2026 NEXT STeP- Nurse Externship Summer Transition Program
Application Packet
A limited number of Summer Nurse Extern positions will be made available to foster accelerated learning of the future nurse in a variety of clinical settings. All applicants must be able to commit to an eight week summer program partnered with a nurse preceptor on a specified nursing unit. Applications are due no later than February 15, 2026. If you have any questions, please contact the LCRH HR Dept. at 606.451.3704.
Name
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
*
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Area Code
Phone Number
EDUCATION
NAME OF NURSING SCHOOL:
Anticipated Graduation Date:
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Month
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Day
Year
Date Picker Icon
Nursing Units and Descriptions: Please review and rank each on a scale of 1 - 11 (1 being your top choice and 11 your least)
*This ranking does not guarantee you will be placed in that department.**Department placement is based on hospital need and patient census.
Behavioral Health Unit
Please Select
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Medical Unit
Please Select
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Surgical Unit
Please Select
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Progressive Care Unit
Please Select
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Cardiovascular Care Unit
Please Select
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Neuro Critical Care Unit
Please Select
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Med/Surg Intensive Care Unit
Please Select
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Women and Children's Unit
Please Select
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Operating Room/PACU
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Emergency Department
Please Select
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Skilled Care/Rehab
Please Select
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Additional Observation List: Please review and rank your top 5 choices. (#1 being most desired).
*This ranking does not guarantee you will be placed in that observation area. We will choose 3 for each applicant.
Observe any nursing department for the day (please specify below)
Please Select
1
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5
Cath lab
Please Select
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Cath lab
Please Select
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OR - just surgeries
Please Select
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OR - follow patient from pre-op through PACU then observe another surgery
Please Select
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OR - follow patient from pre-op through PACU then observe another surgery
Please Select
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ACU - Ambulatory Care Unit (prep and recovery of cardiac cath patients, including infusions, TEE, Cardioversion)
Please Select
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Hospice
Please Select
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Wound care center
Please Select
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Cardiac Rehab
Please Select
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IV access nurse - Sarah Hacker (PICC and Midline placements)
Please Select
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Infection control
Please Select
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CRNA
Please Select
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Pain Clinic
Please Select
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Cancer Treatment Center
Please Select
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MD office
Please Select
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Mobile Clinic or Walk-In-Clinic
Please Select
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Respiratory therapy
Please Select
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Lake Cumberland Surgery Center (LCSC)
Please Select
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If you chose "Observe any Nursing Department for the day" above, please specify which department.
Please choose "yes" or "no" to the clinical experiences you have already covered in your hospital rotations
Obstetrical Nursing
Please Select
Yes
No
Pediatric Nursing
Please Select
Yes
No
Medical Nursing
Please Select
Yes
No
Surgical Nursing
Please Select
Yes
No
Mental Health/Psychiatric Nursing
Please Select
Yes
No
If time permits would you be interested in splitting your time between two departments?
Please Select
Yes
No
Why have you chosen nursing as a career?
Why do you have an interest in the NEXT STeP program?
What special characteristics do you possess that make you a prime candidate for this program?
What do you hope to gain from this experience if selected?
Please list your involvement in any student or volunteer organizations:
Do you prefer working Days or Nights?
Days
Nights
Academic Transcript
Browse Files
Please upload your current academic transcript
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Letter of Reference from a member of your clinical faculty.
Browse Files
Please upload a letter of reference from a member of your clinical faculty
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Extern Skill List
Browse Files
Please upload a completed copy of the Extern Skill List. This must be signed off on by an instructor. You can download this document at LakeCumberlandHospital.com/next.
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