Forms and Documents

Office Hours

Mindy’s office hours: Monday & Wednesdays from 4-6pm Central

Mindy’s Scheduling link:  https://calendly.com/mscott-lwdi/officehours

Robin’s office hours: Tuesday & Thursday from 1-3pm Central, Saturday mornings via text message

Robin’s Scheduling link: https://calendly.com/rschenk-lwdi/office-hours

FORMS 

Once in rotations, the following form can be used as a guide to know what signatures/evals  are needed through out the rotation: 

Rotation Signature/Evaluation List

Preceptor Agreement Form 

Preceptor Qualifications Form 

Proposed Rotation Schedule and Information

LWDI Affiliation Agreement 

Supervised Practice Site Checklist 

LWDI Competency Checklist

Intern Handbook 

Handbook Compliance Form 

Hours Tracking form (blank) 

ROTATION SYLLABI

Community Nutrition Syllabus 2025

Targeted Community Investigation Rubric 

Outpatient Syllabus 2025

Outpatient Case Study Rubric 

Food Service Syllabus 2025 

Seasonal Theme Meal Rubric 

MNT Syllabus 2025

Mini Case Study Rubric 

ROTATION EVALUATIONS

FSM Intern Evaluation 

Community Nutrition Intern Evaluation 

MNT Intern Evaluation 

Outpatient Emphasis Intern Evaluation 

EVALUATIONS BY INTERNS

Preceptor Evaluation

Evaluation of FSM Rotation

Evaluation of Community Nutrition Rotation

Evaluation of MNT Rotation

Evaluation of Outpatient Rotation