Please complete this form as you take notes during the initial conversation with your placement's clinical educator. A copy of this initial interview form will be submitted to the clinical educator and the Office of Field Experiences.
This initial interview should be done within three weeks from the time you were informed of your placement or as soon as possible.
All interns will complete this initial interview for each placement.
Fill out the form below or print the Intern Initial Interview with Clinical Educator form. Clinical educator, the Field Experience office and yourself should have a copy.
Please click the 'Submit' button ONCE in a session. If you are unsure if your form was submitted, contact Rhonda Wolff at firstname.lastname@example.org for verification.
Black Hills State University, 1200 University St., Spearfish, SD 57799, (800) 255-2478 | © 2014
Friday, October 9, 2015