NP Clinical Placement Inquiry - Texas NP Clinicals and Board Review
Welcome! We specialize in connecting nurse practitioner students with qualified clinical preceptors throughout Texas. Complete this form to learn about our placement process and receive personalized information about available clinical rotations.
First Name
*
Last Name
*
Email Address
*
example@example.com
Phone Number (include area code)
*
Please enter a valid phone number.
Format: (000) 000-0000.
Current City, State
*
NP Program University/School Name
*
Please Select
University of Texas at Austin
Texas A&M University
Texas Tech University Health Sciences Center
Baylor University
University of Houston
Other
Program Type
*
Please Select
Family Nurse Practitioner (FNP)
Adult-Gerontology Primary Care NP (AGPCNP)
Psychiatric Mental Health NP (PMHNP)
Pediatric NP (PNP)
Women's Health NP (WHNP)
Adult-Gerontology Acute Care NP (AGACNP)
Other
If Other Program Type, please specify
Expected Graduation Date
*
-
Month
-
Day
Year
Date
Type of Clinical Rotation Needed
*
Primary Care
Pediatrics
Women's Health
Mental Health/Psychiatry
Specialty (Cardiology, Dermatology, etc.)
Multiple Rotations
Number of Clinical Hours Needed
*
Please Select
Less than 100 hours
100-200 hours
200-300 hours
300-500 hours
More than 500 hours
Preferred Start Date
*
-
Month
-
Day
Year
Date
Preferred Geographic Area in Texas
*
Dallas/Fort Worth Metroplex
Houston Area
Austin Area
San Antonio Area
East Texas
West Texas
South Texas
Central Texas
Flexible/Any Location
Are you willing to travel for clinical placement?
*
Yes
No
If yes, how far are you willing to travel?
Please Select
Up to 30 miles
30-60 miles
60-100 miles
More than 100 miles
Preferred Method of Contact
*
Text Message
Email
Phone Call
WhatsApp
All methods acceptable
Best Time to Contact (select all that apply)
*
Morning (8 AM - 12 PM)
Afternoon (12 PM - 5 PM)
Evening (5 PM - 8 PM)
Weekends
Preferred Day(s) for Contact (select all that apply)
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Any day is fine
Response Urgency
*
Please Select
ASAP - Need placement within 2 weeks
Soon - Need placement within 1 month
Planning Ahead - Need placement in 2-3 months
Just Exploring Options
Are you interested in Board Review preparation?
*
Yes
No
Maybe
Which board certification exam are you preparing for?
Please Select
AANP (American Association of Nurse Practitioners)
ANCC (American Nurses Credentialing Center)
Both AANP and ANCC
Not sure yet
Additional Services of Interest
Clinical Skills Workshop
Resume/CV Review
Interview Preparation
Mentorship Program
Study Group Access
None at this time
How did you hear about us?
*
Please Select
Google Search
Social Media (Facebook/Instagram)
University/School Referral
Fellow Student Referral
Professor/Faculty Recommendation
Professional Organization
Other
If Other, please specify
Specific Questions or Special Requirements
Have you used clinical placement services before?
*
Yes
No
Budget Range for Clinical Placement
Please Select
$1000-$1500
$1500-$2000
$2000-$2500
Need payment plan information
Need to discuss options
Email Opt-in
I agree to receive email communications about clinical placements and educational resources
SMS Opt-in
I agree to receive text messages about placement updates (message and data rates may apply)
Terms Acknowledgment
*
I understand that submitting this form does not guarantee placement and that fees apply for placement services
FERPA Consent
*
I authorize Texas NP Clinicals to communicate with my school regarding clinical requirements if necessary
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