
Get the free Preceptor Agreement Form - School of Nursing
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PRECEPTOR AGREEMENT FORM must be returned to MOA Fax: 6018534408 or email to LRALDY@mseyes.com Name___ (please print legibly) *Address___ *If possible, please list additional locations at which you
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How to fill out preceptor agreement form

How to fill out preceptor agreement form
01
Obtain the preceptor agreement form from the appropriate department or organization.
02
Fill out all the required personal information, such as name, contact information, and credentials.
03
Specify the dates and times you will be working with the preceptor.
04
Have both you and the preceptor sign and date the form.
05
Submit the completed form to the designated person or department for approval.
Who needs preceptor agreement form?
01
Students seeking practical experience in a certain field, such as medical or education students.
02
Professionals looking to mentor or supervise students in their field of expertise.
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What is preceptor agreement form?
The preceptor agreement form is a document that outlines the responsibilities and expectations of a preceptor in a professional education program, typically used in healthcare fields.
Who is required to file preceptor agreement form?
Individuals serving as preceptors in educational programs are required to file the preceptor agreement form.
How to fill out preceptor agreement form?
To fill out the preceptor agreement form, provide personal details, outline the educational objectives, and include the duration of the preceptorship along with signatures from both the preceptor and the student.
What is the purpose of preceptor agreement form?
The purpose of the preceptor agreement form is to formalize the relationship between the preceptor and student, ensuring clarity on roles, responsibilities, and expectations during the training period.
What information must be reported on preceptor agreement form?
The preceptor agreement form must report the names of the preceptor and student, the duration of the agreement, specific learning objectives, and both parties' signatures.
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