Educational Service Unit
Educational Service Unit
Educational Service Unit

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Clinical Practice Forms

A. Clinical Practice Candidate Record of Performance

B. Clinical Practice Candidate Record of Performance-IECE

C. Clinical Practice Candidate Summative Evaluation

D. Clinical Practice Candidate Summative Evaluation-IECE

E. Clinical Practice Time Card

F. Clinical Practice Candidate Tort Liability Form

G. Clinical Practice Candidate Withdrawal/Failure Form

H. Disposition Evaluation Process

I. Glossary

J. Kentucky's Learning Goals & Academic Expectations

K. Lesson Plan Format

L. Permission to Take Course During Clinical Practice Form

M. PRAXIS Re-Testing Plan

N. Medical History Form

Educational Service Unit
801 Ginger Hall
Morehead, KY 40351
Phone: 606-783-2065
Fax: 606-783-5015

Folio 180

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MSU is an affirmative action, equal opportunity, educational institution.