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The Office of Public Health Practice & Training

Forms and Documents for Students, Preceptors and Faculty

For Students
For Preceptors & Faculty

 

For Students

 

Searching for Practicum Opportunities
Practicum Opportunity Site Listings
MPH Goals Analysis Information
Practicum Learning Objectives (competencies-based)

Submit Practicum Opportunity for Approval
Practicum Learning Plan Proposal (online form to submit for approval)
Practicum Learning Plan Proposal Template (Microsoft Word version of online form)
**Note: It is highly encouraged to review the questions (via Template) before submitting the online form for approval.

Sample Completed Practicum Learning Plan
Sample Completed Practicum Learning Plan Proposal (PDF)

Reporting
Progress Report (for student to complete)
Practicum Final Report (for student to complete)

Useful Tools
Example Practicum Timelines
Example Practicum Scenarios
Practicum Flow Chart
Example Timesheet Template
Tips for a Successful Practicum Experience
MPH Program Manual (Full-time)

 

For Preceptors & Faculty

 

General Information
MPH Practicum Information Sheet (1-pager)
MPH Practicum Information for Preceptors
Preceptor Interest Form (submit if preceptor is in the early stages of developing a practicum opportunity)

Submit Practicum Opportunity Description
Practicum Opportunity Site (for preceptors to submit a practicum opportunity)
How to Submit a Practicum Opportunity
Tips for Submitting a Practicum Opportunity
Template Practicum Opportunity Description
Sample Completed Practicum Opportunity Description
Questions for Practicum Course Approval (for faculty with a potential course with a practicum component)

Finalize Practicum with MPH Office
Practicum Learning Plan (online form student submits for approval)
Practicum Learning Plan Proposal Template (Microsoft Word version of online form)

Reporting
Progress Report (for preceptor/faculty to complete)
Evaluation of Student (for preceptor/faculty to complete)

Useful Tools
Practicum Learning Objectives (competencies-based)
Example Practicum Timelines
Example Practicum Scenarios
Practicum Flow Chart
Example Timesheet Template
Tips for a Successful Practicum Experience