Assigment .Apa seven . All instructions attached.
butterflyl
PracticumSiteInformationFormfinal4.docxPracticum Site Information Form
08/27/24
STUDENT INFORMATION
Student name: Eddy Hera Pina
Student phone number (primary): 7542656754
City/town: Davie
State: Florida
Walden email address: [email protected]
Alternative email address:
Time zone: Easter Time
Student practicum site schedule: see below*
PRECEPTOR AND SITE INFORMATION
Preceptor name (first and last): Azucena Sanchez Dr
Preceptor credentials (MD, FNP, DO, etc.): PMHNP -BC
Site name: Miami Dade Community Services Inc
Site address: 1901 SW 1rst St
City/town: Miami
State: Florida 33135
Preceptor email address: [email protected]
Preceptor phone number: 786-277-1664
Site phone number: 786-277-1664
Field Site Clinic hours:160 h
*You must have specific dates and times, please provide a calendar with your dates and times written in the days of the week. We must be able to verify the exact dates you are in practicum setting. We must be able to see you will meet your hour requirements including holidays off. Simply staying every Monday for 8 hours is not acceptable.
September
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Sunday |
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
Saturday |
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1 |
2 |
3 |
4 |
5 |
6 |
7 |
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8 Hours 9 AM To 5 PM |
8 hours 9 AM To 5 PM |
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8 |
9 |
10 |
11 |
12 |
13 |
14 |
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8 hours 10 AM To 6 PM |
8 hours 9 AM To 5 PM |
8 hours 9 AM To 5 PM |
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15 |
16 |
17 |
18 |
19 |
20 |
21 |
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8 hours 10 AM To 6 PM
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8 hours 9 AM To 5 PM |
8 hours 9 AM To 5 PM |
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22 |
23 |
24 |
25 |
26 |
27 |
28 |
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8 hours 9 AM To 5 PM |
8 hours 9 AM To 5 PM |
|
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29 |
30 |
1 |
2 |
3 |
4 |
5 |
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8 hours 9 AM To 5 PM |
8 hours 9 AM To 5 PM |
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31 |
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October
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Sunday |
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
Saturday |
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6 |
7 |
8 |
9 |
10 |
11 |
12 |
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8 hours 9 AM To 5 PM |
8 hours 9 AM To 5 PM |
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13 |
14 |
15 |
16 |
17 |
18 |
19 |
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8 hours 9 AM To 5 PM |
8 hours 10 AM To 6 PM |
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20 |
21 |
22 |
23 |
24 |
25 |
26 |
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8 hours 10 AM To 6 PM |
8 hours 10 AM To 6 PM |
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27 |
28 |
29 |
30 |
31 |
1 |
2 |
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8 hours 10 AM To 6 PM |
8 hours 10 AM To 6 PM |
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3 |
4 |
5 |
6 |
7
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8
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9 |
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