Get the free Preceptor Agreement form - MS Board of Nursing Home Administrators - msnha ms

Mississippi State Board of Nursing Home Administrators 1755 Lelia Drive, Jackson, MS 39216 ×601× 3626914 www.msnha.ms.gov AdministratorinTraining×Preceptor Agreement I, have entered into an agreement

How to fill out preceptor agreement form

How to fill out a preceptor agreement form:

1. Begin by reading through the entire form to understand the information and details required.
2. Fill in your personal information accurately, such as your name, contact information, and any relevant professional credentials.
3. Provide the details of the institution or organization for which you will be serving as a preceptor.
4. Indicate the specific dates or time frame during which you will be acting as a preceptor.
5. Specify the length and frequency of preceptorship sessions or rotations.
6. Include any additional requirements or expectations, such as necessary training or evaluation processes.
7. Carefully review the terms and conditions section to ensure you understand your responsibilities and obligations as a preceptor.
8. Sign and date the form, and make a copy for your own records.
9. Submit the filled-out preceptor agreement form to the appropriate person or department, as instructed.

Who needs a preceptor agreement form:

1. Students or trainees who are participating in a preceptorship program.
2. Preceptors who will be mentoring and guiding students or trainees in a professional setting.
3. Educational institutions or organizations that oversee preceptorship programs or assign preceptors to students.

Note: The specific requirements for a preceptor agreement form may vary depending on the institution or organization administering the program. It's important to carefully read and follow the instructions provided with the form to ensure compliance.

For pdfFiller’s FAQs

What is preceptor agreement form?

Preceptor agreement form is a document that outlines the expectations and responsibilities of the preceptor and the student during a placement.

Who is required to file preceptor agreement form?

Students and preceptors are required to fill out and submit the preceptor agreement form.

How to fill out preceptor agreement form?

To fill out the preceptor agreement form, both the preceptor and student must provide their contact information, agreement on expectations, and sign the document.

What is the purpose of preceptor agreement form?

The purpose of the preceptor agreement form is to establish clarity and understanding between the preceptor and student regarding their roles and responsibilities during the placement.

What information must be reported on preceptor agreement form?

The preceptor agreement form must include contact information of the preceptor and student, expectations, goals, and any other relevant details regarding the placement.

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