NEXT STeP- Nurse Externship Summer Transition Program

Application Packet

A limited number of Summer Nurse Extern positions will be made available to foster accelerated learning of the future nurse in a variety of clinical settings. All applicants must be able to commit to an eight week summer program partnered with a nurse preceptor on a specified nursing unit.

Applications are due no later than January 31, 2019. If you have any questions, please contact the LCRH HR Dept. at 606.451.3745 or email Tyler.Emerson@LPNT.net.

Question Title

* 1. Contact Information

Name *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

Question Title

* 2. Nursing School

Question Title

* 3. Anticipated Graduation Date

Date

Question Title

* 4. Nursing Units and Descriptions: Please review and rank each on a scale of 1 - 11 (1 being your top choice and 11 your least)

*This ranking does not guarantee you will be placed in that department.
**Department placement is based on hospital need and patient census.

Question Title

* 5. Please check the clinical experiences you have already covered in your hospital rotations

Obstetrical Nursing

Pediatric Nursing

Medical Nursing

Surgical Nursing

Mental Health/Psychiatric Nursing

Other (please specify)

Question Title

* 6. If time permits would you be interested in splitting your time between two departments? Yes or No

Question Title

* 7. Why have you chosen nursing as a career?

Question Title

* 8. Why do you have an interest in the NEXT STeP program?

Question Title

* 9. What special characteristics do you possess that make you a prime candidate for this program?

Question Title

* 10. What do you hope to gain from this experience if selected?

Question Title

* 11. Please list your involvement in any student or volunteer organizations:

Question Title

* 12. Do you prefer working Days or Nights?

Days

Nights

Question Title

* 13. Academic Transcript

Please upload your current academic transcript

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File

Question Title

* 14. Letter of Reference from a member of your clinical faculty.

Please upload a letter of reference from a member of your clinical faculty

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File

NEXT STeP- Nurse Externship Summer Transition Program

Application Packet

Question Title

* 1. Contact Information

Question Title

* 2. Nursing School

Question Title

* 3. Anticipated Graduation Date

Question Title

* 4. Nursing Units and Descriptions: Please review and rank each on a scale of 1 - 11 (1 being your top choice and 11 your least) *This ranking does not guarantee you will be placed in that department.**Department placement is based on hospital need and patient census.

Question Title

* 5. Please check the clinical experiences you have already covered in your hospital rotations

Question Title

* 6. If time permits would you be interested in splitting your time between two departments? Yes or No

Question Title

* 7. Why have you chosen nursing as a career?

Question Title

* 8. Why do you have an interest in the NEXT STeP program?

Question Title

* 9. What special characteristics do you possess that make you a prime candidate for this program?

Question Title

* 10. What do you hope to gain from this experience if selected?

Question Title

* 11. Please list your involvement in any student or volunteer organizations:

Question Title

* 12. Do you prefer working Days or Nights?

Question Title

* 13. Academic Transcript

Question Title

* 14. Letter of Reference from a member of your clinical faculty.

* 4. Nursing Units and Descriptions: Please review and rank each on a scale of 1 - 11 (1 being your top choice and 11 your least)

*This ranking does not guarantee you will be placed in that department.
**Department placement is based on hospital need and patient census.