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This document outlines the agreement between the University of Wisconsin-La Crosse and a facility for conducting a clinical education program, detailing the roles and responsibilities of both parties
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How to fill out clinical education program agreement

01
Obtain the clinical education program agreement form from your educational institution or coordinating body.
02
Carefully read the instructions and guidelines provided in the form.
03
Fill in the required personal information, including your name, contact details, and student identification number.
04
Specify the clinical education program details, including duration, location, and supervising faculty.
05
Include any special requirements or considerations related to the program.
06
Review the terms and conditions outlined in the agreement and ensure you understand them.
07
Sign and date the form, indicating your consent to the terms of the agreement.
08
Submit the completed agreement to the designated authority within the required timeframe.

Who needs clinical education program agreement?

01
Students enrolling in clinical education programs.
02
Educational institutions offering clinical education to students.
03
Supervisors and faculty members overseeing clinical placements.
04
Healthcare facilities hosting students for clinical training.
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A clinical education program agreement is a formal document that outlines the responsibilities and expectations of the parties involved in a clinical education program, which typically includes educational institutions and healthcare facilities.
The educational institutions that sponsor clinical education programs and the healthcare facilities that host students for clinical training are typically required to file the clinical education program agreement.
To fill out a clinical education program agreement, both parties must provide their information, outline the objectives of the program, specify the duration of the agreement, detail the responsibilities of each party, and include any legal or regulatory requirements.
The purpose of a clinical education program agreement is to establish clear guidelines and expectations for the clinical education experience, ensuring compliance with legal standards and facilitating effective collaboration between educational institutions and healthcare providers.
The information that must be reported on a clinical education program agreement includes the names and addresses of the parties involved, program objectives, roles and responsibilities, duration of the agreement, evaluation procedures, and terms for termination.
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