Clinical Field Experience Verification Form Candidates must complete all programmatic requirements, including practicum/field experiences hours defined in

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Clinical Field Experience Verification Form Candidates must complete all programmatic requirements, including practicum/field experiences hours defined in their coursework. Additional information about practicum/field experiences can be found on the Student Success Center.
To earn credit for this assignment, all required course hours must be completed and submitted by the assignment due date.

Access the Clinical Field Experience Verification Form in the Document Management section in the Student Portal.
Complete all required fields on the Clinical Field Experience Verification Form.
Submit by clicking “click to sign.” An email will be sent to the classroom teacher/mentor to complete and verify the practicum/field experiences.
Communicate with the classroom teacher/mentor to request he or she verify the practicum/field experience. Once verified by the classroom teacher/mentor, an email will be sent to the candidate’s primary email address on file with the final completed document.
Save a .pdf copy of the completed Clinical Field Experience Verification Form to your computer.
Submit the Clinical Field Experience Verification Form to the learning management system.

*The data entered into this document is subject to a verification audit. Candidates who engage in fabricating, falsifying, forging, altering, or inventing information related to practicum/field experiences, internships, clinical practice, and/or any associated documentation may be subject to sanctions for violating GCU academic integrity policies, which may include expulsion from GCU.

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