Online Internship Program

Professional Staff In Facilities Providing Supervised Practice

for the Distance Education Dietetic Internship

(For all facilities where students are placed for two weeks or more.)

Student Name:

Name of Facility/Affiliation

List all individuals involved with the program at this site, including department head, dietitians, and other professionals who are responsible for teaching, supervising, and evaluating students. Space is provided for listing five individuals. To list more than five, complete the information for the first five and submit the form. Then reset the form and complete the information for the remaining persons. Repeat the process as necessary.

Name, Degrees, Credentials (if applicable)
Title
Role in Program
(e.g., Specify role in the program; for example, Preceptor for Pediatric Rotation or Supervisor of Renal Experience)

Summary of Professional Work Experience
(List most recent experience first)

Commission on Accreditation/approval for Dietetics Education

| Campus Map/Tour | Positions Available | Webmaster's Corner |

Apply Today! Undergraduate -- Master's, Certifications, Ph.D., Psy.D.

Marywood's Home Page

Comments to the Marywood University Webmaster: webber@ac.marywood.edu

Name, Degrees, Credentials (if applicable) Title Role in Program (e.g., Specify role in the program; for example, Preceptor for Pediatric Rotation or Supervisor of Renal Experience)	Summary of Professional Work Experience (List most recent experience first)