DNP Scholarly Project Site

The DNP scholarly project site provides a vehicle for submitting your scholarly project documents. 

Mentor Agreement

**This form is to be completed and signed by your mentor and yourself.
***You will attach this form and your mentors CV/resume at the end of this site. 

Demographics

Program Track:

Mentor

(eg. MD, OD, NP)
(e.g., family practice, pediatric, gerontology)

Affiliation

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 Menor 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.

**If an affiliation agreement has not been established please complete this form and notify the Graduate Clinical coordinator at graduateclinicals@holyfamily.edu.

(if different from your preceptor)
Office Address:

Attachments

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.

One file only.
100 MB limit.
Allowed types: pdf, doc, docx, .
One file only.
100 MB limit.
Allowed types: pdf, doc, docx, .
(optional)
One file only.
100 MB limit.
Allowed types: pdf, doc, docx, .