Please complete the form below:
Please identify and document your learning objectives for your placement. Note, objectives should be measurable and generally focused on learning opportunities within your selected focus area.
Please provide a brief outline or plan for achieving your learning objectives
Please indicate how you will evaluate if your objectives have been met
Describe how you believe a placement in this focus area will benefit your nursing practice
Describe any prior work experience and/or volunteer work relevant to a placement in this focus area