Graduate Level Nursing Education Application

Thank you for your interest in Baptist Memorial Health Care. Before you begin filling out your application, please have the following information prepared to share:

• RN license number/state
• APN license number/state
• Full legal name, email address, practice address and phone number for all preceptors
• Number of clinical rotations
• Full legal name, email address, school name, office address and phone number for your school's faculty advisor
• Status on your Capstone/Dissertation project
• A copy of resume and school or program Preceptor Guidelines in Word (.doc or .docx) format

You may also view our Nursing Research Essentials Checklist

You will not be able to successfully complete the form unless you have all of the above information before filling out the form.

Please note that this application can only be filled out for one preceptor. Any additional preceptors needed will require additional submissions of the application.