Agreement to Supervise University of South Alabama Students in Clinical Observations
CP 200 is a 1 credit course offered to University of South Alabama students who are pursuing
acceptance into a health profession school including, but not limited to, medicine, dentistry, pharmacy,
optometry, physician assistant, and veterinary medicine. To be accepted into the CP 200 course, students
must have a science GPA of 3.2, be on track to complete requirements for admission into a U.S.
professional school in one of the above-mentioned disciplines, and be meeting regularly with the health
pre-professions advisor.
CP 200 is a satisfactory/unsatisfactory one semester course that can be repeated. To successfully
complete the course students must shadow a health professional for 3-4 hours per week for 15 weeks,
keep a journal of the shadowing experience, and write a short synopsis of the experience.
As a sponsor of a student in CP 200, your responsibilities include providing a suitable environment for
the student to observe regular activities within your health profession for 3-4 hours per week. Student
activities must be limited to those allowed within the law and ethics of the health profession; this is an
observation only course. An attendance form for the student must be signed each week, and at the end
of the semester, a short evaluation (1/2 page) of the student must be completed.
Prior to students starting their CP 200 experience, they must have a current TB test. If other medical
tests/vaccinations are necessary, please inform the health pre-professions advising office. Students will
also attend an Orientation Session on critical issues in the health professions, including privacy,
handling of hazardous agents, and appropriate attire. Students are to wear AED scrubs unless other attire
is deemed more appropriate by the sponsor.
I agree to sponsor ____________________________________________________________________
(name of student)
for CP 200 during the _____________________________________ semester in 20______________.
_______________________________________________________________
(Signature of sponsor)
_________________
(Date)
_________________________________________________________________________________
(Print name)
_________________________________________________________ Phone ___________________
(Company)