My school has rotation sites in our city, several throughout the state, and 4 in other states over 500 miles away. The school decides where you go based on a rank order list and takes exemption requests for married students with working spouses and/or children in school, students with medical issues that need to stay near their doctors, religious exemptions, and military requests (one of our sites offers experiences on a military base).
Matching to clinical rotation sites is school specific though, so if you’re just applying ask about that on interview day. It was important to me to know that the school would allow me to stay in the city with my family (my spouse works here and my kids are school age) and not separate us.