AHEC Scholars Work Experience for Experiential Hours
In an effort to make the Missouri AHEC Scholars Program more appealing to and more
manageable for students, it was decided that Missouri AHEC Scholars working clinical jobs will be allowed to count work hours towards the required number of experiential/clinical hours of the Missouri AHEC Scholars Program, provided the job meets the requirements listed below.

Note: HRSA requires that all community-based, experiential, or clinical training be conducted in rural or underserved settings and include a minimum of 40 hours of participation in team-based training.
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Scholar first and last name *
Scholar email address *
Name of work site *
Address of work site (please include zip code) *
What type of setting was this? *
Start Date *
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YYYY
End Date *
MM
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DD
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YYYY
Total Hours *
Brief description of responsibilities (Details are good!) *
Requirement #1 - which of the following applies to the site: (check all that apply) *
Required
Requirement #2 - Please identify the types of professions you interacted with in a team-based care setting (co-workers or students from at least one other profession or engagement with an interdisciplinary team of providers). Check all that apply. *
Required
If you selected "Other" providers or students, please explain:
Requirement #3: Did you complete the reflection on canvas? *
Submit
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