Assigment .Apa seven . All instructions attached.
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WK1Assgn1_Gomez_Darielis.docxPracticum Site Information Form
STUDENT INFORMATION
Student name: Darielis Gomez
Student phone number (primary): 305 354 0422
City/town: Miami
State: Florida
Walden email address: [email protected]
Alternative email address:
Time zone: Eastern time
Student practicum site schedule: see below*
PRECEPTOR AND SITE INFORMATION
Preceptor name (first and last): Yudit Padron
Preceptor credentials (MD, FNP, DO, etc.): PMHNP/APRN
Site name: Wellness Center Inc., FL
Site address: 1901 SW 1st ST 2ND Floor
City/town: Miami
State: Florida
Preceptor email address: [email protected]
Preceptor phone number: 305 798 6281
Site phone number: 305 798 6281
Field Site Clinic hours:160 hours
*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 stating 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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9 AM to 5 PM 8 h |
9 AM to 5 PM 8 h |
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8 |
9 |
10 |
11 |
12 |
13 |
14 |
|
|
|
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9 AM to 5 PM 8 h |
9 AM to 5 PM 8 h |
|
|
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15 |
16 |
17 |
18 |
19 |
20 |
21 |
|
|
|
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9 AM to 5 PM 8 h |
9 AM to 5 PM 8 h |
|
|
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22 |
23 |
24 |
25 |
26 |
27 |
28 |
|
|
|
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9 AM to 5 PM 8 h |
9 AM to 5 PM 8 h |
|
|
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29 |
30 |
|
|
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|
|
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Sunday |
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
Saturday |
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1 |
2 |
3 |
4 |
5 |
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October |
|
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9 AM to 5 PM 8 h |
9 AM to 5 PM 8 h |
|
|
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6 |
7 |
8 |
9 |
10 |
11 |
12 |
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|
|
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9 AM to 5 PM 8 h |
9 AM to 5 PM 8 h |
|
|
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13 |
14 |
15 |
16 |
17 |
18 |
19 |
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|
|
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9 AM to 5 PM 8 h |
9 AM to 5 PM 8 h |
|
|
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20 |
21 |
22 |
23 |
24 |
25 |
26 |
|
|
|
|
9 AM to 5 PM 8 h |
9 AM to 5 PM 8 h |
|
|
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27 |
28 |
29 |
30 9 AM to 5 PM 8 h |
31 9 AM to 5 PM 8 h |
9 AM to 5 PM 8h1 |
2 |
|
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3 |
4 |
5 |
6 |
7 |
8 |
9 |
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November |
|
|
9 AM to 5 PM 8 h |
9 AM to 5 PM 8 h |
9 AM to 5 PM 8 h |
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