COLLEGE OF HEALTH SCIENCES

Parental Consent Form for External Clinical Placement

I parent/guardian of student ID No: ___________ Name _______________________________

Hereby declare that I understand that my son/daughter in the University of Buraimi’s Nursing
program needs to have hospital based training for graduation and employment and that such
hospital based training needs to be in all levels of health care such as primary, secondary,
tertiary, and Public Health.

Therefore, I declare that I have no objection to send my son/daughter along with other students
for training in hospitals in Oman, in Buraimi or other locations such as Sohar, Ibri and Muscat.

I understand that if students do not attend the required number of training hours in a semester for
any reason, they will not be able to graduate until they complete the entire prescribed duration of
such professional practice training.

I affix my signature below as evidence of my consent and approval to the clinical placement
activities required of the Nursing Program of the College of Health Sciences, University of
Buraimi.

__________________________ ___________________________
Name of Parent/Guardian Signature and Date
ID No:________________