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This document outlines the guidelines for athletic training students regarding unsupervised clinical experiences, emphasizing that these experiences are voluntary and not part of the official training
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How to fill out Clinical Education Supervision / Practice Agreement Form

01
Obtain a copy of the Clinical Education Supervision / Practice Agreement Form from your institution.
02
Read through the entire form to understand the sections and requirements.
03
Fill out your personal information in the designated section, including your name, contact information, and program details.
04
Provide information about your supervisor, including their name, credentials, and contact details.
05
Outline the objectives of your clinical education experience in the specified section.
06
Include details about the site where the clinical education will take place, including the name and address of the facility.
07
Sign and date the form at the bottom where indicated.
08
Submit the completed form to the appropriate department or individual as specified by your institution.

Who needs Clinical Education Supervision / Practice Agreement Form?

01
Students participating in clinical education programs.
02
Supervisors overseeing student clinical practice.
03
Educational institutions that require formal agreements for clinical placements.
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The Clinical Education Supervision / Practice Agreement Form is a document that outlines the expectations, roles, and responsibilities of both the student and the supervisor during a clinical education experience.
Students participating in clinical education experiences and their supervising healthcare professionals are required to file the Clinical Education Supervision / Practice Agreement Form.
To fill out the Clinical Education Supervision / Practice Agreement Form, both the student and the supervisor should provide their details, agree on the objectives of the clinical experience, outline the supervisory plan, and sign the document to acknowledge their understanding and commitment.
The purpose of the Clinical Education Supervision / Practice Agreement Form is to ensure clear communication of expectations, establish accountability, and promote a safe and effective learning environment for students during clinical practice.
The Clinical Education Supervision / Practice Agreement Form must report information including the names of the student and supervisor, the educational institution, the clinical site, the duration of the clinical experience, learning objectives, and signatures of both parties.
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