Get Ochsner Clinic Foundation Application For Mid-level - Academics Ochsner

Filling out the Ochsner Clinic Foundation Application for Mid-Level - Academics Ochsner online is a straightforward process that requires attention to detail. This guide will provide you with step-by-step instructions to complete the application effectively.

Follow the steps to fill out the application accurately and efficiently.

1. Press the ‘Get Form’ button to access the application form online.
2. Begin by providing your full name in the designated fields for last name, first name, and middle initial.
3. Enter your mailing address including street address, city, state, and zip code in the appropriate sections.
4. Complete the telephone number and email address fields to ensure you can be contacted.
5. Specify your emergency contact's name and their relationship to you, along with their contact number.
6. Fill in your date of birth and social security number where indicated.
7. Indicate whether you have ever worked at Ochsner by selecting 'YES' or 'NO.' If applicable, provide an explanation for your departure.
8. Provide your educational information, including the university or college name and expected graduation date.
9. Mention the number of hours you are applying for regarding your clinical rotation, along with your instructor's name.
10. If you have a Louisiana Nursing License, include that number and your BLS expiration date.
11. Detail the desired clinical area and department, including the relevant hospital or clinic. Also, specify the rotation dates.
12. Circle your preferred location or region from the provided options.
13. Affirm that all information given is accurate by signing and dating the application.
14. Complete any required fields for the preceptor, and ensure they sign and date as well.
15. Finally, review your filled application for accuracy, then save your changes. You may choose to download, print, or share the completed form as necessary.

Complete your Ochsner Clinic Foundation Application online today for a seamless submission process.