Elective placement requests for nursing students

Please complete all of the fields below - any incomplete application will not be accepted for consideration.

Upon receipt of your application your request will be escalated to the appropriate senior nurses for consideration. If your chosen areas are not able to accommodate you for any reason a placement will not be offered. If an offer is made subject to clearances you will then be contacted to begin the processes of obtaining clearances to comply with Trust requirements, and your tutor or administrator will be contacted to clarify any documentation required.

Personal details

Course details

Placement details

Supporting information

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