Clinical Rotation

Thank you for your interest in Western North Carolina Community Health Services (WNCCHS) as a site for a portion of your clinical education.

We are happy to evaluate your clinical rotation request — please fill out the form below.

Completion of the student clinical request form does not guarantee placement.

WNCCHS makes decisions on clinical rotations based the candidate’s alignment to WNCCHS mission, vision, and values; student educational track; and number of rotations, which are based on availability of preceptors.

Each requestee will be notified of the status of their request in a timely manner. Accepted students must meet the credentialing and privileging requirements of WNCCHS prior to the start of a rotation.

WNCCHS aims to respond to each request within a two-week period. To inquire about the status of a clinical rotation request, please email studentrotations@wncchs.org.

Clinical Rotation Request Form

Name

First Name

Last Name

Phone Number

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Requested Rotation Dates

Number of Hours Requested

Length of rotation:

Name of Educational Institution

Clinical Rotation Coordinator Name

Coordinator Phone Number

Coordinator Email Address

Purpose of Clinical Rotation

Degree/Certification Pursuing

Language Proficiencies

Curriculum Vitae (CV)

Please share link to Google Doc (or similar) and make sure the settings allow for anyone to view the document. Alternately, you may email your CV to studentrotations@wncchs.org after submitting this form -- if so, please indicate that you are doing so in the blank field.

Personal Statement

Please share link to Google Doc (or similar) and make sure the settings allow for anyone to view the document. Alternately, you may email your statement to studentrotations@wncchs.org after submitting this form -- if so, please indicate that you are doing so in the blank field. Your statement should outline the qualities and skills you will bring to your rotation at WNCCHS; how rotating at WNCCHS will prepare you for future practice; and why you specifically wish to complete your rotation at WNCCHS.