NUR470 Out of Town Placement Application Please ensure your resume file name does not contain an apostrophe nor any other special characters. Please complete the form and click on Submit Student First Name*Student Last Name*Student Number*Cell Telephone #*UofT Email Address*Please provide your utoronto email address only. Enter Email Confirm Email Please indicate your agency name**** The hospitals/agencies that you submit MUST have a valid Student Placement Agreement with the university/Faculty of Nursing. To help you find out if we do have a valid agreement with the hospitals/agencies, please check this link out: https://bloomberg.nursing.utoronto.ca/current-students/placements/placement-partners. e.g. Guelph General Hospital Area of Practice Choice #1* Area of Practice Choice #2* Area of Practice Choice #3* If you are interested in a critical care placement, have you arranged to complete the critical care process at the Faculty?*YesNoN/AIs there any other information which would help us in facilitating your NUR470 placement request?Please upload your clinical resume*Please format the name of your resume file as lastname_firstname. DO NOT include any special characters such as apostrophes in the file name since this creates an error condition and you will not be able to submit this form. Accepted file types: pdf, doc, jpg, gif, docx.Accepted file types: pdf, doc, jpg, gif, docx.