Get Wcc Preceptor Application

This guide provides comprehensive and user-friendly instructions for completing the WCC Preceptor Application online. Following these steps will help you navigate the application process with ease and confidence.

Follow the steps to successfully complete your application.

1. Click the ‘Get Form’ button to access the WCC Preceptor Application and open it in your preferred editor.
2. In the section marked 'Preceptor Contact Information', fill in your professional name as it appears on your license. Include your last name, first name, middle initial, mailing address, mobile phone, and email address.
3. Proceed to the 'Education' section. List all relevant professional titles you hold, alongside your license type, license number(s), issue date, and any educational qualifications such as diplomas or degrees.
4. In the 'Wound Care' section, provide details about your place of employment and any additional board certifications. Remember that a current certification copy must be submitted for approval.
5. Indicate your licensed experience in wound care by selecting the appropriate years of practice. Note the average weekly hours you work in wound care and document your patient caseload along with the types of wound care settings you have experience in.
6. Complete the 'Employment' section by detailing your work history related to wound care. Ensure you provide the name of your employer, employment dates, supervisor's name, and phone number for all relevant positions.
7. In the 'Additional Qualifications' section, list any extra skills or experiences that enhance your abilities as a clinical preceptor.
8. Review the 'Agreement Authorization' section, affirming your experience and licensure compliance as required. Make sure you provide your signature and the date to validate your application.
9. Once you have filled in all sections of the application, review your entries for accuracy and completeness. Save your changes and choose to download, print, or share the final document as necessary.

Complete your WCC Preceptor Application online today to advance your professional journey.