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School of Nursing, Alumni Hall, PO Box 1066 Edwardsville, IL 62026- (Tel: 618-650-3341) 618-650-3341 CLINICAL SITE / PRECEPTOR REQUEST FORM INFORMATION SIDE School of Nursing Graduate Student: This

How to fill out clinical site preceptor request

How to fill out clinical site preceptor request:

1. Begin by gathering all necessary information, such as the contact details of the clinical site, the intended dates of the rotation, and any specific requirements or preferences for the preceptor.
2. Identify the appropriate form or application for requesting a clinical site preceptor. This may be provided by your educational institution or the clinical site itself.
3. Start by providing your own personal information, including your name, contact details, and student identification number.
4. Next, provide information about your educational program, such as the name of your institution, the program or course you are enrolled in, and any specific requirements or objectives for your clinical rotation.
5. Then, provide details about the clinical site you are requesting, including its name, location, and any specific departments or units within the site that you are interested in.
6. Indicate the dates or duration of your intended rotation at the clinical site. Be sure to check if there are any specific blackout dates or restrictions that you need to be aware of.
7. Include any specific requirements or preferences you have for the preceptor, such as their specialty or expertise, any specific learning objectives you hope to achieve, or any other relevant details that may help match you with the right preceptor.
8. Finally, review the completed form for accuracy and completeness before submitting it according to the specified instructions.

Who needs clinical site preceptor request?

Clinical site preceptor requests are typically needed by students who are enrolled in healthcare-related educational programs that require clinical rotations or field placements. This may include students in nursing programs, medical school, physician assistant programs, and other allied health professions where hands-on clinical experience is a vital component of training. The request is necessary to secure a preceptor, who is an experienced healthcare professional that serves as a mentor and teacher during the clinical rotation.

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What is clinical site preceptor request?

Clinical site preceptor request is a formal request submitted by a student or educational institution to assign a preceptor at a clinical site for a specific program or training.

Who is required to file clinical site preceptor request?

The student or educational institution is required to file the clinical site preceptor request.

How to fill out clinical site preceptor request?

The clinical site preceptor request can be filled out by providing details about the program, preferred preceptor qualifications, clinical site information, and contact details.

What is the purpose of clinical site preceptor request?

The purpose of the clinical site preceptor request is to secure a qualified preceptor at a clinical site for the student's program or training.

What information must be reported on clinical site preceptor request?

The information that must be reported on the clinical site preceptor request includes program details, preceptor qualifications, clinical site information, and contact details.

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