coordinated program in dietetics

II. Admission - Phase II

After admission to the Coordinate Program in Dietetics, the following must be submitted

• Signed Coordinated Program Contract as provided by Director
• About CertifiedProfile.com
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  • Results provided to supervised practice sites as requested
  • If the criminal history check reveals any arrest(s):
    • Applicant must obtain the legal documentation regarding the disposition of the arrest(s).
    • If there was a conviction, the information will be forwarded to the clinical site for their evaluation.
      • Based on the record, the clinical site will make a determination whether the student can or cannot be placed at the site. 
      • The decision of the clinical agency is final. 
• Physical examination and immunizations as needed according to University policy, the Student Health Requirements () and Supervised Practice Clinical Sites:
  • Physical Examination Form ()
  • UAP Clinic - ISU Health Center Immunization Form
    • Submit this form by:
    • Fax to 812.237.8039
    • OR
    • Scan and email to Jennifer.Lawson@indstate.edu
    • OR
    • Mail to
      Office of Registration and Records
      Attn:  Jennifer Lawson
      Parsons Hall, Room 009
      200 North 7th Street
      Terre Haute, IN  47809
    • AND provide a copy to

      Ms. Carol A. Reed, M.S. R. D.
      Director, Coordinated Program in Dietetics
      Department of Applied Health Sciences
      Arena B-61
      Indiana State University
      Terre Haute, IN  47809
                             
      Carol.Reed@indstate.edu
      FAX 812.237.8607

  • Varicella immunization or titer indicating immunity
  • Other health information and requirements may also be required by supervised practice sites and will be provided by the facility or at the students' expense
  • Students may be required to submit to and pass a 10 panel urine drug screen prior to facility placement
• Proof of health insurance and auto insurance ()

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