Student Forms

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General Clinical Information

• Clinical Student Externship Handbook 2012/2013 (Word)
• Time Log for Long-Distance Clinical Placements (Word)

Independent Clinical

• Independent Clinical Application (Online) - Please review the program guidelines first.
• HLAB Supplemental Approval (PDF)

Continuing Clinical

• Continuing Clinical Application (Word) - Please review the program guidelines first.

Pro Bono

• Terms and Conditions (Word)
• Time Log and Supervisor Evaluation (Word)

Winter Clinical Funding

• Grant Application - Winter Term Domestic Clinical Travel (Online) - Please review the funding guidelines first.
• Winter Term Grant Agreement (Online)
• Spreadsheet for Students - Travel Grant Receipts (Excel)
• Vendor Setup Form (Word)

Assumption of Risk Travel Waivers

1. For independent or continuing clinical students travelling internationally (PDF)
2. For Independent or continuing clinical students travelling within the United States (PDF)
3. For clinical courses involving international travel (PDF)
4. For clinical courses involving travel within the United States (PDF)

Placement Evaluation

The Placement Evaluation is an online evaluation accessed through HELIOS. In order to receive clinical and/or pro bono credit, students must complete the Placement Evaluation.