Embedded Files
Partnership agreements and forms used with Business & Industry/Healthcare Agencies. All are either "Yes" or "Not Applicable"
VI3a. Agreement /verification forms with business partners for clinical experiences, shadowing, and Internship with HSE Course Numbers, if applicable. Teachers: Check with WBL Coordinator and CTAE Director.
VI3b. Copy of clinical form(s) used. (include a sample timesheet and objectives, and check-off lists as appropriate)
VI3c. Copy of all permissions forms utilized.
VI3d. Work closely with your Work-based Learning (WBL) coordinator to provide documentation for internships and clinical experiences. Statement on WBL collaboration.) YES (Documentation of internships/clinical experiences were provided.) or NOT Applicable; internships/clinical experiences not provided
VI3e. List students who are participating in work-based learning program. List in another column where they are working in the community. Next column, list the area of the agency (such as medical front office, pharmacy, etc.)
VI3a. Agreement /verification forms with business partners for clinical experiences, shadowing, and Internship with HSE Course Numbers, if applicable.Â
VI3a. Agreement /verification forms with business partners for clinical experiences, shadowing, and Internship with HSE Course Numbers, if applicable.Â
Clinical Contract-FCHS and BRAL May 2022.pdfPartnership Agreement:
Clinical Contract with Blue Ridge Assisted Living for Patient Care Fundamentals (CNA) Students to Complete Required Clinical Hours
Course # 25.4360014
Brayden Turner Training Plan.pdfWork Based Learning Internship Plan for Healthcare Students Working as Techs with Benchmark Physical Therapy
Ivy Hyde Training Plan.pdfWork Based Learning Internship Plan for Healthcare Students Working as Techs with Benchmark Physical Therapy
VI3b. Copy of clinical form(s) used. (include a sample timesheet and objectives, and check-off lists as appropriate)
VI3b. Copy of clinical form(s) used. (include a sample timesheet and objectives, and check-off lists as appropriate)
VI3c. Copy of all permissions forms utilized.
VI3c. Copy of all permissions forms utilized.
VI3d. Work closely with your Work-based Learning (WBL) coordinator to provide documentation for internships and clinical experiences. Statement on WBL collaboration.) YES (Documentation of internships/clinical experiences were provided.) or NOT Applicable; internships/clinical experiences not provided
VI3d. Work closely with your Work-based Learning (WBL) coordinator to provide documentation for internships and clinical experiences. Statement on WBL collaboration.) YES (Documentation of internships/clinical experiences were provided.) or NOT Applicable; internships/clinical experiences not provided
WBL Training Agreement-Example
Statement on WBL Collaboration
Nurse Aide Training Program Completion Certificate-85 total required hours, including 24 clinical hours
CNA Fa22 Clinical Hours.pdfPatient Care Fundamentals-Evidence of Clinical Hours-Fa22
Brayden Turner Training Plan.pdfIvy Hyde Training Plan.pdfWBL Training Plan for Brayden Turner and Ivy Hyde, Benchmark Physical Therapy
VI3e. List students who are participating in work-based learning program. List in another column where they are working in the community. Next column, list the area of the agency (such as medical front office, pharmacy, etc.)
VI3e. List students who are participating in work-based learning program. List in another column where they are working in the community. Next column, list the area of the agency (such as medical front office, pharmacy, etc.)
WBL/Healthcare Students and their Employment Positions
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