Preceptor Interest Form Please fill out form if you are interested in becoming a preceptor in the School of Physician Assistant Studies. Someone will contact you within 7-10 business days. Thank you! Please email katherine.wallace@pap.ufl.edu with any questions. First Name(Required) Last Name(Required) Medical License Type Specialty / Board Certification(s) Site Name (Clinic/Hospital Name)(Required) Site City(Required) Primary Contact Email(Required) Primary Phone Number(Required)