UW Madison
- Complete the UW Madison Confidentiality Form and return it as indicated on the homepage. You may not type in your signature.
- Complete the Badge Form.
- Check Original ID Badge
- Check Other and indicate Nursing Student
- Skip the Department Coordinator Section
- Complete the Non-Employee Information
- Under Highest Degree indicate "student nurse"
- Leave Highest Clinical Credential Blank
- Sign and Date the form
- Take this form and $12 (cash or check payable to UWHC) to the Cafeteria at the UW Hospital. (this can be done on your first clinical day) You will be given a receipt. Take this receipt to the Security Office and you will be issued your ID Badge.
- You must have the ID badge before you can begin your clinical hours.
Precepted Students Only (NUR 464)
Contact Nick Z. to arrange for an orientation prior to your first scheduled day.
Nicolas Zelechowski
Health Unit Coordinator Trainer
Education & Development for Nursing
and Patient Care Services
E-Mail: [email protected]
Phone: (608) 890-8991
Nicolas Zelechowski
Health Unit Coordinator Trainer
Education & Development for Nursing
and Patient Care Services
E-Mail: [email protected]
Phone: (608) 890-8991