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.

Immunizations and Background Check Form

First page is due one week after intern accepts appointment. Required immunizations and prerequisite learning listed on second page.

2020 KADDI Intern Handbook

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

KADDI-Enrollment Agreement

A non-refundable deposit of $750 is due when the applicant accepts the appointment. There are two other payments of $5,000 each.

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Ph: 918-574-8598 | Fax: 918-585-3047

115 West 3rd St, Ste 802 Tulsa, OK 74103

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