(NR 630 Learning Agreement)
- Student Name: XXX Student D#: XXX
- Student email, phone: XXX
- Mentor Name and Credentials: XXX
Directions:
For Week 1, fill out the learning agreement with self-identified goals to meet course outcomes and initial plans to meet those self-identified goals; review the goals and plans with mentor. In Week 4 the goals, plan to meet the goals and actual goal attained is to … identified and submitted. At Week 7 of the practicum experience, evaluate success with your mentor and obtain the mentor’s signature at the bottom of agreement. Save this form as a Word document and enter required information directly onto it. See Learning Agreement Grading Rubric for grading details.
The learning agreement is to … Weeks 1, 4, and 7. Learning agreement consists of three sections:
- I. Student Learning Outcomes Table
- II. Signatures approving plan (Week 1)
- III. Signatures at mid-point (Week 4)
- IV. Signatures and mentor verification (Week 7)
Note: Each section in table and signatures must … completed prior to submission for faculty approval.
Due Dates:
- Initial Learning Agreement is … by Week 1.
- Mid-point evaluation and revision is submitted by Week 4.
- Completed Learning Agreement is submitted by Week 7.
Minimum of 100 hours practicum experience required.
