Sacred Heart's Contract Request Form, field by field

Six forms, one per program family

All six are online Formstack forms linked from the College of Nursing Forms page. Pick the one that matches your program, because the questions differ, most of all for FNP students, whose form asks about the populations a site serves. CNL, NE and NMEL students also find their form in the Graduate Nursing Clinical Requirements Blackboard organization.

What the form asks

The public versions of the form ask for:

• The proposed semester and year, and the course number.
• Your faculty adviser.
• The site's name and address.
• The site's contact for contracts, meaning the person who can sign or route an affiliation agreement.
• Whether you are currently employed at the site.
• Whether you work with the preceptor or mentor in any capacity at your job.
• Whether the preceptor or mentor is a Davis & Henley College of Nursing adjunct.
• For FNP, the primary and secondary population at the site: Primary/Preventive Care, Women's Health, Pediatrics or Specialty Care.
• A required confirmation that your preceptor is not a family member or close friend.

The MSN Online and RN-BSN version also shows the six module windows, from Module 1 (August to October) through Module 6 (June to August), so the request lines up with your course dates. The employment questions are explained on clinicals where you work.

After you press submit

Sending the form is not a finish line. Here is what happens once it leaves your hands:

1. Automatic routingThe moment you submit, the form lands with the Clinical Contract & Compliance Coordinator, with no further step from you.
2. Agreement checkThe coordinator looks for an affiliation agreement with the site and initiates one if none exists. A new agreement can take months; see affiliation agreements.
3. Contact only when something blocks itThe coordinator writes to your SHU email account only if there is a problem solidifying the agreement. Quiet means no problem has been flagged.
4. Compliance and clearanceWith the agreement confirmed, your Health Account compliant and your preceptor approved, the Cleared for Clinical email follows.

While you wait, keep your Health Account current and your SHU email open. The guides give students 48 to 72 hours to answer clinical and compliance messages, and a slow reply to the contract coordinator slows the agreement too.

How we make your CRF ready to send

By the time your form is due, your placement advisor has already gathered everything it asks for: the site's full name and address, a named contract contact with a working email, the population mix for FNP courses, and a preceptor screened for conflicts of interest. You copy the details in and submit, and the Clinical Contract & Compliance Coordinator begins with a clean request. We also flag early whether the site belongs to a partnering health system, so that system's own approval is under way before your form is due.

That preparation is how we help the affiliation agreement start early rather than late. If the preceptor changes later, we prepare the details for the replacement form as well. Tell us your program and term in the form below.