Graduate Level Student Placements
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Before a clinical placement request can be considered, a current legal affiliation agreement between the school and the healthcare organization must be in place. 
Questions?   School representatives - a list of healthcarecontacts is here. 

Step 1:  10-12 weeks prior to placement need*, school must submit a Graduate Request form  on behalf of the student.  Note that many organizations do not allow students to reach out to potential preceptors directly.
​*Some facilities may have different deadlines for NP/PA requests - check with facility directly regarding timelines.

Step 2:  If approved, school rep to work with student to complete orientation steps listed further down on this page so that school can complete the 
​ Graduate Required Information Form (RIF) and submit to the facility a minimun of 4-6 weeks prior to clinical start date. 

School representatives -  only send the RIF/excel form; all other documents must be housed with school and available upon request, but NOT necessary to email. Every section must be filled in completely.  
Instructions to fill out the RIF can be found here:   Directions for Required Information form 



​Orientation for Graduate Level Students

Once placement has been confirmed, ALL of the following requirements must be completed and turned in to your school representative as soon as possible.  If there is a delay with your school's ability to submit regulatory paperwork, your experience could be delayed or cancelled.  Your school generally has everything under Step #1 as part of your school requirements, but verify everything is current so they can turn it in on your behalf. 
Advocate Aurora Health - Nursing - RN to BSN
MSD & DNP (projects) please go to Nursing & MA Clinical Placement. All other disciplines will follow FVHCA Requirements. 
Step 1:  Health Requirements/Background Checks:     
Step 2: Complete Online Orientation Requirements:​
​1. Student Orientation Professional Expectation Module
​2. Student Orientation HIPAA Privacy and Security Module
3. Student Orientation Infection Prevention
4. Safety in the Workplace
​Step 3: Complete Facility Specific Orientation:
(If you are utilizing an organization not listed below, jump to Step #4.) 
  • Ministry Health Care / Affinity
  • Agnesian Healthcare​
  • ThedaCare  (Note: your facility specific orientation will happen in person on your first day onsite; there is no online version)  ​
  • ​Evergreen Retirement Community (contact Evergreen directly)
Step 4: Complete and Submit Forms to School:
Print off and sign Forms A, B, & C and turn them in to your school representative.  Your signature indicates acceptance of responsibility and accountability for information presented.  (Note - for electronic signature,  use Internet Explorer as it will not work in Chrome).
Form A: Confidentiality Agreement
​Form B: Module Completion
​Form C: Healthcare Facility Specific Orientation Completion
Form C information: ​If you did an online facility specific orientation in Step #3, fill this out with the date you completed and send to your school.  If an online orientation is not offered, print, fill it out, and sign after you receive the onsite orientation and department safety walk.  When complete, send it to your school for record keeping.   We do audit that it was returned to school since it is a regulatory requirement.

Next steps:  After school submits the RIF, your student access will be set up and documentation done - an email will be sent out to the student, school rep, and onsite preceptor with further student information prior to clinical start date- at that time, the student is welcome to contact his/her onsite preceptor regarding a schedule of hours within the approved date range. Thank you!