CUW clinicals outside Wisconsin: what to check, and in what order
Concordia University Wisconsin's online graduate students can complete clinicals in other states, but the catalog hands the checking to the student. Before you ask an out-of-state preceptor, confirm three things: your program's row on CUW's disclosure, what the destination state's board asks of schools based elsewhere, and whether your license lets you practice there as a student.
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The rule in CUW's catalog, then your program's row
The 2026-27 catalog puts it plainly on the MSN, DNP, Post-BSN to DNP and PMHNP certificate pages: "If clinicals will take place outside the state of Wisconsin, it is the student's responsibility to make sure their program of study is eligible and meets all requirements within that state's Department of Licensing & Regulation." Out-of-state clinicals are allowed. The homework is yours.
Nothing else about approval moves. CUW's graduate faculty still sign off on each preceptor and site as appropriate, and the Graduate Clinical Coordinator still helps. What an out-of-state clinical adds is a second rulebook, the destination state's, laid over CUW's.
CUW does tell you which license to keep: an unencumbered RN license for the MSN, the Post-BSN to DNP and the CAGE certificates, an unencumbered NP license with prescribing authority for the PMHNP certificate and PMHNP DNP, and, for Post-MSN DNP admission, an unencumbered RN license from your home state. No CUW page says outright that you need a license in the clinical state. Our page on your RN license for clinicals walks through that question.
Before any state rule, open CUW's disclosure and find your program's table. If it lists the clinical state as "Does Not Meet Requirements," stop and ask CUW before you go further. Texas, Washington and North Dakota change status between the MSN, DNP and certificate tables, and the PMHNP MSN, PMHNP DNP and Direct Entry MSN have no table yet.
Every state and table is on the licensure disclosure page. Remember that a state can sit under "Meets" for licensure and still expect a school to file something before its students arrive.
Washington: approvals CUW publishes
Washington is the one state where CUW posts clinical approvals of its own. The MSN FNP and AGPCNP pages say Washington's Nursing Care Quality Assurance Commission has cleared CUW to hold practice experiences in the state for those two tracks. The Post-BSN to DNP page says the same for its FNP and AGPCNP tracks, and the Post-MSN DNP page for that program. The PMHNP certificate page names the Washington State Board of Nursing and limits its approval to Washington residents.
Two of those claims collide with the disclosure, which marks Washington "Does Not Meet" for the Post-BSN to DNP and for both certificates. Ask the Graduate Clinical Coordinator which statement is current for your program before you look for a Washington preceptor.
What Washington's own rules add
- Washington's rule, WAC 246-840-571, says a distance program based in another state must win the board's approval ahead of any student clinical work in Washington.
- The board treats approved out-of-state placements as open to Washington residents, with exceptions weighed case by case.
- Washington bars relatives and personal friends from precepting an ARNP student, and the preceptor's ARNP, MD or DO license (an out-of-state equivalent also works) must be active and unencumbered.
- The board opened rulemaking on these education rules on December 5, 2025, including clinical placement barriers, so check the current text.
Neighboring and split states at a glance
Boards treat students from out-of-state schools very differently, even around Wisconsin's borders. The table summarizes each state's published rules as of September 2026; use it as a list of questions, and confirm with the board and CUW.
| State | Nurse Licensure Compact | Rule for out-of-state programs | Student and preceptor license notes |
|---|---|---|---|
| Iowa | Member since Jan. 19, 2018 | The board does not approve out-of-state programs; they must obtain approval to operate from the Bureau of Iowa College Aid, follow Iowa law and use clinical contracts that spell out each party's duties | Post-licensure students need an active Iowa or multistate license; preceptors in Iowa need the same; most ARNP preceptorship time should be with an ARNP or physician in the same role and population focus |
| Illinois | Not a member | 68 Ill. Adm. Code 1300.340(n) asks out-of-state programs to file home-state approval, a request letter, the syllabus, the facility contract and faculty and preceptor forms; approval lasts 2 years; graduate programs are not clearly covered | A multistate license carries no Illinois privilege; preceptors must hold a current RN license in the state where the student practices |
| Minnesota | Not a member | No separate board approval step for out-of-state programs found | Minn. Stat. 148.271(6) exempts an RN licensed elsewhere while practicing in a formal course toward a higher degree; Mayo Clinic, as a site, still asks for a Minnesota license and an affiliation agreement |
| Michigan | Not a member | No board rule found requiring approval or notice before out-of-state programs place students | Michigan grants NP certification only with a Michigan RN license plus national certification, which helps when checking a Michigan NP preceptor |
| North Dakota | Member | Board recognition applies to distance programs leading to LPN, RN or APRN licensure; request due 60 days before student activity, then per-semester reports on students, sites, preceptors and agreements | Reports list each student's and preceptor's North Dakota or compact license |
| Texas | Member | Board approval of out-of-state programs covers pre-licensure programs, not graduate or APRN programs | CUW lists Texas as Does Not Meet for both certificates, so confirm your program before anything else |
Wisconsin's side of the border
Wisconsin adds no approval step of its own when a Wisconsin school sends students elsewhere; the state's Distance Learning Authorization Board says it does not review licensure-program curricula. The destination state's rules are the ones that apply.
Wisconsin has held compact status since January 19, 2018, so a multistate RN license from Wisconsin carries into other compact states such as Iowa, North Dakota and Texas, but not Illinois, Michigan or Minnesota, none of which belongs. Wisconsin also sits outside the separate APRN Compact, which will not start working before seven states adopt it.
One Wisconsin rule deserves a question. Wisconsin Administrative Code N 1.08(6) says preceptors for Wisconsin nursing schools hold an unencumbered license or privilege to practice in Wisconsin at or above the student's target level, approved by the school's faculty. How CUW applies that to a preceptor practicing in another state is not published; ask the Graduate Clinical Coordinator.
Order of operations for an out-of-state clinical
- Check the disclosure row. Your program's table and the clinical state, including any split.
- Read the destination board. Look for its page on out-of-state programs and on students licensed elsewhere.
- Confirm your own license. A multistate license, a license in that state, or a student exemption in its statute.
- Ask CUW what the state needs from the school. Approval, recognition or reports are filed by the program, so the Graduate Clinical Coordinator needs to know early.
- Secure the preceptor and site. Then send them for graduate faculty approval with complete credentials.
- Leave time for the contract. CUW's 2014-15 NP clinical handbook allowed 8 to 12 weeks for a new one; see clinical contracts.
Step four is the one students start too late. CUW's 2014-15 handbook pushed late or incomplete paperwork to the following semester, so raise the state question the same week you settle on where you will train.
How we run an out-of-state search
CUW students outside Wisconsin choose us because we do the state homework alongside the search. Your placement advisor reads your program's disclosure row, checks how the destination board treats schools from elsewhere and students licensed elsewhere, and flags on day one whether CUW will need to file anything before you can start.
Then we find the preceptor. We collect a license from the state where the preceptor actually practices, board certification, a CV and the site details, so the file reaches CUW's graduate faculty complete. Students near the Illinois or Minnesota line get a search on both sides, with each state's rules already sorted. Start from the state guides, or send us your home state and CUW program through the contact form.
Questions CUW students ask
Can I do my CUW clinicals in Illinois?
CUW's disclosure lists Illinois as meeting requirements in all five graduate NP tables. Because Illinois never joined the licensure compact, a multistate license from Wisconsin stops at the state line, and its administrative code asks programs from other states to submit a packet before students start, with graduate programs neither clearly in nor out. Raise it with the Graduate Clinical Coordinator before an Illinois site is final.
Does CUW need another state's approval for my clinical site?
It depends on the state. Washington's board must sign off before a distance program from elsewhere places students, and CUW publishes Washington approvals for several programs. North Dakota recognizes APRN distance programs, Illinois has a filing rule of uncertain reach, and no board step was found for Minnesota or Michigan. The Graduate Clinical Coordinator can tell you what CUW holds.
Must I hold a license in the state where my CUW clinical happens?
CUW keeps the rule to an unencumbered license and says the out-of-state requirements are yours to check. States differ: Iowa wants an Iowa or multistate license from post-licensure students, while Minnesota's statute exempts RNs licensed elsewhere who practice within a course toward a higher degree. Read the clinical state's board and confirm with CUW.
Can a Washington resident do CUW's PMHNP certificate practicums at home?
CUW's PMHNP certificate page says CUW is approved for clinical experiences in Washington for Washington residents. The disclosure table, though, marks the PMHNP certificate "Does Not Meet" for Washington. With two CUW sources disagreeing, get a written answer from the Graduate Clinical Coordinator or admissions before you enroll or recruit a Washington preceptor.
Does my Wisconsin multistate license cover clinicals in Iowa?
Iowa asks post-licensure students in clinicals to hold an active license, either Iowa's own or a multistate one, and Wisconsin and Iowa are both compact states. Iowa still expects the school to follow its rules, including an operating approval from Iowa's college aid bureau and proper clinical contracts, so CUW's side needs checking too.
Related pages
Last checked 2026-09-26
We check these pages against CUW's own academic catalog, program pages and published nursing documents. Your course faculty and the Graduate Clinical Coordinator have the final word.
- CUW Academic Catalog 2026-27: MSN Primary Care Nurse Practitioner (out-of-state clinicals)
- Concordia University Wisconsin: Distance Education Disclosures
- CUW PMHNP Certificate program page (Washington approval)
- Washington State Board of Nursing: Nursing education
- Iowa Board of Nursing: Out-of-state nursing programs
CUW asks you to secure your preceptors. We make the search the easy part.
Tell us your CUW track, your city and your next clinical course. We line up preceptors who fit the NURS course, gather the license, board certification and site details CUW's graduate faculty review, and flag early whether the site needs a new clinical contract.
- Preceptors matched to the course: primary care for FNP and AGPCNP, mental health settings for PMHNP, an agency mentor for DNP projects
- Preceptor license, certification, CV and site details ready for CUW's approval
- All three clinical courses planned together, close to home in a state CUW's disclosure lists for your program
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