Student Rotations at Otsego Memorial Hospital

Please submit the following information to receive consideration for rotations at OMH. Your request will be sent to the corresponding department for review and consideration.

NP/PA Students: Please submit a request for each specialty you are looking to secure.

For job shadow requests please contact Human Resources. 30 day notice required.

Student Information

Student Name  *Address  *City  *State  *Zip  *Phone Number  *Email  *School/University  *Are you a current OMH employee?  *If so, which department? 

Clinical/Placement Coordinator's Contact Information

Name  *Phone  *Email  *

Rotation Requirements

Total Hours Required for Rotation  *Number of Hours Per Week Needed (NP/MA Students) Start Date  *End Date  *Program of Study  *If your program of study is not listed, please provide it here Specialty Needed (NP/PA Students) Where are you currently with rotation experience? (NP/PA students) When do you expect to complete your rotations? (NP/PA students)