Use this guideline to assure you are ready to meet the preceptor. Consider each encounter with your potential preceptor and the impression you make with the office may influence a future employment opportunity. Dress in a manner that projects professionalism and competence.
Information to share with your preceptor:
- Clinical Roles and Responsibilities of the Student, Faculty and Preceptor: Copy the Roles
- Preceptor Agreement Form: Download the Form
- Site Survey: Download the Form
- Initial Request for Education Agreement (also referred to as the Memorandum of Understanding or Affiliation Agreement). Please check with USI1Nursing@usi.edu to determine an agreement between the university and the facility is already established. Download the Form
- Clinical hours required for the course (weekly clinical hours needed over the course of the semester).
- An updated CV/resume including your professional photo. One page total is suggested.
- Discuss elements of the clinical you need for the course such as collecting a patient history, performing focused physical examinations, developing a diagnosis list with differentials and developing patient plans of care for the preceptor to review. You will also need the preceptor to electronically verify your time via our third-party repository.
Send the forms above to USI1Nursing@usi.edu
