Facility Form

Complete this form for each place you will go during the program. Be sure it has the name and contact information for the person responsible for affiliation agreements. KACAD will get the contract.

Preceptor Form

All preceptors must complete this form and provide evidence of continued competency appropriate to precepting responsibilities (examples given on the form) and copy of their license if applicable.

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Our handbook has comprehensive information about requirements, how to apply, and our policies