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Wisconsin & Illinois

Nurse Practitioner Student Clinical Application

Mercyhealth receives a high volume of requests for APN student clinical placement for each academic semester and placement decisions are based on multiple criteria. Completion of this application does not guarantee clinical placement for any student.

Please do not directly contact a Mercyhealth system practice, physician or practitioner for clinical placement. Submission of your application indicates your agreement with this stipulation.

Please complete one application for each semester you are seeking clinical placement and upload an introductory letter to include the following information: professional nursing background, strengths, career goals, qualifications which make you an ideal candidate for his clinical placement, and interest in future Mercyhealth employment.

Note: Incomplete or late applications are not considered for clinical placement.

Once the clinical placements have been determined for each semester, you will be notified via email.

Please do not contact Mercyhealth directly as phone calls and/or e-mails will not be answered.

 

  • (Please use your school or personal email address.)
  • Please enter a number from 0 to 100.
  • MM slash DD slash YYYY
  • Accepted file types: doc, docx, pdf, Max. file size: 75 MB.
    Provide current resume or CV. This will be included in the packet that is provided to the departments.
  • Accepted file types: doc, docx, pdf, Max. file size: 75 MB.
    Provide letter of introduction. This will be included in the packet that is provided to the departments.
  • Accepted file types: doc, docx, pdf, Max. file size: 75 MB.
    Provide documentation of clinical objectives you would like to achieve as part of this rotation.

  • Session Request

    Please choose the session that best aligns with your clinical request needs. Applications submitted after the semester deadline date will not be considered for placement. Due to the high demand for placement, no exceptions will be made.
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
    What do you believe will be your preferred specialty area upon completing your advanced practice nurse program requirements? Please choose from the following specialty areas.

  • Please provide a contact at your school of nursing to facilitate coordination of the clinical placement

  • This field is for validation purposes and should be left unchanged.