Preceptor Agreement to Oversee INMED Learners
Student Name (First and Last):
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Preceptor Name (First and Last):
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Credentials/Title:
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Facility Name:
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Email Address:
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Alternative Email Address:
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Thank you for agreeing to supervise INMED students service-learning experience! In so doing you agree (please click each if you agree):
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To submit to INMED your professional resume or curriculum vitae for consideration (upload below)
You are fully licensed to practice your profession in your nation
You possess as least five years of professional experience
You guarantee continuous supervision of the INMED learner
You will promptly submit an evaluation of the INMED student at completion of the learning experience
Upload Curriculum Vitae
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Electronic Signature:
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Date:
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