Preceptor Offer Evaluation Checklist Form
Preceptor Offer Evaluation Checklist
Preceptor Name
*
Program or Department
Preceptor's Qualifications meet program requirements
*
Yes
No
Preceptor has confirmed availability for required time period
*
Yes
No
Preceptor demonstrates effective communication skills
*
Yes
No
Preceptor is aware of program expectations and responsibilities
*
Yes
No
Preceptor provides a supportive learning environment
*
Yes
No
Overall evaluation of preceptor offer
*
Accept
Decline
Additional comments or notes
Submit Evaluation
Should be Empty: