Clinical Field Experience Verification Form

 

Candidates must complete all programmatic requirements, including practicum/field experiences hours defined in their coursework. Additional information about practicum/field experiences can be found on the Student Success Center.

To earn credit for this assignment, all required course hours must be completed and submitted by the assignment due date.

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  • Access the Clinical Field Experience Verification Form in the Document Management section in the Student Portal.
  • Complete all required fields on the Clinical Field Experience Verification Form.
  • Submit by clicking “click to sign.” An email will be sent to the classroom teacher/mentor to complete and verify the practicum/field experiences.
  • Communicate with the classroom teacher/mentor to request he or she verify the practicum/field experience. Once verified by the classroom teacher/mentor, an email will be sent to the candidate’s primary email address on file with the final completed document.
  • Save a .pdf copy of the completed Clinical Field Experience Verification Form to your computer.
  • Submit the Clinical Field Experience Verification Form to the learning management system.

*The data entered into this document is subject to a verification audit. Candidates who engage in fabricating, falsifying, forging, altering, or inventing information related to practicum/field experiences, internships, clinical practice, and/or any associated documentation may be subject to sanctions for violating GCU academic integrity policies, which may include expulsion from GCU.