Preceptor Application

Thank you for your interest in becoming a Preceptor! Please complete the online application below or download form and submit as directed.

  • Preferences

    How many PA students are you willing to precept each year (12 months) for:
  • Credentialing

  • Facility% of casesFacility Contact Name for CredentialsContact Number 
  • About Your Practice

  • NameTitle 
  • This field is for validation purposes and should be left unchanged.
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Contact Us

PA Program
Maria Sanchez
Phone: (509) 865-0707