Name:
Phone: E-Mail:
I certify that I have read and understand the information from the New Preceptor Information on:
no yes Information About the Centers for Osteopathic Research and Education (CORE) no yes Faculty Development Opportunities no yes Frequently Asked Questions no yes Student and Preceptor Evaluation no yes Providing Student Feedback no yes Orienting Students to Your Practice no yes The Preceptor's Teaching Tasks no yes Understanding Osteopathic Medicine
no yes Information About the Centers for Osteopathic Research and Education (CORE)
no yes Faculty Development Opportunities
no yes Frequently Asked Questions
no yes Student and Preceptor Evaluation
no yes Providing Student Feedback
no yes Orienting Students to Your Practice
no yes The Preceptor's Teaching Tasks
no yes Understanding Osteopathic Medicine
For CORE Clinical Faculty applicants, after all sections are checked completed click the Submit button to send this form to the Office of Faculty Development. For new Preceptor applicants, please fill out our Volunteer Faculty (Preceptor) Infomation Form (PIF) and mail to OUCOM at the address below.
Office of Records Management c/o Ms. Nancy Savage 226 Grosvenor Hall Ohio University College of Osteopathic Medicine Athens, OH 45701 fax 740-593-9557
Office of Records Management
c/o Ms. Nancy Savage
226 Grosvenor Hall
Ohio University College of Osteopathic Medicine
Athens, OH 45701
fax 740-593-9557