School of Adult and Graduate Education

Dietetic Internship Program

Preceptor Commitment Form

Dietetic Intern Information:

Note: If you are a community site and the student is returning to complete “Community Concentration,” please indicate that below as well.

Preceptor Information

• Working with the intern to schedule learning experiences during the rotation
• Assisting in orienting the intern to the facility and rotation, and evaluating oral presentations (note these duties can also be delegated to other preceptors/staff at the facility)
• Evaluating intern using form provided
• Being familiar with and abiding by the Cedar Crest College Dietetics Internship policies and procedures
• Mentoring and providing daily supervised learning experiences for intern

Affiliation Agreement Process

After interns are accepted in April, Cedar Crest College will send each Preceptor an “Affiliation Agreement.” After a student accepts an internship appointment with us, practice site/facility administrators will be asked to sign this agreement with Cedar Crest College by June 1 as a condition of the student’s final acceptance into the internship. (If you would like to see the Affiliation Agreement before the intern is accepted, you may contact us and request a copy.)

Clinical Rotation Description
Community Rotation Description
Food Service Management Rotation Description

If you have any questions, please contact:



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