Externships Forms & Documents
Externship Assignment Checklist
This form should be used as a guide to help students remember when and what assignment are do. Letter of Recommendation Form
This form should be used when requesting a recommendation from a MMC faculty or staff member. Memorandum of Understanding (MOU)
This form should be completed and submitted to the Academic Program Administrator before starting the externship. Preceptor's Understanding & Agreement
This form should be completed and submitted to the Academic Program Administrator before starting the externship. Interim Progress Report
This form should be complete and submitted to the Academic Program Administator one month after the start of placement. Preceptor's Evaluation
This forms should be completed by the preceptor at the end of the year. |
Externship Approval Form
This form should be completed once you have selected an externship.It should be completed by the student with the help of the preceptor. Preceptor's Packet
This packet should be provided to your preceptor prior to beginning your externship. Preparedness for an Organization to Accept an Extern
This form should be completed and submitted to the Academic Program Administrator before starting the externship. Preliminary Externship Report
This form should be completed by the student with the help of the preceptor and returned to the Academic Program Administrator within 14 days from start of the externship. Student Evaluation
This form should be completed with the originals submitted to the Academic Program Administrator and copies submitted to preceptor within two weeks of the completion of placement. |