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1. Partner Profile

Welcome to the Tennessee Clinical Placement System (TCPS)! Please provide us with the following information so we can begin processing your partnership information. Thank you!

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* 1. Organization's official name.
(The official name as used on your official correspondence, websites, etc.)

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* 2. If your organization is a system and partnership will cover more than one facility or school (program of study), list the facilities/programs of study below.

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* 3. Organization's address and contact information:

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* 4. Your County if in Tennessee

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* 5. Which TCPS Region(s) would be most appropriate for you to join? Each region is centered at a metropolitan hub and extends outward. More rural areas may request multiple regional partnerships if needed based upon historical student/facility interaction.

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* 6. Type of Partner Organization:

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