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Preceptor Information Form


Please print a copy for your records before clicking submit.

Affiliate Agreement Process

After interns are selected in late April, the Marshall University DDI Program will send the Primary Preceptor of each practice site/facility a “Marshall University Affiliation Agreement.”  While most agreements are not signed until a student has been offered and accepted an appointment, practice site/facility administrators should be aware of the content of this essential document early in the application process.  After a student accepts an internship appointment, appropriate practice sit/facility administrators will be asked to sign this agreement with Marshall University by July 1st as a condition of the student’s final acceptance into the internship.

If you have questions, please contact