2025 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 3, 2025. If you have any questions, please contact the LCRH HR Dept. at 606.451.3704.

Question Title

* 1. Contact Information

Name *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

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* 2. Nursing School

Question Title

* 3. Anticipated Graduation Date

Date

Question Title

* 4. 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.

Question Title

* 5. 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.*

Question Title

* 6. If you chose "Observe any Nursing Department for the day" above, please specify which department.

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* 7. Please check the clinical experiences you have already covered in your hospital rotations

Obstetrical Nursing

Pediatric Nursing

Medical Nursing

Surgical Nursing

Mental Health/Psychiatric Nursing

Other (please specify)

Question Title

* 8. If time permits would you be interested in splitting your time between two departments? Yes or No

Question Title

* 9. Why have you chosen nursing as a career?

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* 10. Why do you have an interest in the NEXT STeP program?

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* 11. What special characteristics do you possess that make you a prime candidate for this program?

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* 12. What do you hope to gain from this experience if selected?

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* 13. Please list your involvement in any student or volunteer organizations:

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* 14. Do you prefer working Days or Nights?

Days

Nights

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* 15. Academic Transcript

Please upload your current academic transcript

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File

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* 16. Letter of Reference from a member of your clinical faculty.

Please upload a letter of reference from a member of your clinical faculty

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File

Question Title

* 17. Extern Skill List

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.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

2025 NEXT STeP- Nurse Externship Summer Transition Program

Application Packet

Question Title

* 1. Contact Information

Question Title

* 2. Nursing School

Question Title

* 3. Anticipated Graduation Date

Question Title

* 4. 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.

Question Title

* 5. 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.

Question Title

* 6. If you chose "Observe any Nursing Department for the day" above, please specify which department.

Question Title

* 7. Please check the clinical experiences you have already covered in your hospital rotations

Question Title

* 8. If time permits would you be interested in splitting your time between two departments? Yes or No

Question Title

* 9. Why have you chosen nursing as a career?

Question Title

* 10. Why do you have an interest in the NEXT STeP program?

Question Title

* 11. What special characteristics do you possess that make you a prime candidate for this program?

Question Title

* 12. What do you hope to gain from this experience if selected?

Question Title

* 13. Please list your involvement in any student or volunteer organizations:

Question Title

* 14. Do you prefer working Days or Nights?

Question Title

* 15. Academic Transcript

Question Title

* 16. Letter of Reference from a member of your clinical faculty.

Question Title

* 17. Extern Skill List

* 4. 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.

* 5. 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.*