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Instructor: Ed Brouder
e-mail
| 603-668-0652
Site Forms
(
KHE-LG-151
) Externship Affiliation Agreement
Externship Coordinator Forms
(
KHE-AA-158
) Externship Checklist
(
KHE-AA-159
) Externship Site Visit Report
Site Supervisor Forms
(
KHE-AA-160
) Externship Site Supervisor Instructions
Performance Evaluation
Student Forms
(
KHE-AA-161
) Externship Site Confirmation
(
KHE-AA-162
) Weekly Timesheets
(
KHE-AA-163
) Externship Application
(
KHE-AA-164
) Student Acknowledgement and Agreement
(
KHE-AA-165
) Externship Student Feedback Questionnaire
(
KHE-AA-166
) Externship Clearance Form
Instructions for Hesser 45-85-135 day progress reports
(
KHE-AA-920
) Attendance Change form
