Get the free Clinical Practicum Selection Form - Eastern Florida State College

Please return this form in the provided envelope. Clinical Education Course Dates Duration PTA Clinical Practicum 1 Aug. 21 2017 Sept. 29 2017 6 weeks Jan. 15 2018 Feb. 23 2018 Mar. 26 2018 - May 4 2018 Type of Rotation Number of students Listed below is the contact information we have on file for your facility. Clinical Practicum Selection Form Listed below you will find our clinical affiliations dates for the 2017-2018 academic year. Please review and select the clinical affiliation s...

How to fill out clinical practicum selection form

How to fill out clinical practicum selection form

1. Read the instructions carefully before starting to fill out the form.
2. Provide accurate and up-to-date personal information.
3. Indicate your preferred clinical practicum placements.
4. Fill in the required fields, such as your contact information, educational background, and previous clinical experience.
5. If applicable, attach any supporting documents or certifications.
6. Ensure that you meet the eligibility criteria for the clinical practicum.
7. Double-check all the information you have entered before submitting the form.
8. Submit the completed form within the specified deadline.

Who needs clinical practicum selection form?

1. Students pursuing a degree in healthcare or a related field typically need to fill out the clinical practicum selection form.
2. Individuals who are required to complete a clinical practicum as part of their academic or professional training must submit this form.
3. Both undergraduate and graduate students may be required to fill out the clinical practicum selection form depending on their program requirements.
4. Healthcare institutions and organizations offering clinical practicum opportunities may also request students to fill out this form.

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What is clinical practicum selection form?

The clinical practicum selection form is a document used to request and assign clinical placements for students in healthcare programs.

Who is required to file clinical practicum selection form?

Students in healthcare programs who are seeking clinical placements are required to file the clinical practicum selection form.

How to fill out clinical practicum selection form?

To fill out the clinical practicum selection form, students need to provide personal information, program details, preferences for clinical placements, and any other required information as specified in the form.

What is the purpose of clinical practicum selection form?

The purpose of the clinical practicum selection form is to efficiently assign students to appropriate clinical placements based on their preferences and program requirements.

What information must be reported on clinical practicum selection form?

The clinical practicum selection form may require students to report personal information, program details, preferred clinical settings, availability, and any special requirements or accommodations needed.