
Get the free Clinical Practicum Contract - Eastern Michigan University
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ClinicalPracticumContract
DepartmentofPsychology
EasternMichiganUniversity
341ScienceComplex×Ypsilanti,MI48197
Inordertoreceivecreditforpracticumhours, priortobeginningapracticumplacement,
studentsarerequiredtosubmitacompletedClinicalPracticumContract.
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How to fill out clinical practicum contract

How to fill out clinical practicum contract
01
Step 1: Obtain a copy of the clinical practicum contract form from your educational institution or clinical site.
02
Step 2: Read through the contract carefully and make sure you understand all the terms and conditions.
03
Step 3: Fill out your personal information, including your name, contact details, and student ID number.
04
Step 4: Provide information about your educational program, such as the name of the institution, program start and end dates, and any specific requirements or guidelines.
05
Step 5: Specify the details of your clinical practicum site, including the name and address of the organization, the department or unit where you will be placed, and the contact information of your supervisor or preceptor.
06
Step 6: Outline the objectives and goals of your clinical practicum, including any specific learning outcomes or competencies you aim to achieve.
07
Step 7: Agree upon the schedule and duration of your clinical practicum, including the start and end dates, as well as the number of hours or shifts you are expected to complete.
08
Step 8: Review any additional requirements or agreements, such as confidentiality agreements, liability waivers, or code of conduct policies.
09
Step 9: Sign and date the contract, and make sure to obtain any required signatures from your educational institution, clinical site, and supervisor.
10
Step 10: Keep a copy of the signed contract for your records and submit the original copy to the appropriate parties as instructed.
Who needs clinical practicum contract?
01
Students pursuing healthcare or clinical-related educational programs that require a practical component, such as nursing, medical assisting, physical therapy, etc.
02
Educational institutions that offer healthcare or clinical-related programs and require students to complete a practical placement as part of their curriculum.
03
Clinical sites or organizations that host students for clinical practicum experiences and want to establish clear guidelines and expectations during their placement.
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What is clinical practicum contract?
The clinical practicum contract is a formal agreement between a student, a school, and a clinical site that outlines the responsibilities and expectations of all parties involved in a clinical practicum experience.
Who is required to file clinical practicum contract?
Students who are participating in a clinical practicum experience are required to file a clinical practicum contract.
How to fill out clinical practicum contract?
To fill out a clinical practicum contract, students must provide information about themselves, their educational institution, the clinical site, and the clinical practicum experience. They must also adhere to any guidelines or instructions provided by their school.
What is the purpose of clinical practicum contract?
The purpose of a clinical practicum contract is to establish clear expectations and responsibilities for all parties involved in a clinical practicum experience, ensure student safety and well-being, and protect the interests of all parties.
What information must be reported on clinical practicum contract?
Information that must be reported on a clinical practicum contract includes the student's personal information, educational institution details, clinical site information, dates of the practicum, and any specific requirements or guidelines for the practicum experience.
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