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The Pennsylvania State University SCHOOL OF NURSING Preceptor Agreement Form N876: Family Nurse Practitioner Practicum with Pediatric Populations Date: Semester: Year: Student's Name: RN License #:
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How to fill out the n876 preceptor agreement form:

01
Begin by carefully reading and understanding the instructions provided on the form. Make sure you have all the necessary information and documents before you start filling it out.
02
Start by providing your personal information in the designated sections of the form. This may include your name, contact details, professional credentials, and any affiliations or organizations you are associated with.
03
Next, identify the preceptor you will be working with and provide their information as requested on the form. This may include their name, contact details, professional credentials, and any affiliations or organizations they are associated with.
04
Review the terms and conditions of the preceptor agreement thoroughly. Ensure that you understand the responsibilities, expectations, and requirements outlined in the agreement. Seek clarification if needed.
05
If applicable, include any additional agreements or arrangements that you and the preceptor have discussed and agreed upon. These may include specific goals, objectives, or areas of focus for your preceptorship.
06
Once you have filled out all the necessary sections, review the form for completeness and accuracy. Double-check your contact information and any other details you have provided.
07
Sign and date the preceptor agreement form to indicate your acceptance and understanding of the terms and conditions outlined.
08
Finally, submit the completed form to the relevant authority or organization as instructed. Keep a copy of the form for your records.

Who needs the n876 preceptor agreement form:

The n876 preceptor agreement form is typically required by individuals who are embarking on a professional preceptorship or mentoring program. This form ensures that both the preceptor and the individual seeking mentorship are on the same page regarding their responsibilities, expectations, and goals. It may be required by educational institutions, professional organizations, or healthcare facilities that offer preceptorship opportunities. Students, trainees, or individuals seeking professional development may need to complete this form to formalize their preceptorship arrangement.
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The n876 preceptor agreement form is a document that outlines the agreement between the preceptor and the student regarding their clinical experience.
The student and the preceptor are required to file the n876 preceptor agreement form.
The n876 preceptor agreement form can be filled out by entering the required information about the clinical experience and signing the agreement.
The purpose of the n876 preceptor agreement form is to ensure that both the student and the preceptor are aware of their responsibilities and expectations during the clinical experience.
Information such as the start and end dates of the clinical experience, responsibilities of the preceptor and student, and goals of the clinical experience must be reported on the n876 preceptor agreement form.
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