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College of Nursing: Student Rotational Clearance

The document is a student rotational clearance form for a nursing student named Ashlene Kate Bgasiyao for their 1st semester clinical rotation in SY 2018-2019. It lists the student's name, year/section, and clinical instructor. It provides spaces to record the hospital, date, time/shift, and date signed for each rotation. Signatures are also included for the clinical coordinator, community coordinator, area head, and college dean to approve the student's rotations.

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Ashlene Kate Bagsiyao
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78 views1 page

College of Nursing: Student Rotational Clearance

The document is a student rotational clearance form for a nursing student named Ashlene Kate Bgasiyao for their 1st semester clinical rotation in SY 2018-2019. It lists the student's name, year/section, and clinical instructor. It provides spaces to record the hospital, date, time/shift, and date signed for each rotation. Signatures are also included for the clinical coordinator, community coordinator, area head, and college dean to approve the student's rotations.

Uploaded by

Ashlene Kate Bagsiyao
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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COLLEGE OF NURSING

STUDENT ROTATIONAL CLEARANCE

1st Semester, SY 2018-2019

Name:Bgasiyao,Ashlene Kate Year & Section/Group: Level IV – S2 – Group B

HOSPITAL DATE TIME/SHIFT CLINICAL INSTRUCTOR DATE SIGNED


Ward/Community/Area MM/DD/YR

Juliet Avena / Ken Fias-ilon Judith Layao

CLINICAL COORDINATOR / COMMUNITY COORDINATOR AREA HEAD


(Printed Name and Signature) (Printed Name and Signature)

Judith Odanee Magwilang


COLLEGE DEAN
(Printed Name and Signature)

UC-VPAA-CON-FORM-09_RLE
APRIL 2015 Rev 00

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