Get Nursing Student Clinical Group Placement Request Form

Filling out the Nursing Student Clinical Group Placement Request Form accurately is essential for securing your clinical placement. This guide provides clear, step-by-step instructions to help you complete the form online efficiently.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering 'Name of School' in the designated field, ensuring you provide the official name of the institution.
3. Select your current 'Level of Student'—options include Junior, Senior, or Other.
4. Indicate the 'Semester' for which you are requesting placement, choosing from 1st or 2nd.
5. Under 'Requested Unit/Area', specify your clinical placement preferences. Remember to submit a separate request form for each distinct area or course you wish to consider.
6. List your '1st Choice' and '2nd Choice' units or areas for placement.
7. Identify the 'Day(s) of Week' you are available for placement.
8. Provide the 'Time(s) on Unit/Area' that you will be available for your clinical experience.
9. Fill in the 'Day and Time of Unit Prep', which is essential for coordination.
10. Enter the 'Start and End Date of Experience' specific to your clinical rotation.
11. Complete the 'Course Information/Description' field by providing the name and number, and attach a brief course description if required.
12. Specify the 'Number of Students' that this placement request concerns.
13. Provide details for the 'Course Coordinator' or the person completing the form, including contact information.
14. List the 'Clinical Faculty and Credentials' necessary for your placement.
15. Input a reliable 'Phone Number' for any follow-up communications.
16. Include any 'Other Information' that may be relevant to your request.
17. Finally, enter your 'Email address' to receive confirmation regarding your placement.
18. Once all sections are complete, review your entries for accuracy and completeness, then save changes, download, print, or share the form as necessary.

Complete your Nursing Student Clinical Group Placement Request Form online today to secure your clinical experience.