320-hours field experience requirement - School of Public Health 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your name and IU email address at the top of the form. Ensure that you provide your full name as it appears on official documents.
  3. Select your major by checking the appropriate box. This helps in categorizing your field experience correctly.
  4. Fill in the agency or organization information, including the agency name, address, supervisor's name, email, position, and phone number. Accurate details are crucial for verification.
  5. Indicate the type of position you held by checking one of the options: full-time yearly, full-time seasonal, part-time hourly, or part-time volunteer.
  6. Record the start date of your position and list your duties and responsibilities in detail. If applicable, check if your work was supervised by a CTRS.
  7. Complete the self-critique section reflecting on how this experience contributed to your professional growth.
  8. Have your supervisor complete their critique regarding your contributions to the agency before signing and dating the form.
  9. Finally, submit the completed form to the RPTS Department Office for review by your option faculty coordinator.

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