Get Alverno College Msn Preceptor Agreement Form 2009-2026

Filling out the Alverno College MSN Preceptor Agreement Form is an essential step in securing a preceptor for your nursing practicum. This guide provides clear, step-by-step instructions to help you complete the form confidently and accurately.

Follow the steps to successfully complete the preceptor agreement form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In the first section, enter the name of the preceptor in the provided space. This identifies the individual who will guide the student during their practicum.
3. Next, fill in the student's name in the designated field. This section confirms the student being precepted.
4. Indicate the semester during which the practicum will take place (fall or spring) and the specific year. Be sure to provide accurate dates to avoid discrepancies.
5. Complete the section detailing the total practice hours the student will engage in. This specifies the time commitment involved.
6. In the designated area, outline the specific applications or experiences that the student will engage in during their practice hours. This should be relevant to their learning objectives.
7. Provide the name of the practice site in the appropriate field where the student will complete their hours.
8. Specify the unit or specialty area in which the student will practice. This detail is crucial for aligning the student's experience with their educational goals.
9. List the outcomes for the practicum that you and the student have developed. Provide at least three outcomes that will guide the student's learning and performance.
10. At the conclusion of the practicum hours, the preceptor will need to agree to provide a summative report regarding the student’s performance. Keep this in mind as you complete the form.
11. Once all fields are filled out accurately, the preceptor must include their signature and credentials along with their title and the date.
12. Fill out the preceptor contact information, including the agency, phone number, and email address.
13. Finally, the student should sign and date the form as well, confirming their agreement. After completing all sections, users can save changes, download, print, or share the form as needed.

Complete your Alverno College MSN Preceptor Agreement Form online today and ensure a successful preceptorship.