Thank you for your interest in serving as a Texarkana College EMS Preceptor.

Please review the Texarkana College EMT – Paramedic Preceptor Guide and view the presentation before completing the following form.

This agreement must be renewed every two years.

By completing this form, the person is affirming their comprehension and acceptance of the Texarkana College EMT – Paramedic Preceptor Guide. In your capacity as an appointed Preceptor, you confirm having read, understood, and are familiar with the contents of the Texarkana College EMT – Paramedic Preceptor Guide, and you are aware of the student’s exclusive goals.

Furthermore, you agree to consistently uphold a professional demeanor, with the understanding that at any point you may be excluded from the learning process by the decision of the Program Director or Medical Director.

Collected information will not be shared outside of the Health Sciences Division and will only be used to contact you regarding business pertaining to the preceptor program (annual renewal reminder, etc.). We look forward to working with you.