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(PAGE 1 OF 2)PRECEPTOR REQUEST
RESPONSE SHEET
CLINICAL YEAR 20222023
PLEASE RETURN THIS FORM TO
Email: obyrmary@isu.eduPhone: 2082822923 MD DO PAC APRNPreceptor Name
Preceptor Email
Preceptor Phone
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How to fill out preceptor request response sheet
How to fill out preceptor request response sheet
01
Start by reading the preceptor request response sheet thoroughly to understand the information required.
02
Fill out your personal details such as name, contact information, and any relevant medical qualifications.
03
Answer the questions related to your availability and preferred dates for precepting.
04
Provide details about your previous experience as a preceptor, if applicable.
05
Answer any additional questions or provide any other relevant information requested on the sheet.
06
Double-check your responses for accuracy and completeness before submitting the response sheet.
Who needs preceptor request response sheet?
01
The preceptor request response sheet is required by individuals or organizations who are looking for preceptors.
02
These may include medical schools, nursing programs, or other educational institutions that require students to complete clinical rotations under the guidance of a preceptor.
03
By filling out the preceptor request response sheet, potential preceptors can indicate their availability, qualifications, and willingness to take on precepting responsibilities.
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What is preceptor request response sheet?
The preceptor request response sheet is a form used to request a preceptor for a specific program or training.
Who is required to file preceptor request response sheet?
Students or trainees requiring a preceptor for their program are required to file the preceptor request response sheet.
How to fill out preceptor request response sheet?
The preceptor request response sheet can be filled out by providing information about the program, desired preceptor qualifications, and contact details.
What is the purpose of preceptor request response sheet?
The purpose of the preceptor request response sheet is to match students or trainees with suitable preceptors for their program.
What information must be reported on preceptor request response sheet?
Information such as program details, desired preceptor qualifications, and contact information must be reported on the preceptor request response sheet.
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