Homework HCA 449

Appendix F: Project Agreement Form

Student Name: ________________________ Internship Site: _______________

Preceptor: _____________________ Date: ___________________________

Title of Project:

Description and Purpose of Project:

Objectives (Expected results, use measurable indicators or quantify if possible):

Methods (Describe how you intend to accomplish/complete project):

Preceptor Approval: ____________________________________

Expected Completion Date: _______________________________