BScN information sheet for Clinical Placements NUR360 – Rotation 1 – 2019 Please submit the below information so we can assign you to an appropriate hospital for your clinical experience. If you do not have a Greater Toronto Area (GTA) address, please enter your current address on this on-line form. You will have another chance to update your address prior to the next clinical rotation. Please note that clinical experiences will occur across the GTA. Students can expect to have at least a one-hour commute for some rotations. FIRST NAME*Student's given namePreferred Name*Student's preferred name to be called. SURNAME*Student's surnameStudent Number or Application Number*Please enter a number from 1 to 9999999999.E-MAIL ADDRESS*Please enter an e-mail address where a confirmation of receipt can be sent to you. Your utoronto email is preferred, if you have one. Enter Email Confirm Email WHERE WILL YOU BE LIVING DURING THE ACADEMIC YEAR?ADDRESS*CITY*PROVINCE*POSTAL CODE*MAJOR INTERSECTIONS OF ABOVE ADDRESS*CLOSEST SUBWAY/GO TRAIN STOP*MY PRIMARY WAY TO COMMUTE TO CLINICAL IS:*TTCGO TrainOtherMY ALTERNATE WAY TO COMMUTE TO CLINICAL IS:TTCGO TrainOtherCAN YOU COMMUTE BY CAR TO CLINICAL?*YesNo ***All of the clinical experiences in the Lifespan 1: Care of Childbearing Families involve one 12-hour shift per week on either Thursdays OR Fridays OR Saturdays. All clinical experiences in the Lifespan 2: Older persons and their families involve two 8 hour day shifts on Thursday AND Fridays.*** DO YOU HAVE ANY PERSONAL OR FAMILY RESPONSIBILITIES FOR US TO CONSIDER. (FOR EXAMPLE: CAREGIVING, ACCESSIBILITY/HEALTH CONCERNS)?It is helpful for faculty in matching available placements to students to know this information, however please be aware that accommodations may not always be possible.