Assigment .Apa seven . All instructions attached.
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WK1Assgn1_Rodriguez_M.docxPracticum Site Information Form
STUDENT INFORMATION
Student name: Mariela Rodriguez
Student phone number (primary): 786 2465113
City/town: Miami
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): Ernesto Guevara
Preceptor credentials (MD, FNP, DO, etc.): PMHNP
Site name: New Horizons CMHC
Site address: 1469 NW 36 St
City/town: Miami
State: Florida
Preceptor email address: [email protected]
Preceptor phone number: 786-366-2050
Site phone number:
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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|
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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 |
|
|
|
|
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 |
|
|
|
|
9 AM to 5 PM 8 h |
9 AM to 5 PM 8 h |
|
|
|
22 |
23 |
24 |
25 |
26 |
27 |
28 |
|
|
|
|
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 |
|
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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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 |
9 AM to 5 PM 8 h |
|
|
27 |
28 |
29 |
30 9 AM to 5 PM 8 h |
31 9 AM to 5 PM 8 h |
9 AM to 5 PM 8 h 1 |
2 |
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