Student Application Part I – NP, PA, CNM, CRNA & Med Students

Fill out the form below to be considered for student placement at an Aspirus facility. Please note that submission of this form is not a guarantee of placement at Aspirus. Requests for this Academic Year will be considered on a case-by-case basis. Requests for the next Academic Year will be considered starting in May/June prior to that Academic Year.

SCHOOL INFORMATION

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STUDENT INFORMATION






PLACEMENT PREFERENCES


































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