Washington State Board of Nursing - Fall Preceptor Hours Reporting Form |
We are now accepting submissions for Fall 2026.
Deadline is January 12, 2027.
Complete this survey if you want to receive a cash incentive payment for your time and effort in precepting a nursing student. The Preceptor Grant reimbursement rate is now $500 per student precepted.
You must complete all 5 pages of the application to receive payment. We will not issue payment for partial application.
You will be redirected to receive a confirmation email at the end of the application. Please enter your email for your record of the submission.
For information about deadlines, how to apply for a Statewide Vendor Number, or for help completing this form please visit the Preceptor Program Webpage at: https://nursing.wa.gov/education/student-nurse-preceptor.
- Deadlines apply for all submissions and submissions after the deadline cannot be processed.
- Apply for a Statewide Vendor Number at the beginning of the preceptorship.
- Submit form as soon as you complete 80 hours of preceptorship.
- It is the responsibility of the preceptor to complete and submit the form by the deadline.
- Answer every question unless listed as optional.
- Out-of-state nursing program students are not eligible for reimbursement, even if the clinical hours take place in Washington.
- No refresher program.
- No RN-BSN program.
- You must be an LPN, RN, or ARNP to qualify for reimbursement.
Reimbursement Cycles
We are currently accepting reimbursement submissions for the Fall 2026 cycle.
We are currently accepting reimbursement submissions for the Fall 2026 cycle.

**Duplicate submissions may cause delay in payments.