Embedded Files
Required Information for Internship Placement Requests
Required Information for Internship Placement Requests
Preceptor Contact Information
Preceptor Contact Information
Required Information Includes:
Required Information Includes:
Potential Preceptor Name
Potential Preceptor Phone Number
Potential Preceptor Email Address
Potential Preceptors Credentials
Contract Administrator Contact Information
Contract Administrator Contact Information
Required Information Includes:
Required Information Includes:
Contract Admin Name
Contract Admin Phone Number
Contract Admin Email Address
Contract Admin's Title
Potential Clinical Site Details
Potential Clinical Site Details
Required Information Includes:
Required Information Includes:
Potential Clinical Site Legal Name
Potential Clinical Site Street Address
Potential Clinical Site Phone Number
Potential Clinical Site Website Address
**NOTE - The Contract Administrator is the person at your potential Clinical Site with the authority to enter into an Affiliation Agreement between WGU and the Clinical Site.
**NOTE - The Contract Administrator is the person at your potential Clinical Site with the authority to enter into an Affiliation Agreement between WGU and the Clinical Site.
You must submit Placement details for each Internship
You must submit Placement details for each Internship
Clinical Internship I consists of a total of 215 hours. (Note: Heavier Supervisory role due to students first time in clinical practice.)
Clinical Internship II consists of a total of 215 hours. (Note: Moderate Supervisory role with active coaching that pushes student beyond the comfort zone in order to provide growth opportunities.)
Clinical Internship III consists of a total of 220 hours. (Note: Light Supervisory role with continued coaching that pushes students beyond comfort as they move towards expert practice.)
You will access the Internship submission forms within your Student Facing Field Experience Page. See Image on the left.
You will access the Internship submission forms within your Student Facing Field Experience Page. See Image on the left.
Note: If you will be working with more than 1 Preceptor within a single Internship, you must submit an additional Placement Details Form for each additional precepted placement.
Note: If you will be working with more than 1 Preceptor within a single Internship, you must submit an additional Placement Details Form for each additional precepted placement.
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