Suggested Clinical Rotation Forms: Curriculum: Health Careers
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Clinical Agreement (56kb pdf) - An agreement outlining schools and job station responsibilities; signed by school official, facility official, and instructor. Agreement should be renewed annually.
Student Training Agreement (48kb pdf) - An agreement outlining student responsibilities while on clinical rotation/job stations; signed by student, parent, and instructor. Agreement should be signed prior to first clinical rotation of the year.
Time Sheet (96kb pdf) - A form used to document days and hours worked in a facility. One sheet should be used per rotation. More sheets may be used as appropriate; signed by student and clinical supervisor.
Clinical Rotation Journal (80kb pdf) - A form to be completed by student upon completion of rotation. Form will give students the opportunity to express personal feelings regarding clinical experience.
Clinical Evaluation (100kb pdf) - A form completed by job station supervisor/personnel upon completion of rotation, or more often as appropriate. Form to be signed by evaluator and student.
Student Self-Evaluation (116kb pdf) - A form completed by student following rotation, or more often as appropriate.
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