UNIVERSITY OF SOUTH FLORIDA COLLEGE OF NURSING DAILY STUDENT ANECDOTAL NOTE student's Nome: Lyvdl Laps course MS TL semester. Number of hours worked on wn if CLINICAL PRECEPTOR: ee “Motivation to Learn g g oo | CO Og sit Sat y q g Documentation y g Q Qa Professionalism ing a o Comments awd pomaces Props yet fete too fo. dearns pske fecey! wok ae h gteat. Preceptor Name: A BAS (Please Print) Preceptor Signature: Ome nts STUDENT EVALUATION OF PRECEPTOR ‘Check all that apply Above Average Average Below Average Q QO Knowledgeable a Encouraged leering a g o Suppartve a Qo Q Actos rule model o o Professionalism o o Comen NICAL FACULIY: ee saree with evaluations. is a 5 5 ut plo eee Cuike, nt pp we treadmord + bot ort, Clinic Faculty Signature = ae! student siguature//L A Loz, Revised May 2012. /