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North Carolina Board of Dietetics/Nutrition1135 Kildaire Farm Rd., Suite 200 Cary, NC 27511 main: 9193881931 fax: 9198821776 www.ncbdn.org info@ncbdn.orgA3 Supervised Practice Experience Candidates
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How to fill out a-3 supervised practice experience

01
Obtain the A-3 supervised practice experience form from the appropriate institution or organization.
02
Fill out all required personal information such as name, contact details, and student identification number.
03
Provide details of the supervised practice experience including start and end dates, number of hours completed, and a brief description of the tasks performed.
04
Get the form signed by the supervisor or mentor who oversaw the practice experience.
05
Submit the completed form to the relevant department or office for processing and approval.

Who needs a-3 supervised practice experience?

01
Students in programs that require supervised practice experience as part of their education or training.
02
Professionals seeking to enhance their skills and knowledge in a specific field through supervised practice.
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The A-3 supervised practice experience refers to a specific period during which individuals undergo practical training under supervision to gain hands-on experience in their respective fields.
Individuals pursuing certification or licensure in certain professions may be required to file the A-3 supervised practice experience to demonstrate their practical training.
To fill out the A-3 supervised practice experience, individuals typically need to complete a designated form detailing their training activities, duration, and supervisor information.
The purpose of the A-3 supervised practice experience is to ensure that individuals acquire sufficient practical skills and knowledge necessary for their professional qualifications.
The information required on the A-3 supervised practice experience may include the start and end dates of the experience, details of the supervisor, specific tasks performed, and evaluations of performance.
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