Graduate Student Directory Form

Name*

First Last

Pronouns (optional)

School of Nursing email address*

Is this a a directory update or a new entry?*

This form is designed for new directory entries. If you wish to update your current entry, enter "no changes" in fields that should stay the same.

New entry
Update

Credentials*

List your highest degree followed by licensures. Examples: MSN, RN; BSN, RN, OCN.

Education*

List the schools where you earned your previous degrees. For example, MSN, UW–Madison; BSN, The Catholic University of America.

Have you had a headshot taken at the School of Nursing?*

The directory uses headshots, with your permission, taken by our school photographer.

Yes, and I grant permission to use it on the School of Nursing website.
No, but I have a photo session scheduled.
No, and I don't want my photo to appear in the directory.
No, and I would like to be contacted regarding an upcoming photo session.

If you had a white coat photo taken, would you like to use it as your directory photo?

Yes
No

LinkedIn or other website profile (optional)

Further information about your professional accomplishments, such as your public LinkedIn page, online resume/CV, or other public profile.

In which program are you a student?*

PhD
DNP

Program track*

For example, Adult/Gerontology Primary Care NP; Psychiatric Mental Health

Scholarly interests*

For example, "Creating opportunities for movement, slowing the onset and progression of dementia, eliminating health disparities in underserved populations"

Short description of your clinical experience*

For example, "Four years at University Hospital includes Inpatient Operating Room RN, Cardiothoracic, Heart and Lung Transplant Team; Nursing Education Coordinator, Adult Intraoperative; Nurse Specialist, Adult Intraoperative"

Your advanced practice goal and clinical interests*

For example, "To work with older home-based adults with complex healthcare needs, especially those in early-stage dementia. Clinical interests include home health, evidence-based practice, education, adult/gerontology, and health disparities."

Advisor name(s)*

List your advisor(s) in the School of Nursing.

Minor*

Enter "none" or "undecided" if unknown.

Research interests*

For example, "Practice change, evidence-based practice, systems-approach"

Practice experience and interests*

Please use the third person. For example, "[Your name] is currently the nursing program specialist and magnet program director at UW Health; past experiences include being the clinical content facilitator at the Center for Clinical Knowledge Management, UW Health, and a nurse clinician in the Clinical Research Unit at UW Health."

Dissertation title, if available

What do you like about the UW-Madison School of Nursing’s graduate program?

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Email

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