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Edu College of Public Health www. kent. edu/publichealth Lowry Hall 3rd Floor Fax 330- 672- 6505 PO Box 5190 Tel 330- 672- 6500 Kent OH 44240. Student/Practicum Information Student s Name Practicum Title Preceptor/Site Information Name of Site Preceptor Name Phone Preceptor Title Email Learning Objectives At the beginning of the Practicum project the student developed and you signed a Practicum Agreement that specified several learning...
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How to fill out practicum preceptor evaluation form

01
Read the practicum preceptor evaluation form instructions thoroughly.
02
Provide accurate information in all sections of the form.
03
Start by filling out your personal information, including name, contact details, and title/position.
04
Next, indicate the start and end dates of the practicum period.
05
Evaluate the preceptor on various criteria such as knowledge, teaching skills, and availability.
06
Rate the preceptor's performance on a scale or provide specific feedback where required.
07
Provide additional comments or suggestions to help improve the preceptor's effectiveness.
08
Complete any additional sections or questions specified in the form.
09
Review the filled form for any errors or missing information.
10
Submit the completed practicum preceptor evaluation form to the designated authority or department.

Who needs practicum preceptor evaluation form?

01
Students engaging in a practicum or internship program.
02
Educational institutions offering academic programs with a practicum component.
03
Supervisors responsible for evaluating preceptors' performance.
04
Organizations or companies providing preceptorship opportunities.
05
Anyone involved in the assessment and improvement of preceptorship programs.
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The practicum preceptor evaluation form is a document used to assess the performance of a preceptor during a student's practicum or internship.
Students who have completed a practicum or internship with a preceptor are required to file the practicum preceptor evaluation form.
The form can be filled out online or printed out and completed manually. It typically includes rating scales, open-ended questions, and areas for comments.
The purpose of the practicum preceptor evaluation form is to provide feedback on the preceptor's performance and to assess the student's learning experience during the practicum.
Information such as the preceptor's communication skills, knowledge of the subject matter, professionalism, and overall effectiveness may be reported on the form.
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