Fischler School of Education and Human Services



	DISCOVER FSEHS PROSPECTIVE STUDENTS CURRENT STUDENTS FACULTY & STAFF ALUMNI & FRIENDS NSU HOME DEGREE PROGRAMS ADMINISTRATON OUTREACH CONTACT US INFORMATION REQUEST FSEHS HOME

Fischler School of Education & Human Services

Note:IF you do not know your NSU email, you can contact the NSU help desk at:
Call us at: (954) 262-HELP(4357)
Toll Free : 800-541-NOVA(6682) x4357
E-mail us at: help@nsu.nova.edu

Only submit applications during the registration period for the term in which you wish to be enrolled---and at least one week prior to the beginning of that term. Check the Schedule for that term to determine when and where each course will be offered.


Applied Field Experience Course: (Select Course from the List)
Term:( Select Term from the List)
Course:(Select Course from the List)

First Name:

MI:		Last Name:

NSU ID:
(N12345678)No dashes or spaces in between.

Address:		City:

State:		Zip code:

Country:

HomePhone: (Enter phoneno as 123-456-1890)		NSU EmailID: (Enter nova email as test@nova.edu)

Instructional Site:		Specialization:

Degree:		Planned Method of Payment:

School Name:		School Phone:
		(Enter phoneno as 123-456-1890)
Facility Administrator:		Assigned Position:

		Grade Level:

Administrator's WorkPhone:		Administrator's email address:
(Enter phoneno as 123-456-1890)
School Address:		School City:

School State:		School Zip code:

School Country: