Page 18 - Mliner_ProfessionalPortfolio
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Student Information Sheet
Name: __________________________
Phone #: ________________________
Email: __________________________
1. What are your clinical experiences thus far?
2. What are your goals for this clinical course?
3. What work/life experiences do you have interacting with children?
4. What is most important to you in a clinical instructor?
5. How do you learn best?
6. If you had the opportunity to shadow a pediatric RN, what area would interest you most?
Pediatric intensive care
Neonatal intensive care
Emergency room
Operating room
Case management/Clinic RN
7. If there is any other information I should know of or if you have questions/concerns please
share:
