Leadership, Ethics and Values Preceptor Application

Congratulations on being selected to Precept for a faculty member at North Central College.  Precepting is a one-of-a-kind experience that allows students gain a better understanding of their roles as leaders in the classroom.  As a preceptor, you will have an opportunity to assist with a course that you have already successfully completed by hosting discussion sessions, holding office hours, workshops, study sessions, etc.  Along with your precepting experience you will enroll in LEV 250 for 1 or 2 credits (depending upon your schedule).  In order to be selected as a preceptor, you must have been asked by a faculty member or you must have been granted permission by a faculty member.  In addition to submitting this form, you will also need to request that the faculty member that you would like to work with also send an email to Dr. Abigaile VanHorn at amvanhorn@noctrl.edu confirming permission to precept the designated course.  Once both are received, I will submit a request to get you registered for the course.

What is your academic level?
( Note that preceptors must be juniors or seniors. Some outstanding sophomores will be selected. Graduate students may also apply. )
( Include the course number and the course title )
( Note that only students who received outstanding grades in the course will be selected to precept )
How many credits would you like to register for?
( LEV 250 can be taken for 1 or 2 credits.  There is an additonal assisnment for the 2-credit course )
Have you received permission to serve as a preceptor for this course?
Note that the faculty member must also send a confirmation email to amvanhorn@noctrl.edu.
In what term would you like to precept?
Please note that by choosing to precept you will also need to ensure that you have adequate room in your schedule for the LEV 250 course. Without this, we will be unable to register you. Completing this form is the first step and does not guarantee the position as a preceptor.  Final decisions are made by the LEV department in conjuction with the faculty member teaching the course.

By submitting this form and including my e-signature, I am confirming my understanding of the previous statement.