FieldX Onboarding Form
Program Tracks: Please indicate what tracks you offer. Comma separated
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Student Roster Import: Please upload a .CSV or Excel file of your active students. Note: Must include First Name, Last Name, Student Email.
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Site Database Import: Please upload a list of sites where you currently have active students or established contracts. Note: Must include Site Name, Address, City, State, Zip.
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Part 2: Student Pre-Requisites
Mandatory Documents: Which documents are required for "Pre-Application" clearance? (Check all that apply)
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Mandatory Documents: Which documents are required for "Pre-Application" clearance? (Check all that apply)
Other Mandatory Documents:
Program specific documents:
Clearance Responsibility: Who is responsible for clearing a student to begin?
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Clearance Responsibility: Who is responsible for clearing a student to begin?
Part 3: Site Affiliation & Agreements
Established Sites: Do you require a NEW Affiliation Agreement for every individual student?
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Established Sites: Do you require a NEW Affiliation Agreement for every individual student?
Internal Documents: When a student is placed at an existing site, do they need to sign any specific internal documents (e.g., Orientation Checklist)?
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Internal Documents: When a student is placed at an existing site, do they need to sign any specific internal documents (e.g., Orientation Checklist)?
Internal Document Upload: If yes to the above, please upload the template here.
New Sites: Do you require a formal Site Affiliation Agreement for new/non-established sites?
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New Sites: Do you require a formal Site Affiliation Agreement for new/non-established sites?
Template Preference: If yes to the above, which template do you use?
Template Preference: If yes to the above, which template do you use?
Authorized Signatory: Please provide the Name and Title of the authorized signatory for your program.
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Signatory Email: Please provide the email address for the authorized signatory.
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Part 4: Supervisor Qualifications
Supervisor Data Points: What information is required to approve a NEW supervisor? (Check all that apply)
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Supervisor Data Points: What information is required to approve a NEW supervisor? (Check all that apply)
Supervisor Documents: What documents must be uploaded for a NEW supervisor? (Check all that apply)
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Supervisor Documents: What documents must be uploaded for a NEW supervisor? (Check all that apply)
Supervisor Approval: Who approves new supervisors in the system?
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Supervisor Approval: Who approves new supervisors in the system?
Part 5: Field Experience Forms
Field Experience Forms: Do you have any field experience specific forms to be incorporated into FieldX? Ex: evaluation forms, supervision notes, MOUs etc.
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