Providence VA Medical Center, Rhode Island
Education - Student Nursing Clinical Placement Checklist
Listed below are all the required forms and processes you must review and/or complete and return to the Providence VA Medical Center (PVAMC) Nursing Office NO LATER THAN 4 WEEKS PRIOR to your clinical experience. Please closely follow the instructions. If you have any questions or concerns about the process or the forms please contact Ashiki Robinson or Sabrina Estrada at (401) 273-7100 ext. 4372 or 2130.
Student completes all of the below bulleted forms in ink- INCLUDING the ones entitled “optional”. Forms must be received at the VA 4 WEEKS PRIOR to the first day of your clinical rotation:
NOTE: IF YOU WERE NOT U.S. BORN, please include a photocopy of a citizenship document to show you are legal to be in the U.S., i.e. naturalization certification, resident alien card, passport, etc. The photocopy must be legible.
Providence VA Medical Center OR mail them to Attn: Ashiki Robinson
PVAMC Nursing Service (118)
After ALL paperwork is submitted and reviewed, you will be contacted by the Nursing Department to make appointments to process in through Human Resources (HR) for fingerprinting and photo ID at least two weeks prior to the first day of your clinical rotation. You will need two forms of ID on that day. Use the link to the list of acceptable IDs list
Complete Steps 1 and 2 before starting Step 3
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