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Dietary Manager Training for Pre-Licensing Course Change of Preceptor Form Student's Name OF ID #: Former Preceptor's Name: Former CDR Registration #: New Preceptor's Name: New CDR Registration #:
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How to fill out change of preceptor form

How to fill out change of preceptor form:
01
Obtain the change of preceptor form from the appropriate department or office.
02
Fill out the required personal information section, including your full name, student ID number, and contact details.
03
Indicate the reason for requesting a change of preceptor in the designated section of the form.
04
Provide details about your current preceptor, such as their name, department, and any relevant information.
05
Clearly articulate why you believe a change of preceptor is necessary and how it will benefit your learning experience.
06
If there are specific preferences for a new preceptor, outline them in the appropriate section of the form.
07
Sign and date the form, acknowledging that the information provided is accurate.
08
Submit the completed form to the designated department or office, following any specific instructions provided.
Who needs change of preceptor form:
01
Students who are unsatisfied with their current preceptor and believe that a change would enhance their learning experience.
02
Individuals who have encountered challenges with their current preceptor, such as communication issues or a lack of support.
03
Students who wish to explore different areas of their field of study and are seeking a preceptor with expertise in a specific area.
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What is change of preceptor form?
A change of preceptor form is a document that is used to request a change in the designated preceptor for a specific program or course.
Who is required to file change of preceptor form?
Any individual who wishes to change their assigned preceptor must file a change of preceptor form.
How to fill out change of preceptor form?
To fill out a change of preceptor form, you need to provide your personal details, current preceptor information, and the preferred new preceptor's information. Additionally, you may need to provide a reason for the requested change.
What is the purpose of change of preceptor form?
The purpose of a change of preceptor form is to formally request a change in the assigned preceptor for a program or course. It allows individuals to select a preceptor who can better meet their needs or provide a more suitable learning experience.
What information must be reported on change of preceptor form?
The change of preceptor form typically requires the reporting of personal details (such as name, contact information), current preceptor's information (name, contact details), and the preferred new preceptor's information (name, contact details). Additionally, some forms may request a reason for the requested change.
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