Forms

  • Learning Contract

    This link sends your online learning contract directly into a database. We only need one finalized copy in the database. Should you have minor changes, contact Brenda.E.Brown@uth.tmc.edu. Upon submission of your online learning contract, an email will automatically be sent to your faculty sponsor and community preceptor to approve your learning contract electronically. Contact both to ensure that they have received the email. We do not need paper copies with signatures. However, if you are an international student, after you register for the practicum, you will need to bring the final copy of your online learning contract with all approvals and the letter from your community preceptor to John Adams in Student Affairs (see Checklist-International Students).

  • Example learning contract to be completed by the student, faculty sponsor, and community preceptor before entering the online learning contract, before starting the practicum and before registering for the practicum. Online learning contract to be entered by the student before starting the practicum and before registering for the practicum. Your community preceptor will be able to tell you their Essential Services of Public Health work experience - a question on the learning contract.
  • Orientation and Quiz

Orientation and quiz to be completed by the student before starting the practicum and before registering for the practicum.

Used to request a practicum waiver.

The Learning Contract is used to define learning objectives, methodology, timelines and final product. This form is signed by the student, faculty sponsor, and community preceptor. Each retains a copy, and the student forwards a copy to the Office of Public Health Practice/Regional Campus Coordinator.

The Student Evaluation is used to assess the effectiveness of the learning experience from the student’s perspective.

The Preceptor Evaluation is used to assess the student’s ability to accomplish the objectives and learning experience. The evaluation goes to the Office of Public Health Practice immediately upon submission and then forwarded to the faculty sponsor.