New Programs Must Complete a Request for Self Study Fees Invoice
All new programs must complete and submit this Request Form before payments can be accepted.
Supplemental forms that may be needed for completion of the self study report are:
Appendix A - Resource Assessment*
Appendix C2 - Medical Director CV form*
Appendix C3 - supplemental CV form*
Appendix E - Clinical Affiliate Institutional Data form*
Appendix F - Field Internship Institutional Data form
Appendix G/H - Student Patient Contact Matrix
Appendix K - supplemental Faculty Evaluation SSR Questionnaire*
Site Visit Information form
Student Evaluation SSR Questionnaire
The Student Evaluation SSR Questionnaire is conducted via SurveyMonkey. Email Karen Franks (email@example.com) to request the link to the questionnaire. Please include your name, title, and the institution's name in your email.
For additional information or assistance with the format, contact:
214.703.8445 Ext 113
For a SAMPLE ISSR and related documents, click here.