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The Pennsylvania State University SCHOOL OF NURSING Preceptor Agreement Form N874: Family Nurse Practitioner Integrative Practicum Date: Semester: Student's Name: Year: RN License #: Student Tel #:
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How to fill out n874 preceptor agreement form:

01
Start by downloading the n874 preceptor agreement form from the appropriate website or obtaining it from the relevant authority.
02
Carefully read through the form to familiarize yourself with its contents and requirements. Make sure you understand all the terms and conditions outlined in the agreement.
03
Fill out the personal information section accurately. This may include your name, contact details, and any relevant identification numbers or credentials.
04
Identify the specific preceptorship program or activity for which the agreement is being made. Provide detailed information about the program, including its objectives, duration, and any additional requirements.
05
Specify the roles and responsibilities of both the preceptor (mentor) and the student (preceptee). Clearly outline the expectations, duties, and obligations of each party involved in the preceptorship.
06
Include any necessary attachments or supporting documentation. This could include a resume or CV, professional certificates or licenses, or any other relevant paperwork that may support your application or agreement.
07
Carefully review the completed form for any errors or omissions. Make sure all the information provided is accurate and up to date.
08
Sign and date the form, indicating your agreement to abide by the terms and conditions outlined in the n874 preceptor agreement.

Who needs n874 preceptor agreement form?

01
Nursing students or individuals pursuing a career in the healthcare field who are participating in a preceptorship program or clinical rotation.
02
Healthcare facilities or organizations that offer preceptorships or internship programs for nursing students or individuals seeking practical experience in the field.
03
Preceptors or mentors who will be guiding and supervising nursing students or individuals during their preceptorship program or clinical rotation.
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N874 preceptor agreement form is a document used to formalize the relationship between a nurse practitioner student and their preceptor during clinical training.
Both the nurse practitioner student and their preceptor are required to file the n874 preceptor agreement form before the start of the clinical training.
To fill out the n874 preceptor agreement form, both the student and preceptor must provide their personal information, details of the clinical training program, and sign the form to acknowledge their agreement.
The purpose of the n874 preceptor agreement form is to ensure that both the student and preceptor understand their roles, responsibilities, and expectations during the clinical training.
The n874 preceptor agreement form must include details such as student and preceptor information, clinical training program details, objectives of the training, and signatures of both parties.
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