Get Uf Preceptor Agreement Form - Professional Development - Pd Dce Ufl

Completing the UF Preceptor Agreement Form is essential for preceptors involved in professional development. This guide will provide step-by-step instructions to ensure users can accurately fill out the form online.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the student information, including the student’s name, phone number, and email address.
3. Provide the RDN preceptor’s information. Fill in the preceptor's name, position or title, and registration number. Make sure to circle the type of credentials and include the state that issued them.
4. Attach the required copy of the preceptor’s registration card. For RDN, include the CDR card. For LD, provide the state license, and for CDM CFPP, attach ANFP identification.
5. Input the preceptor's mailing address, phone number, email, and the number of years of experience.
6. Secure the preceptor's signature to validate the information provided.
7. If applicable, complete the section for a second preceptor using the same approach as the first, specifying their details and attaching the necessary registration card.
8. Fill out the facility administrator’s details, including their name, contact number, and signature.
9. Ensure that all required documents are attached before finalizing the form.
10. Once all sections are complete, save your changes, then download, print, or share the form as required.

Complete your UF Preceptor Agreement Form online today to ensure your preceptor credentials are properly documented.