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Preceptor or Community Agency Evaluation of Student Performance
Note: This handout has been adapted and included with permission from Michael Berlin,
Professor of Public Health, Southern Connecticut
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How to fill out preceptor or community agency

How to fill out a preceptor or community agency:
01
Research and identify potential preceptors or community agencies that align with your field of study or career goals. Consider factors such as their expertise, location, and the type of experience they can offer.
02
Contact the preceptor or community agency to inquire about their availability and requirements for accepting students. This could involve submitting an application, providing a resume/CV, or attending an interview.
03
If accepted, review any documents or forms provided by the preceptor or community agency. These may include an agreement or contract outlining the expectations, responsibilities, and duration of the placement.
04
Complete any necessary paperwork, such as consent forms, confidentiality agreements, or liability waivers. Ensure that you fully understand the content and implications of these documents before signing.
05
Familiarize yourself with any policies or procedures specific to the preceptor or community agency. This may involve reading and acknowledging their code of conduct, dress code, or safety protocols.
06
Work closely with your preceptor or supervisor to develop learning objectives or goals for your placement. Discuss any specific areas of focus or skills you hope to develop during your time with them.
07
Regularly communicate with your preceptor or supervisor to provide updates on your progress, ask questions, or seek guidance on any challenges you may be facing.
08
Reflect on your experiences and learning during your preceptorship or engagement with the community agency. Take the opportunity to evaluate your growth, strengths, and areas for improvement.
Who needs a preceptor or community agency:
01
Students in various professional programs, such as nursing, medicine, education, or social work, often require a preceptor or community agency to provide hands-on experience and mentorship in their chosen field.
02
Individuals seeking to gain practical skills and knowledge in a specific industry or profession may also benefit from engaging with a preceptor or community agency.
03
Those looking to contribute to their community or make a positive impact through volunteering or internships can often find opportunities through community agencies. These agencies typically provide structured programs or projects that allow individuals to support local initiatives.
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What is preceptor or community agency?
A preceptor or community agency is a location where students can gain hands-on experience in their field of study.
Who is required to file preceptor or community agency?
Students or professionals in certain fields may be required to file preceptor or community agency information.
How to fill out preceptor or community agency?
You can fill out preceptor or community agency forms online or by submitting paper documents to the relevant authority.
What is the purpose of preceptor or community agency?
The purpose of preceptor or community agency is to provide students with practical training and experience in their chosen field.
What information must be reported on preceptor or community agency?
Information such as the name and location of the agency, the duties and responsibilities of the preceptor, and the duration of the training may need to be reported.
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