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    This document is a faculty reference form for a nursing student from Fox Chase Cancer Center. The form collects information about the student's attendance, dependability, multitasking abilities, timeliness, independence, communication skills, teamwork, empathy, technical skills, appearance, and leadership potential. It also requests comments on how the student applies classroom theory clinically, plans and prioritizes patient care, handles conflicts, and accepts constructive criticism.

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    This document is a faculty reference form for a nursing student from Fox Chase Cancer Center. The form collects information about the student's attendance, dependability, multitasking abilities, timeliness, independence, communication skills, teamwork, empathy, technical skills, appearance, and leadership potential. It also requests comments on how the student applies classroom theory clinically, plans and prioritizes patient care, handles conflicts, and accepts constructive criticism.

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    © All Rights Reserved
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    33 views1 page

    FCCC Recommendation Form

    Uploaded by

    maria
    This document is a faculty reference form for a nursing student from Fox Chase Cancer Center. The form collects information about the student's attendance, dependability, multitasking abilities, timeliness, independence, communication skills, teamwork, empathy, technical skills, appearance, and leadership potential. It also requests comments on how the student applies classroom theory clinically, plans and prioritizes patient care, handles conflicts, and accepts constructive criticism.

    Copyright:

    © All Rights Reserved
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    of 1

    Fox Chase Cancer Center

    Nursing Career Specialist


    333 Cottman Avenue
    Philadelphia, PA 19111

    FACULTY REFERENCE FORM

    Student: ______________________________________________Date:_____________
    School: ______________________________________________ Phone:____________
    Course:_________________________________________________________________
    Clinical instructor: _______________________________________________________

    Outstanding Good Satisfactory Needs


    Improvement
    Attendance/ Punctuality
    Dependability
    Multitasking
    Completes Work in a Timely Fashion
    Independent Learner
    Communication Skills/Interpersonal
    Relationships
    Functions as a Team Player
    Empathy/Caring
    Technical skills
    Professional Appearance
    Leadership Potential

    Please comment on the following abilities:


    Applying classroom theory to clinical:

    Planning, prioritizing and delivering quality patient care:

    Conflict management/resolution:

    Accepting constructive criticism:

    Other comments (please feel free to use the back or an additional page):

    PLEASE RETURN COMPLETED FORM TO STUDENT

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