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Information required 2026

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The document is a verification form for supervisors of Alvernia University Fieldwork students, requiring completion of specific information regarding the supervision process. It instructs supervisors to submit the form to Linda Marburger for certification purposes.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the 'FIELDWORK SITE NAME' where the supervision took place. This identifies the location of your fieldwork.
Next, fill in the 'FIELDWORK SUPERVISOR' section with the name of the supervisor overseeing your fieldwork. Ensure accuracy for verification purposes.
Input the 'DATES OF SUPERVISION' to specify the duration of your supervision. This should include both start and end dates.
Provide the name of the 'ALVERNIA UNIVERSITY STUDENT' who was supervised during this period.
Select one option under 'PLEASE CHECK ONE' to indicate whether it was a Level I or Level II supervision.
Finally, enter the 'ADDRESS WHERE CERTIFICATE SHOULD BE SENT OR EMAIL'. This is crucial for receiving your verification certificate.

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