Assigment .Apa seven . All instructions attached.
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WK1Assgn1_Sosa_Jorge.docxPracticum Site Information Form
STUDENT INFORMATION
Student name: Jorge Sosa
Student phone number (primary): 3059175035
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): Ibrahim Diaz
Preceptor credentials (MD, FNP, DO, etc.): PMHNP
Site name: Face to Face Mental Health Services
Site address: 15924 SW 92nd Ave
City/town: Palmetto Bay
State: Florida
Preceptor email address: [email protected]
Preceptor phone number: 3056355403
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 |
|
|
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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 |
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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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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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