SCHOOL OF NURSING BETTY WHITE HEALTH CENTER
Graduate Nursing Program
Adult-Gerontology Primary Care DNP Program
Clinical Practicum and Residency Preceptor Evaluation
Faculty Form
Student___
Course___
Semester and Year___
Preceptor___
| Criterion | Met | Not Met |
|---|
| Meets qualifications to serve as a DNP preceptor | | |
|---|
| Signed and returned the Preceptor Acknowledgement form | | |
|---|
| Signed the student's clinical hour log | | |
|---|
| Completed the DNP student evaluation(s) | | |
|---|
Comments:
___
Faculty Signature
Date