Incoming Erasmus - School of Nursing & Midwifery

Trinity College Dublin, The University of Dublin

Application for clinical placements ONLY following a formal offer of Erasmus by TCD.
(Please note: if you do not have an Erasmus placements in TCD Erasmus this request will not be processed)

Details required

Incoming Erasmus	Yes
Student Name:
Home University:
Date of Birth:
Home University Erasmus contact email:
Student email:
Student Phone Number:
Current Address:
Is your university a partner university with TCD? Yes No (We do not accept students from other Universities) Start Date: Finish Date: Dates of holiday weeks: Area required. ( include e.g. Surgical, accident and emergency, community etc.,) I declare that I will complete the following Health screenings and submit evidence before I can attend any clinical placements in Ireland. Covid-19 Vaccination, Hepatitis B (surface antigen), Hepatitis B (core antibody), Hepatitis B Hepatitis C (antibody), (antibody) Measles (IGg), Mumps (IGg), Rubella (IGg) I declare that I will complete Police Clearance as required by the college and submit evidence before I can attend any clinical placements in Ireland. Contact ASKAR@TCD.ie to get clearance completed I acknowledge that if you do not complete all the above, prior to my agreed arrival date, i will not be permitted onto clinical placments. I consent to the processing of my personal data for sole purposes of Trinity College Dublin [Application for clinical placements - Incoming]. I understand that my personal data will be processed in accordance with the Trinity College Dublin Privacy Notice.

**Please note this is not an acceptance for clinical placements. You will receive an email to the email provided if you are accepted to complete these clinical placement. You must formally apply online to be accepted onto Erasmus by the university. **