Practicum Pre-Placement Form

This form is designed to help us understand more about your relevant experience as it might relate to arts in health and to learn about your goals in an effort to find the best placements for you for your Practicum course.

Examples: jazz- for musicians, modern- for dancers, sculpture- for visual artists
For example, you may be enrolled in the dance in medicine certificate but also be a classically trained pianist.
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PLEASE NOTE: there is no guarantee that there will be placement for your preference
7. Practicum placements require a semester-long commitment and attendance of the entirety of your shift each week. Placement shifts can range from 3 to 6 hours a week. Are you able to meet the requirements of this placement in the upcoming semester?(Required)
8. In order to volunteer with AIM on hospital property, you will be required to provide proof of the listed vaccinations as well as the trainings. Failure to submit proof of vaccinations and trainings prior to the start of the semester may impact your start date and your ability to successfully complete the practicum course. CURRENT SERVICE LEARNING CHECKLIST REQUIREMENTS : MMR vaccine, Varicella Vaccine, Tuberculosis screening form, Hepatitis B Vaccine, Tdap (tetanus/diphtheria/pertussis) Vaccine, Flu Vaccine, HIV/AIDS training, HIPAA training, Level 1 background check (certain locations require Level 2).(Required)
*Requirements may vary depending on placement. If you have a concern over any of these requirements, contact your academic advisor or course instructor.