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NR650 Healthcare Policy Practicum
Initial Learning Agreement
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.The agreement should be revised each week to reflect completed goals, additional goals, and changes to the plan dictated by the actual experience or revisions suggested by faculty and/or mentor.
At the end of Week 4 and 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; submit completed Learning Agreement at the end of Weeks 4 and 7 via the Dropbox. See Learning Agreement Grading Rubric for grading details
The learning agreement is to be submitted Weeks 1, 4, and 7. 
Learning agreement consists of three sections:
I.             Student Learning Outcomes Table
II.            Signatures approving plan (week 1)
III.           Required telephone call with mentor, student, and faculty (week 2)
IV.          Signatures at mid-point (week 4)
V.            Signatures and mentor verification (week 7)
Note: Each section in the table and signatures must be completed prior to submission for faculty approval.
Due Dates:
1.            InitialLearning Agreement is submitted by 11:59 pm MT Sunday of Week 1.
2.            Mid-point evaluation and revision is submitted by 11:59 pm MT Sunday of week 4.
3.            Completed Learning Agreement is submitted by 11:59 pm MT Sunday of week 7.

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