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Igor danchenko wikipedia

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The document is an application form for the Credentialed Clinical Instructor Program (CCIP), requiring participants to provide personal information, professional background, and supervisor evaluations to obtain CEU credit and the ACCIP credential. It includes sections for participant details, employment history, permissions for contact information use, and a checklist for supervisors to assess the applicant's clinical competence and teaching readiness.

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Versions	Form popularity	Fillable & printable
2015	4.8 Satisfied (219 Votes)
2012	4.4 Satisfied (186 Votes)

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