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  • (comex) Preceptor Application - Nunm Student Services - National ... - Studentservices Nunm

Get (comex) Preceptor Application - Nunm Student Services - National ... - Studentservices Nunm

COMMUNITY EXPERIENCE (COMEX) PRECEPTOR APPLICATION Date: Physician Name: Business Name: Business Address: City: State/Zip Code: Preferred Phone: Email: Website: Business Fax: Practice Type (select.

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How to fill out the (comex) Preceptor Application - NUNM Student Services online

Filling out the (comex) Preceptor Application is a key step for physicians looking to mentor students from the National University of Natural Medicine. This guide provides clear, step-by-step instructions to help users complete the form accurately and effectively, ensuring a smooth application process.

Follow the steps to complete the application successfully:

  1. Press the ‘Get Form’ button to access the application form and open it for editing.
  2. Fill in the date and your full name as the physician. Ensure that the business information is complete, including the name, address, city, state/zip code, preferred phone number, email address, website, and fax number.
  3. In the practice type section, select all applicable options, including options like private practice or clinic types.
  4. Provide your medical education details, including the medical school attended, degree obtained, year of graduation, license number, state of licensure, years in practice, and information regarding malpractice insurance coverage.
  5. If applicable, include the name of the student requesting the preceptorship and any additional information about your practice that may be relevant for potential candidates.
  6. Outline your requirements for students, detailing class level, training needed, interests, attire expectations, and interview procedures.
  7. Decide whether to opt into the password-protected database for NUNM students, marking the appropriate box.
  8. Complete the optional schedule section by indicating the days and times you are available to accept a student.
  9. For prospective preceptors in the Portland Metro area, expect a site visit for discussion and tour. If not in the area, be prepared to complete the Site Information form as instructed.
  10. Review the preceptor responsibilities and clinical duties sections thoroughly, ensuring you understand your commitment and agree to sign at the end of the application.
  11. Once all sections are completed, submit the application to Vanessa Reeves via email or fax as indicated.

Complete your (comex) Preceptor Application online today to help shape the next generation of healthcare providers!

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Preceptor - NUNM Student Services
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Students Must Complete "Declaration Of Minor/Concentration" Form In Order For It To PSC Req 7-06.indd 2012-13 DOE Version Independent Verification Worksheet - Usciences Dual Major

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Dress Code A professional appearance is required of all students. While on a preceptor shift, you should wear a clean, white, ironed clinic jacket with your student ID badge. Students are expected to adhere to NUNM Health Centers dress code and fragrance-free policy unless otherwise requested by your preceptor.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232