenza (i.e. flu) vaccination appropriate for the influenza season occurring during the student’s enrollment in the program or a waiver. Note that clinical sites are under no obligation to accept a waiver of immunization and may refuse placement to students submitting an immunization waiver for any reason. If a student elects to waive this requirement, they may be disqualified from some or all clinical sites and potentially unable to complete the program.
• Measles, Mumps and Rubella Immunization - Students will electronically submit evidence of 2 MMR vaccinations or titer/blood test demonstrating positive immunity to each. Enter all dates accurately or the submission will be rejected.
• Hepatitis B Immunization – Students will electronically submit evidence of a 3 series vaccination, titer/blood test demonstrating positive immunity, or signed waiver. If the student has not had all 3 vaccinations, visit with your healthcare provider about fulfilling this requirement. The approved waiver form is provided within the Verified Credential system. Enter all dates accurately or the submission will be rejected.
• CPR Certification for the Health Care Provider or Professional Rescuer – Students must submit current certification and maintain certification throughout the program (must be valid throughout the current semester).
• Tdap (Tetanus, Diphtheria, and Pertussis) - Students will electronically submit evidence of a tetanus/diphtheria vaccination (Td or Tdap given within the past 10 years. If the tetanus/diphtheria vaccine was given over 10 years ago, the student must submit evident of a Td booster vaccine. Enter all dates accurately or the submission will be rejected.
• Tuberculosis (PPD) - Students will submit evidence of one 2-step Tuberculosis skin test result completed within the past 12 months. If a test proves positive, a chest x-ray for Tuberculosis evaluation will be required and students must submit the radiologist’s report. If a student has previously tested positive for Tuberculosis exposure and the student’s last Tuberculosis evaluation chest x-ray was completed more than 12 months ago, the student must see a medical provider to complete the Absence of TB Symptoms Form (official form contained in the Verified Credentials System). If a student’s chest x-ray results are positive for Tuberculosis, students must visit their healthcare provider to complete treatment and in this case the Program Director must be notified immediately. Enter all dates accurately or the submission will be rejected.
• Evidence of Personal Health Insurance – Students must submit a copy of an insurance card which states the student’s name, policy number, and insurance carrier. If the student is on a parent’s, spouse’s, or partner’s policy and the insurance card does NOT have the student’s name listed, a letter from the insurance carrier verifying coverage will have to be submitted in the Verified Credential system.
• Student Conduct Pledge – Students are required to sign (electronically) this pledge indicating that they have read and understand the professional ethics and values described in the Graduate Student Handbook. The form is available on the Verified Credentials website. Graduate Student Handbook is available online on the School of Nursing website.
• The Health Insurance Portability and Accountability Act (HIPPA) Notice - Students are required to sign (electronically) this form indicating that they have read and understand the professional expectations and responsibilities described in the notice. The form is available on the Verified Credentials website.

The following documentation is required:

• Pre-entrance Background Check
• Provide Proof of current RN licensure
• Varicella (Chicken Pox) Immunization - Students will electronically submit evidence of 2 varicella vaccinations or titer/blood test demonstrating positive immunity. If students have only had 1 of the vaccinations, they must obtain the 2nd immunization or submit a titer with positive results. The program will NOT accept documentation of disease as evidence of immunity. Enter all dates accurately or the submission will be rejected.
• Influenza Immunization (Due no later than Oct. 1) - Students will electronically submit evidence of an influenza (i.e. flu) vaccination appropriate for the influenza season occurring during the student’s enrollment in the program or a waiver. Note that clinical sites are under no obligation to accept a waiver of immunization and may refuse placement to students submitting an immunization waiver for any reason. If a student elects to waive this requirement, they may be disqualified from some or all clinical sites and potentially unable to complete the program.
• Measles, Mumps and Rubella Immunization - Students will electronically submit evidence of 2 MMR vaccinations or titer/blood test demonstrating positive immunity to each. Enter all dates accurately or the submission will be rejected.
• Hepatitis B Immunization – Students will electronically submit evidence of a 3 series vaccination, titer/blood test demonstrating positive immunity, or signed waiver. If the student has not had all 3 vaccinations, visit with your healthcare provider about fulfilling this requirement. The approved waiver form is provided within the Verified Credential system. Enter all dates accurately or the submission will be rejected.
• CPR Certification for the Health Care Provider or Professional Rescuer – Students must submit current certification and maintain certification throughout the program (must be valid throughout the current semester).
• Tdap (Tetanus, Diphtheria, and Pertussis) - Students will electronically submit evidence of a tetanus/diphtheria vaccination (Td or Tdap given within the past 10 years. If the tetanus/diphtheria vaccine was given over 10 years ago, the student must submit evident of a Td booster vaccine. Enter all dates accurately or the submission will be rejected.
• Tuberculosis (PPD) - Students will submit evidence of one 2-step Tuberculosis skin test result completed within the past 12 months. If a test proves positive, a chest x-ray for Tuberculosis evaluation will be required and students must submit the radiologist’s report. If a student has previously tested positive for Tuberculosis exposure and the student’s last Tuberculosis evaluation chest x-ray was completed more than 12 months ago, the student must see a medical provider to complete the Absence of TB Symptoms Form (official form contained in the Verified Credentials System). If a student’s chest x-ray results are positive for Tuberculosis, students must visit their healthcare provider to complete treatment and in this case the Program Director must be notified immediately. Enter all dates accurately or the submission will be rejected.
• Evidence of Personal Health Insurance – Students must submit a copy of an insurance card which states the student’s name, policy number, and insurance carrier. If the student is on a parent’s, spouse’s, or partner’s policy and the insurance card does NOT have the student’s name listed, a letter from the insurance carrier verifying coverage will have to be submitted in the Verified Credential system.
• Student Conduct Pledge – Students are required to sign (electronically) this pledge indicating that they have read and understand the professional ethics and values described in the Graduate Student Handbook. The form is available on the Verified Credentials website. Graduate Student Handbook is available online on the School of Nursing website.
• The Health Insurance Portability and Accountability Act (HIPPA) Notice - Students are required to sign (electronically) this form indicating that they have read and understand the professional expectations and responsibilities described in the notice. The form is available on the Verified Credentials website.