Preceptor selection Identification of preceptor

(a) From a list of preceptors 'certified' by the Board, the intern/trainee may indicate hischoice. Applicants are required to submit information on a proposed preceptor for review by the Department. (b) It shall be the responsibility of the Board to contact a preceptor to determine if the preceptor will accept the applicant. Applicants must submit required documentation for their selected preceptor to include: (1) Name of preceptor; (2) License number of preceptor; (3) Name of the facility where the preceptor is an administrator; (4) Address of facility where the preceptor is an administrator; (5) Phone number of preceptor; (6) Email address of preceptor; and 43 (7) Signature of the preceptor on preceptor attestation form. (c) Once a preceptor accepts an AIT intern/trainee, any subsequent changes must be approved by the Board. If a change in preceptor becomes necessary after the start of an internship, interns are required to notify the Department. Any new preceptor must be Department-approved. (d) The preceptor shall notify the Board of the date of acceptance and the date of any discontinuance of AIT internship. Preceptors who discontinue any internship must provide the Department and the intern with the following information within 30 days of the discontinuation of the preceptorship: (1) the number of internship hours the intern has completed; and (2) the Domains of Practice that have been covered during the internship. (e) Applicants may access a list of authorized preceptors from the Department website if they do not have a preceptor identified.