Graduate Nursing Precepted Experience :: Nationwide Children's Hospital
Graduate Nursing Precepted Experience
Please complete the following information:
Student's Name: *
College of Nursing: *
Program: *
Clinical Placement Coordinator: *
Number of Hours Required per Semester: *
Clinical Start Date: *
Clinical End Date: *
Comments: (Please note anyone that has agreed to precept you)
Student Email Address: *
Clinical Placement Coordinator Email Address: *
Are you an employee of Nationwide Children's Hospital? *
Previous Student Nurse User ID (EPIC log-on) at NCH:
College Student ID (for creation of EPIC User ID): *
Nationwide Children's Hospital
700 Children's Drive Columbus, Ohio 43205 614.722.2000