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Preceptor Agreement Form University of Arkansas for Medical Sciences College of Pharmacy Preceptor: Site: Address: City: State: Zip Code: The DAMS College of Pharmacy agrees to work closely with individual
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How to fill out preceptor agreement form:

01
Obtain the preceptor agreement form. This form can usually be found on the website of the organization or institution that requires it.
02
Fill in the basic information. Start by providing your name, contact information, and any other personal details that are requested.
03
Identify the preceptor. Clearly indicate who will be serving as the preceptor by providing their name, contact information, and any relevant credentials or qualifications.
04
Specify the duration of the agreement. Indicate the start date and end date of the preceptorship period.
05
Define the responsibilities of the preceptor. Describe the duties and expectations of the preceptor, including the level of supervision, guidance, and support they are expected to provide.
06
Outline the responsibilities of the student or trainee. Clearly explain what is expected of the student during the preceptorship, such as attendance, professionalism, and completion of assigned tasks.
07
Include any additional terms or conditions. If there are any specific rules or requirements that need to be addressed, make sure to include them in this section.
08
Sign and date the form. Once all the necessary information has been filled out, both the preceptor and the student should sign and date the form to indicate their agreement to the terms.

Who needs preceptor agreement form?

01
Students or trainees undertaking a preceptorship or internship.
02
Institutions or organizations that require a formal agreement to ensure the quality and consistency of the preceptorship program.
03
Preceptors who agree to supervise and mentor students or trainees in their field of expertise.
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A preceptor agreement form is a document that outlines the expectations and responsibilities of the preceptor (mentor) and the student during a clinical training or internship.
Both the preceptor (mentor) and the student are required to fill out and submit the preceptor agreement form.
To fill out the preceptor agreement form, both the preceptor and the student need to provide their personal information, program details, learning objectives, and sign the agreement.
The purpose of the preceptor agreement form is to ensure that both the preceptor and the student are clear on their roles, responsibilities, and expectations during the training or internship period.
The preceptor agreement form must include personal details of both the preceptor and the student, program details, learning objectives, and signatures of both parties.
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