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Student Nurse Externship Program


The University Hospital and Clinics Student Nurse Externship Program


1. I plan to take the Student Nurse Extern Program for academic credit.
2. After completion of the Spring 2018 semester, I will be within one year of graduation from an approved registered nurse program.

School of Nursing
Other Nursing School

Clinical Preference

To be completed by student applicant

Instructions to the Student:
1. Review Unit Descriptions
2. Select three areas where you would like to be a Student Nurse Extern and indicate your choices below. Choices must be for areas where you have had content or will have content in Spring 2018. (Example: If you will not have theoretical or clinical experience in pediatric nursing prior to the Student Nurse Extern program, you will not be able to work on a pediatric unit.)
Choice 1*
Choice 2*
Choice 3*

Verification of Content Covered in Theory

Place a check in the appropriate column below to indicate if content has been covered or will be covered in Spring 2018.

Obstetrical Nursing
Pediatric Nursing
Medical Nursing
Surgical Nursing
Mental Health/Psychiatric Nursing
Have you received UMMC EPIC Training?
The above information is true to the best of my knowledge.