Get Utrgv School Of Nursing Affiliation Agreement Contact Form 2019-2025

Filling out the UTRGV School Of Nursing Affiliation Agreement Contact Form is an essential step for establishing a partnership for clinical practice. This guide provides a clear, user-friendly approach to completing the form online, ensuring all necessary information is accurately submitted.

Follow the steps to complete the form efficiently.

1. Click the ‘Get Form’ button to access the Affiliation Agreement Contact Form and open it in your preferred document editor.
2. In the first field, enter the facility name. This is the full name of the organization where the clinical practice will take place.
3. Next, provide the mailing address of the facility. Ensure that this information is accurate for communication purposes.
4. Fill in the geographical address if it differs from the mailing address. This helps to identify where the clinical practice occurs.
5. Enter the telephone number for the facility. This should be a direct line for inquiries related to the agreement.
6. Complete the section for the contact person’s details. Provide their name and email address, as they will be a key point of contact for the agreement.
7. In the next section, list the individual responsible for approving the agreement at the facility, including their title. If this person differs from the contact person, specify their information clearly.
8. Provide any additional email addresses if necessary, ensuring that all relevant parties receive the agreement documentation.
9. Indicate whether the facility has multiple sites that should be included in the agreement by selecting 'Yes' or 'No'. If applicable, list those sites.
10. Confirm if the clinical objectives have been shared. Respond with 'Yes' or 'No' based on the current status.
11. Complete the section for the initiating faculty's contact details. This includes their telephone number and email address.
12. Finally, review all entered information for accuracy. Save your changes, and proceed to download, print, or share the completed form as needed.

Begin filling out the UTRGV School Of Nursing Affiliation Agreement Contact Form online today to ensure a smooth affiliation process.