Get Centracare Student/resident Rotation Application 2020-2026

This guide provides clear, step-by-step instructions for completing the CentraCare Student/Resident Rotation Application online. By following these guidelines, applicants can ensure that they fill out the form accurately and completely.

Follow the steps to successfully complete and submit your application.

1. Click ‘Get Form’ button to access the application form and open it in your preferred document editor.
2. Begin by entering your personal information. Fill in the fields for your first name, middle initial, and last name, along with your address, city, state, and zip code. Indicate your sex, date of birth, and provide your contact number.
3. Specify your citizenship status by selecting 'Yes' or 'No' for U.S.A. citizen and provide your preferred email address.
4. Input your local emergency contact details, including their name and phone number, as well as your school name and the relationship to the applicant.
5. Enter your school/program location, your current year in school for this rotation, along with the expected graduation date.
6. Provide your program contact's name, email address, and phone number.
7. Indicate your current program by selecting the appropriate checkbox corresponding to your field of study.
8. Specify whether your program is GME certified and, if applicable, list your residency program if you are a current resident.
9. Outline your previous educational experience, including high school and undergraduate details.
10. Detail your previous health care experience, including any patient-facing medical experience and your current Minnesota medical license number.
11. Complete the desired rotation section by selecting from the available options and filling out the exact start and end date for your rotation.
12. Fill in the total number of hours needed and selection for preceptor allowance.
13. Provide additional information regarding your current occupation, previous CentraCare experience, and any specific interests or objectives for your rotation.
14. Review and ensure all requirements are met regarding training and immunizations as specified in the application.
15. Once all information is entered accurately, save your changes, and proceed to download or print the application for submission.
16. Lastly, share the completed application with your program representative as per the submission instructions outlined.

Complete your application online today to secure your rotation with CentraCare!