Facility Form

Complete this form for each place you will go during the internship. Be sure it has the name and contact information for the person responsible for affiliation agreements. KADDI will get the contract.

Preceptor Form

All preceptors must complete this form and provide evidence of continued competency appropriate to precepting responsibilities (examples given on the form) and copy of their license if applicable.

Prior Assessed Learning Application Form

Use this form to request PAL credit. You may submit it before you apply and we will evaluate it and let you know how many hours will be waived. This will aid you when planning the rotation schedule.

Example of PAL Application and Evaluation

Here is an example of a prior assessed learning application that was submitted to the program. The evaluation is on the last two pages..

KADDI-Enrollment Agreement

The enrollment agreement with first payment of $5,375 is due one week after the student accepts the appointment. Refund policy is in this document, too.

Immunizations and Background Check Form

This first page is due one week after the intern accepts the appointment. Page two details required immunizations and prerequisite learning.

Sites and Preceptors

This sheet gives information about requirements for sites and preceptors.

2020 KADDI Intern Handbook

Our handbook has comprehensive information about requirements, how to apply and our policies.

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