Please refer to the information on this page frequently, as the Clinical Services page contains a great deal of valuable information and will likely answer many of the questions you may have. In fact, you should always look here first, before contacting a clinical coordinator, faculty associates, or faculty advisors.
Clinical Placement Applications
Your Clinical Placement Application MUST be returned by the date listed below, typically at least 1 year in advance of the start of the actual clinical rotation semester. You should also complete and return an updated form whenever there are significant changes and/or additions, such as program specialty changes or address/contact information updates.
|Clinical management Courses
||Application Submission Date
|615, 620a, 642a, 629a
||December 1st, year of program admission
|616, 620b, 642b, 629b, 629c
||May 1st, Program Year One
||August 1st, Program Year One
Nurse Practitioner Clinical Placement Application
Your Clinical Placement Application MUST be returned by the date listed above; typically at least 1 year in advance of the actual clinical rotation, even if you do not have the form completely filled out. This form signifies to the Clinical Placement Coordinators that you plan on being clinical the semester for which you are completing the application. Failure to submit the Clinical Placement Application form by the required date may result in no available clinical preceptor or site for you in the semester you are requesting, potentially delaying your progression through your program of study.
Clinical Placement Application
Preceptor Information Form
Each of your potential preceptors must complete the Preceptor Information Form and return it to the Office of Student Support & Community Engagement (return information on the form) as soon as possible so that credentials and preceptor suitability can be verified. This form is REQUIRED and must to be on file for each and every preceptor. The form should be updated every year to verify correct contact information.
Preceptor Information Form
Contract Request Form
If there is not currently a contract (affiliation agreement) in place between the University of Arizona CON and the site at which
The Office of Student Support & Community Engagement
you would like to complete a clinical rotation(s), you will need to fill out the CON Contract Request Form and return it ASAP to:
1305 North Martin Ave, Room 112
Tucson AZ 85721
You MUST provide a valid telephone number and email address for the contact person responsible for signing the contract
(you can usually find out who this person is by calling the Practice Manager, the Human Resources Department, or Education Department of the respective site). If you do not provide this information, it will be impossible to send out the contract to begin the process of securing YOU a clinical placement site.