FALL 2015 School: _________________________ FACULTY Name Is Faculty To which Will Start Has Has member an MLH students date instructor instructor MLH Facility perform of completed previously Employee? and Unit is blood clinical BCMA taught If so, list instructor glucose training at clinical at facility? taking checks Wilson MLH? students? on Hall? patients? Ex: Rochelle Yes, Le Bon no yes no Beaver University 10th fl
FALL 2015 School: _________________________ FACULTY Name Is Faculty member an MLH Employee? If so, list facility? To which MLH Facility and Unit is instructor taking students? Will students perform blood glucose checks on patients? Start date of clinical Has instructor completed BCMA training at Wilson Hall? Has instructor previously taught clinical at MLH? Ex: Rochelle Beaver Yes, University Le Bon 10th fl no yes no
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