Advanced Practice Providers (APP) Student Rotation Application This application is only for students interested in rotating within critical care medicine. APP Student Application Name * Name First First Last Last Email * Which of the below best describes you? * ACNP StudentNP Student How many clinical hours will you need for this rotation? * Which area do you wish to rotate? * Surgical Intensive Care Unit (SICU)Cardiothoracic Intensive Care Unit (CTICU)Both SICU/CTICUCommunity Please let us know when you wish to rotate in our department. (Note: Applications must be submitted at least three months before the start of the rotation. If the clinical site does not have an existing affiliation agreement with BJC, the application process may take up to six months to complete.) * Clinical Coordinator Name * Clinical Coordinator Name First First Last Last Clinical Coordinator Email * Please upload your CV * Drop a file here or click to upload Choose File Maximum file size: 104.86MB Please upload your Letter of Interest * Drop a file here or click to upload Choose File Maximum file size: 104.86MB If you are human, leave this field blank. Next