Transition to Practice Application

Candidate Name: ^*

Phone Number: ^*

Email Address: ^*

Home Address:

City:

Zip Code: ^*

State:

School you are graduating from: ^*

School campus location ^*

Are you currently employed by Abrazo or Tenet Health? ^*

Yes

Date you can begin your TTP experience: ^*

Number of hours needed to complete experience: ^*

Freestanding Emergency Centers

Abrazo Buckeye Emergency Center 525 S Watson Road / Buckeye, AZ 85326
Abrazo North Peoria Emergency Center 26900 N Lake Pleasant Parkway / Peoria, AZ 85383

First Choice ^*

Second Choice ^*

Third Choice ^*

Fourth Choice ^*

Fifth Choice ^*

In a few words, describe why you would be an asset to the nursing community at Abrazo Health, and why you chose the first ranked facility. ^*

Describe your five-year professional nursing plan: ^*

Facility Choices