Nurse Residency Program
Supplemental Application
Please complete this entire supplemental packet and save it to your computer. Once you have completed
this packet you are ready to submit your on-line application for the Nurse Residency Program at
www.uwhealth.org/careers. Upload your completed supplemental application packet and resume into
your on-line application prior to submitting. It is the applicant’s responsibility to ensure that all applications
materials are received by the deadline. Incomplete applications will not be considered. Completed
applications include:
• On-line application at uwhealth.org/careers
• Resume (upload into on-line application)
• Supplemental Application Packet (upload into on-line application)
• Unofficial Transcript (upload into on-line application)
For additional information on each unit, please see the attached unit descriptions at
uwhealth.org/nurseresidency
Deadline Information
February/March 2016 Program
Application materials are due by October 15, 2015.
Summer 2016 Program
Application materials received by December 1, 2015 will receive primary consideration for selection into
the Summer 2016 Nurse Residency Program.
Applications received after December 1, 2015 will be reviewed for admission based on continued
program openings.
Contact / General Information
Name:
Phone:
Nursing School:
Email:
Traditional:
Accelerate:
Nursing GPA:
Date of Graduation:
Are you a current employee of UWHC?
Yes/No
Position:
Unit/Department:
Are you a previous employee of UWHC?
Yes/No
Emp ID #:
Position:
Unit/Department:
Dates Employed
from?
Other Health Care Experience
Intern/Extern
CNA
SNA
Other, specify:
1st Degree:
2nd Degree:
To:
Clinical Interest Inventory
Name:
Date of Graduation:
The following information will help us to match your interests with our needs. It will be used to determine
placement for those accepted into the program. While we take your interests into consideration, it is not a
guarantee of specific placement. Indicate your interest level in each of the units below according to the
ranking system. For additional information on each unit, please visit uwhealth.org/nurseresidency
Units
Medical
Acute Medical Progressive Care
General Medicine & Geriatrics
Family Medicine and Forensics
Clinical Research Unit
Radiology
General Medicine & Teaching Services
Heart and Vascular
Heart and Vascular
Inpatient Cardiology
Cardiac and Thoracic Surgery and Transplant
Surgical Inpatient
General Surgery
Trauma/IMC
GYN/Urology/Plastics/ENT
Transplant
Orthopedics
Neurosciences General Care
Surgical Services
Operating Room
Post-Anesthesia Care Unit- Adult
Post-Anesthesia Care Unit- Pediatric
Critical Care
Trauma Life Support Center
Burn
Emergency Department
Neurosciences ICU
Cardiac Medical ICU
Pediatrics
Pediatrics: Hem/Onc, Neuro, ENT, and Plastics
Pediatrics: General
Neonatal ICU
Pediatric ICU
Pediatrics: Universal Care Unit
Other
Hematology/ Oncology/BMT
Home Health
Psychiatry
Hemodialysis
Care Initiation Unit
Strong Interest Interest No Interest
Post-Graduate Nurse Program Goal Statement
Name:
Date of Graduation:
Please submit a one-page typewritten letter delineating specific goals for your professional development.
Include your motivation for application to this program.