• Step 2: Student will share the following information with the USF Practicum Coordinator by email:
  

• • Campus/Location
  • Unit
  • Name of Preceptor Assigned & Title**
  • Encrypted Badge Request Form (highlighted sections only)
    (Encrypted Excel files will allow your social security number to remain protected when transmitting

• • by email.)

•  Step 3: AdventHealth regional coordinator, Ms. Jennifer McKinney, will be in touch with each student(s) with onboarding confirmation and/or follow-up steps needed.

Zepyrhills only:

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Practicum Coordinator:

Information to come.

This facility/organization only accepts their employees for student placement.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Practicum Coordinator:

Step 1: USF Practicum Coordinator will verify with the facility if they are able to accommodate the placement request. USF Practicum Coordinator will share the following information with the facility: Student name(s), whether they are an FH employee, school, degree, expected start and end dates, hours, FH campus, and unit.

Step 2: Students are required to send the following information to the USF Practicum Coordinator via email (jyotirao@health.usf.edu):

• Your Campus (which facility, not USF)
• Your unit
• Your preceptor's name and contact information
  • It is the student's responsibility to secure an appropriate preceptor for your experiential learning (service learning) practicum hours. It cannot be your immediate supervisor, and generally cannot be on your unit.

Step 3: USF Practicum Coordinator will send all student preceptor information to Ms. McKinney for their record.

Step 4: USF Practicum Coordinator will send an email to student(s) approved for placement at this facility. Students are then required to complete the following yellow portions on this form and return to Ms. McKinney (jennifer.mckinney@flhosp.org) directly. Do not send sensitive SSN information to the USF Practicum Coordinator.

• https://usf.box.com/v/BadgeRequestForm

Step 5: The USF Practicum Coordinator will email Ms. Jennifer McKinney (jennifer.mckinney@flhosp.org) with related information such as date, hours, campus, unit, and preceptor assigned.

This facility/organization only accepts their employees for student placement.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Practicum Coordinator:

Step 1: Students are required to send the following information to the USF Practicum Coordinator via email (jyotirao@health.usf.edu):

• Your Campus (which facility, not USF)
• Your unit
• Your preceptor's name and contact information
  • It is the student's responsibility to secure an appropriate preceptor for your experiential learning (service learning) practicum hours. It cannot be your immediate supervisor, and generally cannot be on your unit.

Step 2: USF Practicum Coordinator will verify with the facility if they are able to accommodate the placement request. USF Practicum Coordinator will share the following information with the facility: Student name(s), whether they are an FH employee, school, degree, expected start and end dates, hours, FH campus, unit and student's preceptor assigned.

Step 3: USF Practicum Coordinator will send an email to student(s) approved for placement at this facility. Students are then required to complete the following yellow portions on this form and return to Ms. McKinney (jennifer.mckinney@flhosp.org) directly. Do not send sensitive SSN information to the USF Practicum Coordinator.

• https://usf.box.com/v/BadgeRequestForm

Step 4: The USF Practicum Coordinator will email Ms. Jennifer McKinney (jennifer.mckinney@flhosp.org) with related information such as date, hours, campus, unit, and preceptor assigned.

This facility/organization only accepts their employees for student placement. Time sensitive, must be submitted 3-4 weeks before the semester starts! With the holiday, it will need to be more.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Practicum Coordinator:

Step 1: The USF Practicum Coordinator will email Ms. Christine Reeves (christine.reeves@ahss.org) all students names and contact information.

Step 2: Students will need to complete the following forms and submit them via email to the USF Practicum Coordinator. Be advised that some elements are "N/A" due to exclusion of direct patient care activities.

Note: Incomplete and/or illegible documents will delay processing and rotation start. 

Current employees should already have these forms up to date in the FH-Carrollwood system.

• Non-Employee OPID Form: https://usf.box.com/v/FHCarrolOPID19
• Form Request for Student Placement FHCW: https://usf.box.com/v/FHCarrolRequestStudPlacement
• Student Confidentiality of Information Agreement: https://usf.box.com/v/FHCarrolConfidentiality
• Student Orientation Checklist: https://usf.box.com/v/FHCarrolStudOrient

Step 3: Students must schedule a time to briefly meet with Ms. Reeves for your orientation to Carrollwood, regardless if you are already an employee. Email her at christine.reeves@ahss.org.

Step 4: The USF Practicum Coordinator will submit your completed paperwork on your behalf to Ms. Reeves.

Step 5: It is the student's responsibility to secure an appropriate preceptor for your experiential learning (service learning) practicum hours. It cannot be your immediate supervisor, and generally cannot be on your unit. Ms. Reeves can clarify for you.

Step 6: Students must communicate their preceptor's name and contact information via email to your USF Practicum Coordinator (jyotirao@health.usf.edu).

This facility/organization only accepts their employees for student placement.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Practicum Coordinator:

Step 1: Students are required to send the following information to the USF Practicum Coordinator via email (jyotirao@health.usf.edu):

• Your Campus (which facility, not USF)
• Your unit
• Your preceptor's name and contact information
  • It is the student's responsibility to secure an appropriate preceptor for your experiential learning (service learning) practicum hours. It cannot be your immediate supervisor, and generally cannot be on your unit.

Step 2: USF Practicum Coordinator will verify with the facility if they are able to accommodate the placement request. USF Practicum Coordinator will share the following information with the facility: Student name(s), whether they are an FH employee, school, degree, expected start and end dates, hours, FH campus, unit and student's preceptor assigned.

Step 3: USF Practicum Coordinator will send an email to student(s) approved for placement at this facility. Students are then required to complete the following yellow portions on this form and return to Ms. McKinney (jennifer.mckinney@flhosp.org) directly. Do not send sensitive SSN information to the USF Practicum Coordinator.

• https://usf.box.com/v/BadgeRequestForm

Step 4: The USF Practicum Coordinator will email Ms. Jennifer McKinney (jennifer.mckinney@flhosp.org) with related information such as date, hours, campus, unit, and preceptor assigned.

This facility/organization only accepts their employees for student placement.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Practicum Coordinator:

Step 1: Students are required to send the following information to the USF Practicum Coordinator via email (jyotirao@health.usf.edu):

• Your Campus (which facility, not USF)
• Your unit
• Your preceptor's name and contact information
  • It is the student's responsibility to secure an appropriate preceptor for your experiential learning (service learning) practicum hours. It cannot be your immediate supervisor, and generally cannot be on your unit.

Step 2: USF Practicum Coordinator will verify with the facility if they are able to accommodate the placement request. USF Practicum Coordinator will share the following information with the facility: Student name(s), whether they are an FH employee, school, degree, expected start and end dates, hours, FH campus, unit and student's preceptor assigned.

Step 3: USF Practicum Coordinator will send an email to student(s) approved for placement at this facility. Students are then required to complete the following yellow portions on this form and return to Ms. McKinney (jennifer.mckinney@flhosp.org) directly. Do not send sensitive SSN information to the USF Practicum Coordinator.

• https://usf.box.com/v/BadgeRequestForm

Step 4: The USF Practicum Coordinator will email Ms. Jennifer McKinney (jennifer.mckinney@flhosp.org) with related information such as date, hours, campus, unit, and preceptor assigned.

This facility/organization only accepts their employees for student placement.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Practicum Coordinator:

Step 1: Students are required to send the following information to the USF Practicum Coordinator via email (jyotirao@health.usf.edu):

• Your Campus (which facility, not USF)
• Your unit
• Your preceptor's name and contact information
  • It is the student's responsibility to secure an appropriate preceptor for your experiential learning (service learning) practicum hours. It cannot be your immediate supervisor, and generally cannot be on your unit.

Step 2: USF Practicum Coordinator will verify with the facility if they are able to accommodate the placement request. USF Practicum Coordinator will share the following information with the facility: Student name(s), whether they are an FH employee, school, degree, expected start and end dates, hours, FH campus, unit and student's preceptor assigned.

Step 3: USF Practicum Coordinator will send an email to student(s) approved for placement at this facility. Students are then required to complete the following yellow portions on this form and return to Ms. McKinney (jennifer.mckinney@flhosp.org) directly. Do not send sensitive SSN information to the USF Practicum Coordinator.

• https://usf.box.com/v/BadgeRequestForm

Step 4: The USF Practicum Coordinator will email Ms. Jennifer McKinney (jennifer.mckinney@flhosp.org) with related information such as date, hours, campus, unit, and preceptor assigned.

This facility/organization only accepts their employees for student placement.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Practicum Coordinator:

Step 1: The USF Practicum Coordinator will contact Ms. Elizabeth Celeste (elizabeth.celeste@ahss.org) to see if their facility can accommodate students for the semester requested.

Step 2: Students must identify a preceptor for their experience. The hospital mandates that the preceptor cannot be a student's direct supervisor and the student must receive consent from the preceptor that they are willing and available to complete the hours with them.

Step 3: Students must email Ms. Edna Thomas (edna.thomas@ahss.org) for preceptor approval and next steps in the hospital's process for onboarding students.

Step 4: Students must communicate their preceptor's name and contact information via email to your USF Practicum Coordinator (jyotirao@health.usf.edu).

This facility/organization only accepts their employees for student placement.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Practicum Coordinator:

Step 1: Student must email the USF Practicum Coordinator (jyotirao@health.usf.edu) with the following information:

• Preference of learning experience, departments, etc.

Step 2: The USF Practicum Coordinator will email Ms. Kate Dorminy (katherine.dorminy@flhosp.org) all student's information, number of hours, deadline to complete hours, and student preferences.

Step 3: Ms. Dorminy will assign you a preceptor at the facility. Please watch for an email from her, she will send the information to your USF Health email.

Step 4: Students must communicate their preceptor's name and contact information via email to your USF Practicum Coordinator (jyotirao@health.usf.edu).

This facility/organization only accepts their employees for student placement.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Practicum Coordinator:

Step 1: Students are required to send the following information to the USF Practicum Coordinator via email (jyotirao@health.usf.edu):

• Your Campus (which facility, not USF)
• Your unit
• Your preceptor's name and contact information
  • It is the student's responsibility to secure an appropriate preceptor for your experiential learning (service learning) practicum hours. It cannot be your immediate supervisor, and generally cannot be on your unit.

Step 2: USF Practicum Coordinator will verify with the facility if they are able to accommodate the placement request. USF Practicum Coordinator will share the following information with the facility: Student name(s), whether they are an FH employee, school, degree, expected start and end dates, hours, FH campus, unit and student's preceptor assigned.

Step 3: USF Practicum Coordinator will send an email to student(s) approved for placement at this facility. Students are then required to complete the following yellow portions on this form and return to Ms. McKinney (jennifer.mckinney@flhosp.org) directly. Do not send sensitive SSN information to the USF Practicum Coordinator.

• https://usf.box.com/v/BadgeRequestForm

Step 4: The USF Practicum Coordinator will email Ms. Jennifer McKinney (jennifer.mckinney@flhosp.org) with related information such as date, hours, campus, unit, and preceptor assigned.

This facility/organization only accepts their employees for student placement.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Practicum Coordinator:

Step 1: Per Ms. Marva Green, employees that enroll in the RN to BS Program with USF should contact her directly. Email her at Marva.Green@ahss.org as soon as possible, and she will provide you with the required documents needed to secure your placement.

Step 2: It is the student's responsibility to secure a preceptor for your experiential learning (service learning) practicum hours. The hospital mandates that a student's preceptor cannot be their direct supervisor. If you need assistance in choosing a preceptor, you can contact Marva Green.

Step 3: Students must communicate their preceptor's name and contact information via email to your USF Practicum Coordinator (jyotirao@health.usf.edu).

This facility/organization only accepts their employees for student placement.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Practicum Coordinator:

Step 1: Student is required to email Ms. Laura Dorner (laura.dorner@ahss.org) directly to receive the forms required to secure placement for the semester requested.

Step 2: It is the student's responsibility to secure a preceptor for your experiential learning (service learning) practicum hours. The hospital mandates that a student's preceptor cannot e their direct supervisor.

Step 3: Students must communicate their preceptor's name and contact information via email to your USF Practicum Coordinator (jyotirao@health.usf.edu).

This facility/organization only accepts their employees for student placement.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Practicum Coordinator:

Step 1: Students are required to send the following information to the USF Practicum Coordinator via email (jyotirao@health.usf.edu):

• Your Campus (which facility, not USF)
• Your unit
• Your preceptor's name and contact information
  • It is the student's responsibility to secure an appropriate preceptor for your experiential learning (service learning) practicum hours. It cannot be your immediate supervisor, and generally cannot be on your unit.

Step 2: USF Practicum Coordinator will verify with the facility if they are able to accommodate the placement request. USF Practicum Coordinator will share the following information with the facility: Student name(s), whether they are an FH employee, school, degree, expected start and end dates, hours, FH campus, unit and student's preceptor assigned.

Step 3: USF Practicum Coordinator will send an email to student(s) approved for placement at this facility. Students are then required to complete the following yellow portions on this form and return to Ms. McKinney (jennifer.mckinney@flhosp.org) directly. Do not send sensitive SSN information to the USF Practicum Coordinator.

• https://usf.box.com/v/BadgeRequestForm

Step 4: The USF Practicum Coordinator will email Ms. Jennifer McKinney (jennifer.mckinney@flhosp.org) with related information such as date, hours, campus, unit, and preceptor assigned.

This facility/organization only accepts their employees for student placement.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Practicum Coordinator:

Step 1: Students are required to send the following information to the USF Practicum Coordinator via email (jyotirao@health.usf.edu):

• Your Campus (which facility, not USF)
• Your unit
• Your preceptor's name and contact information
  • It is the student's responsibility to secure an appropriate preceptor for your experiential learning (service learning) practicum hours. It cannot be your immediate supervisor, and generally cannot be on your unit.

Step 2: Students are required to complete the following yellow portions on this form and return to Ms. McKinney (jennifer.mckinney@flhosp.org) directly. Do not send sensitive SSN information to the USF Practicum Coordinator.

• https://usf.box.com/v/BadgeRequestForm

Step 3: The USF Practicum Coordinator will email Ms. Jennifer McKinney (jennifer.mckinney@flhosp.org) with related information such as date, hours, campus, unit, and preceptor assigned.