Get Siue Forms Kit - 2000 - Siue

Completing the SIUE Forms Kit - 2000 - Siue is essential for requesting a clinical site and preceptor. This guide provides step-by-step instructions to assist users in accurately filling out the form online, ensuring that all requirements are met for a smooth submission process.

Follow the steps to successfully complete the SIUE Forms Kit online.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. Provide your student information by filling in your name, address, city, state, zip code, and various telephone numbers. Make sure all fields are completed accurately.
3. Indicate the course, semester, and year for which this request is being submitted. Ensure to circle the correct semester option: Fall, Spring, or Summer.
4. For the clinical site information, input the facility name and full address including city, state, and zip code. Include the facility's main phone number and specify whether there is a current contract with this agency.
5. Enter details about the prospective preceptor, including their name, credentials, contact number, and email address.
6. Confirm whether you have received faculty approval for your site and preceptor selection, and list the faculty member's name if applicable.
7. If desired, proceed to the preceptor information section. Here, the preceptor will fill in their name, contact details, and current practice location.
8. The preceptor should also provide educational and licensure information, including their current license, certification, and any relevant details regarding their practice.
9. Once all information is complete, review the form for accuracy. You can then save your changes, download, print, or share the completed form as needed.

Ensure you complete the SIUE Forms Kit online for your clinical requirements.