Student Intake Form for AHN Clinical Rotation

Thank you for your interest in completing a clinical rotation with AHN. This form is for students seeking a rotation that is an educational requirement. Please complete the following form in its entirety to move through the student onboarding process.

This form is not for medical students, shadowing experiences or undergraduate nursing students – for those programs please visit for more info.

At AHN, the student onboarding process begins with submission of the student intake form, not within If you’ve already entered info into, the request will be denied and you will be directed to submit your intake form.

Timing: Rotations are reviewed 60 to 90 days in advance. If you are requesting a rotation beyond 90 days in advance, your rotation request will not be processed. Please wait to submit this form within the appropriate timeframe.

Student Intake Form