Get 4-way Agreement - California State University, Fullerton - Hhd Fullerton

Filling out the 4-Way Agreement is an essential step for trainees at California State University, Fullerton. This document formalizes the roles and responsibilities of the parties involved in the trainee's clinical training and must be completed accurately to ensure smooth procedural compliance.

Follow the steps to fill out the agreement online effectively.

1. Click ‘Get Form’ button to obtain the form and open it in your editor.
2. Begin by entering your name in the designated 'Trainee Name' field at the top of the form. Ensure your name matches official documents for consistency.
3. Enter your CWID# in the provided input box. This identifier is crucial for tracking your progress and compliance within the program.
4. Fill in your contact information, including your current street address, city, zip code, email address, and both day and evening phone numbers. Accurate contact details will facilitate communication.
5. Complete the agency information section with your practicum site details, including the agency's name, address, and phone number. Make sure to include the email address for the agency as well.
6. Attach a recent passport-sized photograph as instructed. Ensure the photograph is affixed correctly without glue, using tape or staples only.
7. Review all the responsibilities and requirements detailed in sections I to III of the document. Ensure you understand your obligations and those of your supervisors and the Clinical Training Director.
8. In section II, clearly define the methods of supervision that will be used during your training. Check all applicable methods to acknowledge how supervision will be monitored.
9. In section V, fill in the dates indicating when the agreement becomes valid and the expected date of departure from the agency. Make sure an agency representative initials next to these dates to confirm agreement.
10. Each involved party must sign and date section VI to validate the agreement. Ensure that each signature is accompanied by the printed name and title.
11. Once all sections are completed and signatures obtained, save the changes to your document. You may choose to download, print, or share the finalized agreement as needed.

Complete your 4-Way Agreement online to ensure a successful start to your clinical training.