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    School of Pharmacy Community Pharmacy Placement Attendance Sheet

    Uploaded by

    Razor11111
    The document is an attendance sheet for a community pharmacy placement required by a School of Pharmacy. It requires students to provide their name, pharmacy and preceptor details, year of study, and have the preceptor sign off on the hours and date of placement. It instructs students that the completed form must be submitted to the School of Pharmacy office by the due date to avoid failing the course, and that they must wait for administrative staff to sign, date, and stamp the form before leaving as proof of submission.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    School of Pharmacy Community Pharmacy Placement Attendance Sheet

    Uploaded by

    Razor11111
    36 views1 page
    The document is an attendance sheet for a community pharmacy placement required by a School of Pharmacy. It requires students to provide their name, pharmacy and preceptor details, year of study, and have the preceptor sign off on the hours and date of placement. It instructs students that the completed form must be submitted to the School of Pharmacy office by the due date to avoid failing the course, and that they must wait for administrative staff to sign, date, and stamp the form before leaving as proof of submission.

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    Original Title

    Attendance Sheet 2014

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    The document is an attendance sheet for a community pharmacy placement required by a School of Pharmacy. It requires students to provide their name, pharmacy and preceptor details, year of study, and have the preceptor sign off on the hours and date of placement. It instructs students that the completed form must be submitted to the School of Pharmacy office by the due date to avoid failing the course, and that they must wait for administrative staff to sign, date, and stamp the form before leaving as proof of submission.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    36 views1 page

    School of Pharmacy Community Pharmacy Placement Attendance Sheet

    Uploaded by

    Razor11111
    The document is an attendance sheet for a community pharmacy placement required by a School of Pharmacy. It requires students to provide their name, pharmacy and preceptor details, year of study, and have the preceptor sign off on the hours and date of placement. It instructs students that the completed form must be submitted to the School of Pharmacy office by the due date to avoid failing the course, and that they must wait for administrative staff to sign, date, and stamp the form before leaving as proof of submission.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    School of Pharmacy

    Community Pharmacy Placement


    Attendance Sheet
    Name (as on student card): __________________________________________________________
    Name (as known at placement If different from above): ___________________________________
    Pharmacy Name: ___________________________________________________________________
    Pharmacist Preceptor Name: _________________________________________________________
    st

    Year of Program: 1 Year

    Accelerated

    nd

    Year

    rd

    3 Year

    (please circle one above)


    I hereby certify this Pharmacy student has completed the non-paid Community Pharmacy
    Placement at this workplace, to my satisfaction as the Placement Preceptor.
    Date

    Start Time

    Finish Time

    No. of Hours

    Pharmacist Preceptor Signature

    Students: The completed form MUST be presented at the School of Pharmacy Office by the
    due date as stated in the course ECP. Non-submission may result in a failing grade.
    You MUST WAIT until the Administrative Staff have signed, dated and stamped the sections
    below, and provided you with your receipt. This provides you with proof of submission.

    Received by (initials): _____________ Date: ____________


    ---------------------------------------------------------------------------------------------------------------------------------------Please write your name below and submit at School of Pharmacy Reception.
    Student Name: _____________________________________
    Received by (initials): ______________

    Date: ___________

    School of Pharmacy Stamp

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