Welcome to the Graduate Nursing Preceptor Request Site. This has been established to help facilitate all of your preceptor requests in a timely and efficient manner. It is very important to comply with the below due dates and requirements. This form must be completed prior to submission. A copy of your preceptor’s resume, board certification, license, and a signed preceptor agreement form are required. Please upload these documents below.
Download DNP-FNP Agreement Form
Download DNP Leadership Agreement Form
Request due dates
**If your practicum agency is not currently on our affiliation agreement list you must submit your request at least 120 days prior to the clinical start date in order to process a new affiliation agreement request.
Affiliation agreements are required between Holy Family University and all agencies. A practicum site may fall under a larger health care institution/agency. Please verify with your preceptor if their office is associated with a larger healthcare institution/agency (i.e. Jefferson Health, Temple University). A list of our current affiliation agreements can be found below. This is separate from the preceptor agreement form.
View the List of Affiliation Agreements for the DNP Program
**If your practicum agency is not currently on our affiliation agreements list you must submit your request at least 120 days prior to the clinical start date in order to process a new affiliation agreement request.
Please upload the following documents for your preceptor. Your uploaded files may not exceed 3MB in size and must have a file format ending in .pdf, .doc, or .docx.
Note: All documents are required prior to submission.
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