School of Nursing

DNP Student Comprehensive Exam

APPLICATION

Date: Sept 14 2009

Student Name: Michelle D KELLY

I am applying for graduation through successful completion of my DNP comprehensive exam during
the fall semester.

My DNP Project committee members are as follows:

Committee chairperson (name, title and academic credentials):

Judith Lambton, RN, EdD, Associate Professor

Committee second reader (name, title and academic credentials):

Monique Parrish, M.P.H., M.S.S.W., Dr.P.H., Director, LifeCourse Strategies.

Committee third reader/community member (name, title and academic credentials):

Susan Prion, RN, EdD, Associate Professor and DNP Chair

QUALIFYING MANUSCRIPT INFORMATION

My manuscript title was:

Self-Management of Chronic Disease and Hospital Readmission:

A Care Transition Strategy

It was submitted to the following professional, peer-reviewed journal:

Online Journal of Nursing Issues

If accepted for publication, please provide the citation:

Kelly. M., (2009). Self-Management of Chronic Disease and Hospital Readmission: A Care
Transition Strategy. Online Journal of Nursing Issues
QUALIFYING GRANT PROPOSAL INFORMATION
My grant proposal title was:

Care Transition Online Learning Module for Nurses

It was submitted to the following funding agency:

California Healthcare Foundation

Please indicate whether your grant was accepted and on what date:
 My grant was accepted for funding on Aug 3rd 2009.
 My grant was NOT funded. I was notified on _______________(date).

PROFESSIONAL CERTIFICATION
I hold professional certification requiring at least a master’s degree as (please give the exact title of
your certification): Family Nurse Practitioner

This certification was granted by the following professional organization:

American Nurses Credentialing Commission

I have completed the DNP Student Self-Assessment survey as part of this application to graduate
on date: N/A___________________

I have completed all required course work and 1000 hours in the DNP role as part of the USF DNP
program.

I can be contacted about this application at the following:

Home address:
7524 Gates Drive, Sebastopol, CA 95472
Best phone number: 707 498 7773
Email address: michelle.kelly@sonoma.edu

Your signature: MDKelly / via email