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Home > Professional Nursing Staff Organization > Web Forms > UVA Medical Center Approval Form for UVA School of Nursing Clinical Instructor Commitments

UVA Medical Center Approval Form for UVA School of Nursing Clinical Instructor Commitments

UVA Medical Center clinicians who also plan to teach at the UVA School of Nursing must first obtain approval for the time commitment, using the process below.
The School of Nursing will not send an offer letter until approvals have been received from all levels indicated below.
(The form is not required for Nurse Leaders with a current MOU).

Thank you for the knowledge and experience you deliver to our patients and students through this close partnership with the University of Virginia School of Nursing! 
This is an important role and we value your commitment to lifelong learning!   

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Step 1: The applicant completes the form below, for each semester and each class taught.
You will immediately receive an emailed confirmation, containing the information you submitted in the form.

Step 2: The applicant forwards this confirmation as a 'high importance' group email  to your Manager, Director, Administrator, and Ashley Ragland (anr4e@virginia.edu), with the following introduction:

            Dear __, I would like your approval for the UVA School of Nursing teaching commitment shown below. 
            I hope you will agree that I am performing satisfactorily, and my leadership time away from the unit will not impact clinical operations. 
            
Please "reply all" indicating your support, with comments if you wish.
           
As this is time sensitive, I would appreciate your reply as soon as possible. Thank you for your consideration! 

Step 3: If Manager, Director and Administrator all indicate approval, Ashley Ragland will forward the request to Medical Center HR and School of Nursing HR for review/approval.

Step 4: Once Medical Center & School of Nursing HRs complete their process, Ashley Ragland will email a copy to the applicant, manager, director, and administrator. A copy will also be filed in the CNO's office.

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Questions?  Contact , Director, Nursing Governance Programs or , Executive Secretary for the CNO.

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Hourly or Salaried?


Already Dually Employed? For HOURLY team members, has a Dual Employment form been completed/approved?



Have you taught this class before?


Click the Submit button, and expect an emailed confirmation to arrive momentarily. Remember to forward the confirmation to your Manager, Director, Administrator, and Ashley Ragland, with the following introduction:

            Dear __, I would like your approval for the UVA School of Nursing teaching commitment shown below. 
            I hope you will agree that I am performing satisfactorily, and my leadership time away from the unit will not impact clinical operations. 
            Please "reply all" indicating your support, with comments if you wish.
            As this is time sensitive, I would appreciate your reply as soon as possible. Thank you for your consideration! 

 

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