GCU NRS427 Week 5 Assignment Community Teaching Experience Approval Form latest 2019 March Question # 00601599 Course Code : NRS427 Subject: Health Care Due on: 05/23/2019 Posted On: 05/23/2019 10:00 AM Tutorials: 1 Rating: 4.7/5
NRS427 Concepts in Community and Public Health
Week 5 Assignment
Community
Teaching Experience Approval Form
Before
presenting your “Community Teaching Plan: Community Presentation” to
the community, seek approval from an agency administrator or representative.
Upon receiving approval from the agency, submit the completed “Community
Teaching Experience Approval Form.”
Community Teaching
Experience
Students must submit
this form as part of the assignment submission.
Student Name:__________________ |
Course
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Date
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Provider Information |
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Provider Name : |
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Last |
First |
M.I. |
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Credentials: |
Title: |
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(i.e., MS, RN, etc.) |
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Organization: |
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Phone Number: |
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E-mail |
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Student Presentation Information |
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Type of |
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PowerPoint Presentation |
Pamphlet Presentation |
Audio Presentation |
Poster Presentation |
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D |
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Provider
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I __________________________acknowledge that ____________________________
(Provider Name) (Student
Name)
has requested approval to participate in a community teaching experience
at the location listed on this form. The organization / agency does not endorse
the university or the student however, the teaching plan developed by the
student is considered appropriate and of benefit to the community of interest.

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______________________________ _________________
Provider
Signature Date
Signed