Lane Paramedic Preceptor Training Acknowledgment & Information 2023

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After reviewing the training material please complete the verification below.

First Name *

Last Name *

Phone Number *

Email *

Agency? *

Note:

I have reviewed the preceptor training packet provided by Lane Community College and have the qualifications to precept both up to Paramedic students.

I hereby attest that the above information is true and accurate to the best of knowledge.

Digital Acknowledgement Signature *

For questions please contact:

Darrek Mullins, EMT/Paramedic Clinical Coordinator
Cell: 541-954-1237
Email: MullinsD@lanecc.edu

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