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___

CriterionMetNot 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