Baccalaureate of Science in Nursing: Clinical Placement Request
This form is to indicate for each of the NURS courses with a clinical component (NURS 327, NURS 400, NURS 449 and NURS 450) whether you are choosing:
- the project option,
- the LSEI (Lower South Eastern Idaho) "local" option,
- the Preceptorship Agreement (Here is the form: RN to BSN Preceptorship Agreement Both forms must be originally signed and mailed to the address at the bottom of the form prior to the 5th day of the semester),
- or requesting placement in a hospital listed here for which we currently have an Affiliation Agreement on file. The clinical request deadlines for affiliated facilities with BYU-Idaho are the following:
- Fall - May 1st
- Winter - September 1st
- Spring - February 1st
All other clinical placement requests (Preceptorship, Project, LSEI "local") are due
one week prior to the start of the semester.
Please fill out all information below and submit it at the bottom of the page. If you have any questions, please call the Nursing Outreach office at (208) 496-1285.
*Note: You will receive an e-mail after completion of the survey. If you do not receive an email to your BYU-I email, you may have not completed it correctly. Please resubmit your request.