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Application Packet

A limited number of Winter 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 winter program partnered with a nurse preceptor on a specified nursing unit.
Applications are due no later than October 8, 2025. If you have any questions, please contact the LCRH HR Dept. at 606.451.3704.

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* 1. Contact Information

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* 2. Nursing School

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* 3. Anticipated Graduation Date

Date

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

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

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

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

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

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

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* 10. 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.

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* 11. Additional Observation List: Please review and rank your top 5 choices. (#1 being most desired).

*This ranking does not guarantee you will be placed in that observation area.

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* 12. Academic Transcript

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

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

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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* 14. Extern Skill List 

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