Form G (BSN Programs)

  • Policy C-04

    Clinical Site/Preceptor Assessment by Students
  • MM slash DD slash YYYY
  • Instructions: Use the drop down boxes to select your assessment for each statement. Space is provided below each statement if you choose to add any comments.
  • Clinical Site

  • Preceptor(s)

  • List ways this agency/individual provides quality clinical experience for students.
  • List other areas in which this agency/individual could provide optimal student learning.