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  1200 First Avenue East
  Spencer, Iowa 51301
  
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  Patients or family members with concerns are encouraged to contact our patient representative at 264-6208, Monday through Friday from 8 a.m.-4:30 p.m.

I want to

Clinical Preceptorship Application

Spencer Hospital Nursing Services offer a 10-week preceptorship program for nursing students going into their last semester at a 2-year nursing program.

The program enhances a nursing student's education and clinical skills as they work alongside a nurse preceptor.

All fields marked with * are required.

Applicant Information

First Name

Last Name

Phone Number

Email Address

Name of Current School Attending

Anticipated Graduation Date

Areas of Interest

Please pick your top 3 areas of interest.

First Choice

Second Choice

Third Choice

Do you plan on or have interest in working at Spencer Hospital after graduation?

Yes
No
Undecided

Additional Comments/Questions

Additional Information

Attach Your Most Up-to-Date Resume