Get Clinic Acceptance And Commitment Agreement

The Clinic Acceptance And Commitment Agreement is an important document for students who wish to participate in the clinic program. This guide will provide you with a clear, step-by-step approach to ensure you fill out the form accurately and effectively.

Follow the steps to complete your agreement thoroughly.

1. Click the ‘Get Form’ button to access the Clinic Acceptance And Commitment Agreement and open it in your preferred document editor.
2. Begin by entering your full name in the designated field labeled 'Student name.' Ensure that you provide the name that matches your official records.
3. In the following section, input your Student Year & Division for the upcoming semester, using the provided format (e.g., 3D, 4E, etc.). This helps clarify your current academic standing.
4. Next, fill out your permanent address, ensuring it is accurate, as this may be used for official communications.
5. Provide your telephone number in the specified field, ensuring it is a number where you can be easily reached.
6. Enter your Duquesne University email address in the corresponding field. Additionally, add any other email address that you frequently use for communication.
7. Indicate the clinic you are applying to by writing the clinic's name in the respective space. This is crucial for correct enrollment.
8. Carefully read the statement regarding the time commitment and responsibilities associated with the clinic. It is essential to understand your obligations fully and agree to them.
9. Sign your name in the designated space to confirm your acceptance of the agreement and responsibilities outlined. Make sure to use your official name.
10. Finally, enter the date when you are completing the form. This is important for record-keeping purposes.
11. Once you have filled out all sections, review your information for any errors. After confirming that all details are correct, you can save your changes, download the document, print it, or share it as needed.

Complete your Clinic Acceptance And Commitment Agreement online today and take the first step towards your clinic experience!