Please use this form for student placement requests for MA and RN students at Kaiser Permanente of Washington. Please note: at this time, we are unable to accommodate ARNP & LPN placements.

We will review requests based on the calendar below and notify you of placement at least 1 month prior to the requested start date.

Rotation Start Date (Desired)        Request Due Date

January, February, March                     September 30

April, May, June                                    January 31

July, August, September                        March 31

October, November, December             June 30

Please complete ONE entry per student. To request multiple student placements (10+), please email KPWA-StudentPlacements@kp.org for the multiple students template.

Other Areas: for Physician/Physician Assistant (PA) shadowing, please use this link.

Prior Submissions: to view prior submissions and status, use this link. You must be logged into smartsheet with the email address used for the submission.