Escolar Documentos
Profissional Documentos
Cultura Documentos
(If needed, please ask a college counselor for assistance in completing this form.)
Employers
End date
(M/D/Y)
# of
Weeks
# of Hours
Est.'d % of
Worked/We
DPC
ek
DPC
Hours
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
Sum Total
# Hours worked /Week must represent real estimate of the average time worked per week
Est.'d % of DPC Contact (should be a whole number between 0 - 100) = % of time you actually worked with
patients, not including transportation, idle or administrative time
DPC Hours = (# of Weeks) X (# of Hours worked / week ) X (Estimated % of DPC Contact / 100.
Primary Care Associate Program, 1215 Welch Road, Module G, Palo Alto, CA 94305-5408
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
(If needed, please ask a college counselor for assistance in completing this form.)
Employers
Superior Hospital
Best Hospital
University Hospital
Northern Hospital
Southern Clinics
1/1/2009
1/1/2010
1/1/2011
1/1/2012
2/1/2013
End date
(M/D/Y)
12/31/2009
12/31/2010
12/31/2011
2/1/2013
7/31/2013
# of
Weeks
52.0
52.0
52.0
56.7
25.7
0.0
0.0
0.0
0.0
0.0
0.0
# of Hours
Worked/We
ek
20.0
20.0
30.0
30.0
30.0
Sum Total
# Hours worked /Week must represent real estimate of the average time worked per week
Est.'d % of DPC Contact (should be a whole number between 0 - 100) = % of time you actually worked with pati
not including transportation, idle or administrative time
DPC Hours = (# of Weeks) X (# of Hours worked / week ) X (Estimated % of DPC Contact / 100.
Primary Care Associate Program, 1215 Welch Road, Module G, Palo Alto, CA 94305-5408
al Hours Calculations
information)
e most recent information
104
Est.'d % of
DPC
100%
100%
50%
50%
60%
4.00
3.33
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
3.71
DPC
Hours
1040.0
1040.0
780.0
850.7
462.9
0.0
0.0
0.0
0.0
0.0
0.0
4173.6
d per week
me you actually worked with patients,
C Contact / 100.