VM21400 Clinical Mentorship Documents

Agreements Instruction Sheet

Facility Certification

Clinical Mentorship Contract

Supervisor Agreement

If you are taking more than one mentorship in a semester, you only need to send in one copy of the Health Risk and Insurance Acknowledgement, Release of Liability, Professional Liability Insurance, Code of Conduct, and the Technical Standards Achnowledgement below.

Health Risk and Insurance Acknowledgement

Release of Liability

Beginning for the fall 2019 semester, you will no longer be required to send in checks to pay for the Professional Liability Insurance that is required for enrollment in a clinical mentorship course.  The $13 fee will now be billed through the Bursar’s Office allowing you to pay for it the same way you pay your tuition.

Professional Liability Insurance - Fall 2019 - Use this Professional Liability Insurance form if you are registering for VM 21400 for the fall 2019 semester.

Technical Standards Acknowledgement

Purdue Veterinary Technology Mentorship Code of Conduct

VM 21400 Clinical Mentorship logbook

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