Clinical Associate/Preceptor Nomination Form

Please provide us with a preferred mailing address for your nominee.  This address will be used for periodic communication including their offer letter and invitations to Clinical Associate/Preceptor events.
The above candidate is has made the following contribution(s) to the Univeristy of Connecticut School of Nursing:
Contributions to the *
Undergraduate Curriculum Contributions *
Graduate Curriculum Contributions *
Once you have completed the form, please email a copy of the nominee's CV to Amelia Hinchliffe or upload it here.