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Master of Nursing Program

MN Student Clinical Placement Package (2019-2020)

Note: The Placement Request Form and Practice Requirement Records are SAMPLE only. Please use the links below for actual forms.


Placement Request Form (2019-2020)

Form Access Troubleshooting 


Practice Requirement Records (2019-2020) Due Date: June 28, 2019

*To be printed and filled out by HCP

NOTICE REGARDING TB TEST: Please have proof of baseline 2-step TB test at all times when submitting Practice Requirement Records.


  • MUST BE VALID for the duration of your placement EACH semester AND reflect a DATE of ISSUE as completed within the last SIX MONTHS
  • DO NOT submit your FALL VSS application earlier than JUNE 03, 2019
  • DO NOT submit your WINTER VSS application earlier than OCTOBER 14, 2019


NOTE: Your Practice Requirement Record demonstrates that you meet specific health and safety needs of placement partners. All portions of this document must be completed and signed by your HCP in the appropriate sections. PRR Forms will not be accepted without a valid Ryerson, George Brown, or Centennial student ID. 

The last Practice Requirement Record (PRR) Form will be processed at 3:45 p.m. everyday.

Visit our FAQ page for more info on PRR submission.


Please contact:

Nicole Tansil, RN
Placement Coordinator
416-979-5000 ext. 4253


Practice Injury/Incident Reporting


Available MN Placements:

Download the list of available placements here  Updated September 23, 2014 [PDF]