Grand Canyon University Clinical Field Experience Verification Form 2017-2025 free printable template

Clinical Field Experience Verification Form STUDENT INFORMATION Last Name Smith First Name Kelley Student Number 20025450 COURSE INFORMATION Placement Course TEC-591 FACILITY INFORMATION Facility Name Somerset Academy Losee High School Type of Facility High School Facility Setting Urban Other Facility Address 4650 Losee Rd City N Las Vegas Country United States State Zip Code Nevada 89081 SCHOOL INFORMATION School Classification Title One I Charter Yes School District MENTOR INFORMATION This...

How to fill out verification of clinical experience form

How to fill out Grand Canyon University Clinical Field Experience Verification

1. Obtain a copy of the Grand Canyon University Clinical Field Experience Verification form from the university website or your program's resource center.
2. Read the instructions carefully to understand the specific requirements and sections of the form.
3. Fill out the personal information section with your name, student ID, and contact details.
4. List the course for which you are completing the clinical field experience and ensure it matches your program requirements.
5. Document the dates of your clinical field experience, including the start and end dates, and the total hours completed.
6. Provide details about the facility where you completed your clinical experience, including the name, address, and contact information.
7. Specify the supervisor or mentor’s name and their professional title, and ensure you have their consent to include their information.
8. Outline the specific tasks and responsibilities you performed during the field experience, using clear and concise language.
9. Review the completed form to ensure all required sections are filled out and there are no errors or omissions.
10. Submit the form according to the submission guidelines provided by the university, either online or in person.

Who needs Grand Canyon University Clinical Field Experience Verification?

1. Students enrolled in clinical programs at Grand Canyon University who need to document their field experience.
2. Faculty members or academic advisors who require verification of a student's clinical training for grading or credentialing purposes.
3. Employers or licensing boards needing proof of clinical experience as part of the application process for employment or certification.

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What is Grand Canyon University Clinical Field Experience Verification?

Grand Canyon University Clinical Field Experience Verification is a formal process that confirms a student's completion of required clinical field experience hours and activities as part of their degree program.

Who is required to file Grand Canyon University Clinical Field Experience Verification?

Students enrolled in programs that require clinical field experiences, such as education and health sciences, are required to file the Grand Canyon University Clinical Field Experience Verification.

How to fill out Grand Canyon University Clinical Field Experience Verification?

To fill out the Grand Canyon University Clinical Field Experience Verification, students must complete the designated form, providing accurate details about their field experiences, including the number of hours completed, the dates of experience, and activities performed.

What is the purpose of Grand Canyon University Clinical Field Experience Verification?

The purpose of Grand Canyon University Clinical Field Experience Verification is to ensure that students gain practical experience in their field, while providing a documented record of their completed hours and activities for academic and accreditation purposes.

What information must be reported on Grand Canyon University Clinical Field Experience Verification?

The information that must be reported on Grand Canyon University Clinical Field Experience Verification includes the student's name, program of study, specific field experience details, total hours completed, supervisor's name, and signature, along with any relevant dates.