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Get Supervisor Nomination Form Template
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How to fill out the Supervisor Nomination Form Template online
Filling out the Supervisor Nomination Form Template is an essential step in the supervision process for conditional registered dentists. This guide provides a clear, step-by-step approach to ensure that users can navigate the form effectively, submitting all required information accurately and confidently.
Follow the steps to fill out the Supervisor Nomination Form Template online.
- Click the ‘Get Form’ button to access the Supervisor Nomination Form Template and open it in your preferred online document editor.
- In Section I: Details of Supervisee, enter the name of your organization or institution and the name of the clinical director or head of department. Specify the proposed effective start date of supervision.
- Fill in the supervisee's details, including their DCR number, type of employment (full-time or part-time), and the number of hours if part-time. Select the appropriate option for the nature of nomination: new nomination, change in supervisor without employment change, change in both employment and supervisor, or additional employment.
- If applicable, provide the name of the previous supervisor when selecting the change in supervisor option. Obtain the signature of the conditional registrant along with the date.
- In Section II: Details of Supervisors, you will need to fill in details for both the principal and secondary supervisors. Include their names, DCR numbers, the number of conditional registration dentists currently under their care, and their years of post-BDS experience.
- For both supervisors, attach their curriculum vitae to the form, obtain their signatures, and fill in the respective dates.
- In Section III, the clinical director or head of department must sign and date the acknowledgment section.
- Finally, review all filled sections to ensure accuracy, and save your changes. You can then download or print the completed form for submission.
Complete your Supervisor Nomination Form Template online today to ensure a smooth supervisory process!
Write what great things your colleagues are doing Be specific in how the nominee met the award criteria Give specific examples that explain why someone deserves to be recognized. Review and ask for clarification about nomination criteria. It's the quality not quantity of the nominations! Follow the directions!
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