CLINICAL PRACTICUM AGREEMENTClinical Practicum Agreement • January 21st, 2024 • California
This Agreement is between Perris Union High School District, (“Clinical Site”) and The Trustees of the California State University on behalf of California State University, Northridge (“University”), and is effective as of July 1, 2020.
Fieldwork Experience RequirementsClinical Practicum Agreement • August 22nd, 2011 • California
Below is information you will need in order to secure your practicum and maintain your seat in the program. The Clinical Practicum Agreement must be signed by your fieldwork site and submitted to us by date.
CLINICAL PRACTICUM AGREEMENTClinical Practicum Agreement • July 13th, 2022
I, the undersigned, agree to uphold the standards of the Medical Assistant Clinical Practicum experience as stated in the Medical Assistant Clinical Practicum Syllabus, the Medical Assistant Clinical Practicum packet of documents (as provided to both the student and the clinic site), and the standards as written in the Medical Assistant Handbook. I acknowledge that I have received these documents, have read them, have had the opportunity to ask questions, and am responsible for their contents.
Clinical Practicum AgreementClinical Practicum Agreement • May 14th, 2022
UM/clinical liaison: Chris Merriman 406 243-‐2377 christine.merriman@umontana.edu Grant Coordinator: Kay Barth 406 -‐243 -‐2118 Kay.barth@umontana.edu
CLINICAL PRACTICUM AGREEMENTClinical Practicum Agreement • August 22nd, 2024
I, the undersigned, agree to uphold the standards of the Medical Assistant Clinical Practicum experience as stated in the Medical Assistant Clinical Practicum Syllabus, the Medical Assistant Clinical Practicum packet of documents (as provided to both the student and the clinic site), and the standards as written in the Medical Assistant Handbook. I acknowledge that I have received these documents, have read them, have had the opportunity to ask questions, and am responsible for their contents.
WISCONSIN INDIANHEAD TECHNICAL COLLEGE MEDICAL ASSISTANTClinical Practicum Agreement • August 6th, 2020
I, the undersigned, agree to uphold the standards of the Medical Assistant Clinical Practicum experience as stated in the Medical Assistant Clinical Practicum Syllabus, the Medical Assistant Clinical Practicum packet of documents (as provided to both the student and the clinic site), and the standards as written in the Medical Assistant Handbook. I acknowledge that I have received all of these documents, have read them, have had the opportunity to ask questions, and am responsible for their contents.
University of North Carolina at Wilmington School of NursingClinical Practicum Agreement • September 29th, 2016
GRADUATE INSTITUTE OF PROFESSIONAL PSYCHOLOGYClinical Practicum Agreement • August 2nd, 2020
Trainee: who is a student in good standing in the Psy.D. Program at the University of Hartford’s Graduate Institute of Professional Psychology
Vitality UniversityClinical Practicum Agreement • June 11th, 2024
For Program Use The approval of the DAcCHM Program Director and your Advisor is required BEFORE approval of the Supervisor of your required clinical practicum experience.
YORK UNIVERSITYClinical Practicum Agreement • September 24th, 2008
This form must be filled out and signed by both the student and practicum supervisor if the student is to receive practicum credit.
York University Graduate Program in Psychology Clinical & CD Practicum Agreement FormClinical Practicum Agreement • November 2nd, 2022
CLINICAL PRACTICUM AGREEMENTClinical Practicum Agreement • August 23rd, 2022
I, the undersigned, agree to uphold the standards of the Medical Assistant Clinical Practicum experience as stated in the Medical Assistant Clinical Practicum Syllabus, the Medical Assistant Clinical Practicum packet of documents (as provided to both the student and the clinic site), and the standards as written in the Medical Assistant Handbook. I acknowledge that I have received these documents, have read them, have had the opportunity to ask questions, and am responsible for their contents.
Clinical Practicum AgreementClinical Practicum Agreement • November 12th, 2019
Rec. Methods of Reaching Clinical Instructor & contact info (phone, email) 1. Emergency Cancellation procedure (i.e., clinician illness; death in family)
