Get N873a Preceptor Agreement Form - College Of Nursing - Nursing Psu

The N873A Preceptor Agreement Form is essential for documenting the agreement between students and preceptors in the College of Nursing's adult gerontology primary care nurse practitioner program. This guide provides straightforward, step-by-step instructions on filling out the form online to ensure a smooth submission process.

Follow the steps to correctly complete the N873A Preceptor Agreement Form online.

1. Press the ‘Get Form’ button to access the N873A Preceptor Agreement Form and open it in your preferred editing tool.
2. Begin by filling out the first page of the form, which requires basic information about the student. This includes entering the date, semester, year, your name, RN license number, telephone number, and email address.
3. Proceed to provide the clinical faculty’s name, email, and phone number. It is crucial to ensure that this information is accurate for communication purposes.
4. In the course objectives section, familiarize yourself with the competencies that are expected to be achieved. While you do not need to fill this section out, understanding the objectives will help in aligning your experience with the expected outcomes.
5. The preceptor will need to fill out the second page. Ensure the preceptor provides their name, clinical specialty area, years in an advanced role, Pennsylvania professional licensing details, and academic degrees.
6. Make sure the preceptor lists certifications, agency name, address, office telephone number, fax number, and email address. The accuracy of this information is vital for formalizing the agreement.
7. On the second page, the preceptor should choose the clinical agency type and setting from the provided options. Ensure that all relevant types are selected.
8. Once the second page is filled out, both the preceptor and clinical faculty need to sign and date the form. This signature process finalizes the agreement.
9. After all sections are complete and signatures obtained, the student must return the form to the clinical faculty for final approval.
10. Finally, save the changes you have made, and opt to download, print, or share the completed form as needed for your records or further processing.

Ensure your documentation is complete and submit the N873A Preceptor Agreement Form online today.