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APP Student Placement Application

Returning?

A A A

We are pleased to announce that we have implemented a new and improved process for student placement, aimed at enhancing the experience for students, schools, and preceptors. The new process is designed to streamline the placement process, ensure a better match between students and clinical sites, and optimize the learning for our students.

All prospective students will need to fill out the APP Student Placement Application following the due dates below based on semester/rotation start date. Students can submit for more than one semester at a time (with multiple applications), but applications for each semester will be looked at according to the due date.

Semester/Rotations Start Date	Application Due Date	Notification Date
Spring (January-May)	July 1	August 15
Summer (May-July)	December 1	January 15
Fall (August-December)	February 1	March 15

If you have any questions, please reach out to Rachel Swerdlin (rachel.swerdlin@choa.org), Advanced Practice Manager of Education & Quality.

Survey Date (auto-populated, not seen on public survey)
DO NOT DELETE

M-D-Y

First Name of Student

* must provide value

Last Name of Student

* must provide value

School E-mail of Student

* must provide value

Personal E-mail of Student

Phone Number of Student

* must provide value

Name of University

* must provide value

Augusta University

Brenau University

Emory University

Georgia State University

Mercer University

University of Alabama at Birmingham

South College

Morehouse School of Medicine

Other

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Is this school located in the state of Georgia?

* must provide value

Yes

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Name of School

**Please note, we must have a contract in place with your school. It can take up to 3 months to finalize a clinical placement contract. If you are unsure if your program has a contract with Children's Healthcare of Atlanta, please e-mail APPStudentplacement@choa.org with the name of school and type of program (NP vs PA).

* must provide value

Type of Program

**Please note, we do not accept FNP students at this time**

* must provide value

PNP-Primary Care (PC)

PNP-Acute Care (AC)

PNP- Dual AC/PC

PMHNP

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Are you also obtaining your DNP?

* must provide value

Yes

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Is this a post-master certificate?

* must provide value

Yes

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What previous certification do you have?

Name of Clinical Placement Coordinator or Person in Charge of Clinical Placements
(this may be faculty or program director)

* must provide value

E-Mail of Clinical Placement Coordinator or Person in Charge of Clinical Placements
(this may be faculty or program director)

* must provide value

Phone Number of Clinical Placement Coordinator or Person in Charge of Clinical Placements
(this may be faculty or program director)

* must provide value

Is there an additional faculty/program director contact?

* must provide value

Yes

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Name of Additional Faculty/Program Director

Role of Additional Faculty/Program Director

Phone Number of Additional Faculty/Program Director

Email of Additional Faculty/Program Director

Which learning format is your program?

* must provide value

In Person

Hybrid (includes some time on campus for intensives)

Online only (no time on campus)

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Which semesters are you looking for a rotation?
You will need to submit a separate application for each semester.

Spring 2025

Summer 2025

Fall 2025

Spring 2026

Summer 2026

Fall 2026

Spring 2027

Summer 2027

Fall 2027

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How many total hours are you requesting for this semester?

What is your expected graduation?

* must provide value

May 2025

August 2025

December 2025

May 2026

August 2026

December 2026

May 2027

August 2027

December 2027

May 2028

August 2028

December 2028

Other

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Other Expected Graduation

How long have you been a employed as a nurse?

Please select which time period you would like your rotation to start. You must submit a separate application for each of these time periods, if requesting more than one rotation.

For example, if you would like 2 pediatric rotations, one in January and one in September, you would need two separate applications.

January-May 2025

June-August 2025

September-December 2025

January-May 2026

June-August 2026

September-December 2026

January-May 2027

June-August 2027

September-December 2027

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Dates of Rotations Requesting.

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How long is the rotation (pick one)

4 weeks

5 weeks

6 weeks

Other

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Other, please explain

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Have you had your general pediatrics rotation?

Yes

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Do you have the dates of your general pediatrics rotation? Please list.

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What is the month/year of your expected graduation?

Month

Year

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