Internship Preceptor Agreement Form

Preceptor Agreement Form

The internship placement that will be used to meet the Graduate Global Health Certificate internship requirement should be developed and designed in collaboration with a site specific local preceptor.

Statements may be submitted online or by mail or e-mail.  Students may need to translate this form in order for the preceptor to complete it.

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Preceptor Information

By clicking submit below, I have read and approved the student's internship proposal, and I agree to support and oversee the internship activities during the 4 week period of this internship.