Clinical Placement Request Form - Continuing Education Health Sciences

NOTES:

  • All Non-Academic Requirements (NARs) must be met before your placement begins.
  • Complete this placement form on registering for your clinical course.
  • Clinical placements may occur at locations that are not accessible by public transit. As such, students shall be expected to either have access to a car or the ability to supply their own transportation when attending clinical placement activity. Mohawk shall not be responsible for providing students with transportation to clinical placements.
  • Registered students who have been convicted of an offence under the criminal code for which they have not been pardoned may be denied the opportunity to enter clinical placement.
  • Students may be required to complete additional onboarding requirements/clearance requirements required by clinical placement agencies.
  • We cannot guarantee your preferred location. We will attempt to secure your preferred request, however this may not be possible at times.
  • Once a clinical has been secured, you will be contacted by the Clinical Area of Mohawk College with details on your clinical placement location. 

Enter your nine digit student ID number (e.g. 000123456)

Enter the full names of the specific hospitals/clinical location you would prefer (example - Hamilton Health Sciences, Hamilton General Site):
(Note that we cannot guarantee we will be able to place you at your preferred location.)

Do you work at this hospital (students would not be able to complete their placement in the same location as where they work)
Do you work at this hospital? (students would not be able to complete their placement in the same location as where they work)