Clinical Field Experience Verification Form

Candidates must complete all programmatic requirements, including practicum/field experiences hours defined in their coursework. Additional information about practicum/field experiences can be found on the Student Success Center.

To earn credit for this assignment, all required course hours must be completed and submitted by the assignment due date.

• Access the Clinical Field Experience Verification Form in the Document Management section in the Student Portal.
• Complete all required fields on the Clinical Field Experience Verification Form.
• Submit by clicking “click to sign.” An email will be sent to the classroom teacher/mentor to complete and verify the practicum/field experiences.
• Communicate with the classroom teacher/mentor to request he or she verify the practicum/field experience. Once verified by the classroom teacher/mentor, an email will be sent to the candidate’s primary email address on file with the final completed document.
• Save a .pdf copy of the completed Clinical Field Experience Verification Form to your computer.
• Submit the Clinical Field Experience Verification Form to the learning management system.

*The data entered into this document is subject to a verification audit. Candidates who engage in fabricating, falsifying, forging, altering, or inventing information related to practicum/field experiences, internships, clinical practice, and/or any associated documentation may be subject to sanctions for violating GCU academic integrity policies, which may include expulsion from GCU.