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Get the free DI Preceptor Agreement Form - Daemen College

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Dietetic Internship ProgramPreceptor Agreement Form Rotation type: Circle all that apply MNT (10 WAS) OUT PT MNT (3 WAS) CLAN CONE (3 WAS)FSM INPT (3 WAS) COMM (6 WAS) FSM RETAIL (5 WAS) * Interns
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How to fill out di preceptor agreement form

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How to fill out di preceptor agreement form

01
Begin by downloading the DI Preceptor Agreement Form from the official website of the organization.
02
Read the instructions and guidelines carefully before filling out the form.
03
Provide your personal information such as name, address, contact details, and professional credentials.
04
Specify the duration of the preceptorship agreement and the dates during which you will be serving as a preceptor.
05
Indicate the name and contact information of the preceptee or student that you will be mentoring.
06
Detail the specific responsibilities and expectations of the preceptor during the preceptorship program.
07
Specify any requirements or qualifications for the preceptee to fulfill.
08
Include any additional terms or conditions that both parties agree upon.
09
Sign and date the form to validate the agreement.
10
Make a copy of the completed form for your records and submit the original form as instructed.

Who needs di preceptor agreement form?

01
Individuals who will be serving as preceptors in a preceptorship program need to fill out the DI Preceptor Agreement Form.
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The di preceptor agreement form is a document that outlines the expectations and responsibilities of the preceptor and the student during a clinical experience.
Both the preceptor and the student are required to file the di preceptor agreement form.
To fill out the di preceptor agreement form, both the preceptor and the student must provide their contact information, agree to the terms and conditions outlined in the form, and sign the document.
The purpose of the di preceptor agreement form is to ensure that both the preceptor and the student understand their roles and responsibilities during the clinical experience.
The di preceptor agreement form must include contact information for both the preceptor and the student, as well as a detailed description of the clinical experience and any specific requirements or expectations.
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