Integrative Practicum Program

Eligibility

To be a Nursing Student Preceptor, you must have:

A minimum of two years full-time or three years of part-time direct care experience (less experience can be approved by leadership).
Current employment as a staff nurse working a minimum of 24 hours per week, a willingness to share your experience and knowledge in providing and coordinating care.
An interest in the professional growth that comes from assisting others into this profession.
An interest in being a secondary/backup preceptor, instead of a primary.

Application Process

Complete the Preceptor Application Form below.
This form must be completed each year you wish to be a Nursing Student Preceptor.
A completed application does not guarantee acceptance. Your leadership must approve of you being a preceptor. If you have questions about that, please speak to your nurse manager or supervisor.
Upon acceptance, you will be assigned a student for spring term and need to read the LCC Preceptor training information.

Thank You! If you had any difficulty with this form or if you have any other questions about the program please contact:

Aimee Kruger, BSN, RN

(she/her)

Nursing Clinical/ Lab Coordinator

541-463-3234

krugera@lanecc.edu

Jennifer Tavernier, DNP, RN, CCM
Associate Dean/Director of Nursing
541-463-5637
tavernierj@lanecc.edu

LCC Preceptor application information can be submitted online using this form.

Please click the Submit button at the end of the form. The information is emailed directly to the Integrative Practicum Coordinator and will not be used for any other purpose.

First name:

Last name:

Your email:

Home/Cell phone:

Preferred method of contact

Phone Call

Text

Years of practice:

Other current roles that may change/delay student learning (facilitator, meal and break nurse, etc.)

Name of Hospital/Agency where employed:

Unit:

Hours of your shift:

Average hours worked per week:

Have you had a preceptor class?:

If you have PTO planned in April, May, or the first half of June, please enter the dates:

Please check one of the boxes below to indicate if you want to contact the student or would prefer to have the student contact you.

I will meet with my student to establish a schedule, and I give permission to release my contact information.

You will be contacted by the student via your preferred method of contact (above).

I will meet with my student to establish a schedule, but prefer to contact my student directly. Please send student name and phone number when that becomes available.

Your faculty liaison will meet with you after March 30th to review your role as a Preceptor. Your assigned student will begin attempting to contact you in March. Please watch for unfamiliar emails going to your spam folder, or unfamiliar calls/texts on your phone.

What to expect next:

Your name will be given to the Student Placement Coordinator at PeaceHealth, who will give it to your manager to be approved as a preceptor. The accepted names will be given to the LCC Clinical Coordinator, Aimee Kruger, who will work with LCC faculty to assign the students. Aimee will reach out to all who have applied to let them know if they were accepted as an LCC preceptor or not. If you are not accepted as one of the preceptors for LCC, and you have questions about that, please contact your manager. Thank you for being a potential preceptor - we couldn't do this without you!

Other Options

Student Name:

If you know a student you would like to work with, please include that name in this box. Faculty will make that placement, if at all possible.

I am only interested in being a secondary Preceptor

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Eligibility

Application Process

LCC Preceptor Application Form - Sign up Now!

What to expect next: