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INDIVIDUAL PRACTICUM SUPERVISOR AGREEMENT NWT HEALTH SYSTEM Instructions The purpose of this contract is to make explicit expectations and responsibilities of the student, supervisor and setting.
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How to fill out individual practicum supervisor agreement

How to fill out individual practicum supervisor agreement
01
Obtain a copy of the individual practicum supervisor agreement form.
02
Fill out the top section of the form with your personal details such as your name, contact information, and the name of your educational institution.
03
Next, provide the details of the practicum site, including the name of the organization, address, and contact person.
04
Indicate the start and end dates of the practicum, as well as the total number of hours required.
05
Include a brief description of the practicum objectives, activities, and any specific requirements or expectations.
06
Read and understand the terms and conditions of the agreement carefully before signing.
07
Sign and date the agreement, and ensure that the practicum supervisor also signs and dates it.
08
Make copies of the signed agreement for your own records and submit the original to the appropriate department or supervisor.
Who needs individual practicum supervisor agreement?
01
Individual practicum supervisor agreement is needed by students or individuals who are undertaking a practicum as part of their educational or training program.
02
It is also required by educational institutions or organizations that facilitate practicum placements and need a formal agreement between the student and the supervisor.
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What is individual practicum supervisor agreement?
An individual practicum supervisor agreement is a formal document that outlines the responsibilities and expectations between a practicum student and their assigned supervisor during their practicum experience.
Who is required to file individual practicum supervisor agreement?
Practicum students and their designated supervisors are required to file an individual practicum supervisor agreement.
How to fill out individual practicum supervisor agreement?
To fill out an individual practicum supervisor agreement, both the student and supervisor must complete their respective sections detailing their roles, responsibilities, and any relevant terms of the practicum experience.
What is the purpose of individual practicum supervisor agreement?
The purpose of the individual practicum supervisor agreement is to establish clear expectations, responsibilities, and communication protocols between the practicum student and supervisor, ensuring a successful and productive practicum experience.
What information must be reported on individual practicum supervisor agreement?
The individual practicum supervisor agreement must include the names and contact information of both the student and supervisor, details of the practicum setting, specific goals and objectives, and agreed-upon timelines.
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