NR640 INFORMATICS NURSE SPECIALIST PRACTICUM
I
Project Practicum Learning
Agreement
Student Name: Student D#
Student E-mail and Phone:
Mentor Name and Credentials:
Mentor Contact Information (Work Phone, Cell Phone, E-mail and Work Addresses):
Directions
For Week 1, fill out the learning agreement with self-identified measurable, specific
goals to meet course outcomes and initial plans to meet those goals; review the goals
and plans with your mentor. The agreement should be revised each week to reflect
completed goals, additional goals, or changes to the plan dictated by the actual
experience or revisions suggested by your professor and/or mentor. At the end of Week
7 of the practicum experience, evaluate the success with your mentor using the
metrics you identified and obtain the mentor’s signature at the bottom of the
agreement. Save this form as a Word document, and enter required information
directly onto it; submit the completed Learning Agreement in Weeks 1 and 7.
Learning agreement consists of three sections.
I. Student Learning Outcomes Table
II. Signatures and mentor approving the plan (Week 1)
III. Signatures and mentor verification (Week 7)
Note: Each section in the table must be completed and the signatures must be included
prior to submission for faculty approval. If you have more than one mentor, please include
each of them, provide their information on page 1, and have them each sign.
Due Dates:
• Initial/draft Learning Agreement is submitted by 11:59 p.m. MT Sunday of Week
1.
• Revised/completed Learning Agreement is submitted by 11:59 p.m. MT Sunday of
Week 7.
A minimum of 72 hours practicum experience is required.
, NR640 Learning Agreement Weeks 1 and 7 Revised 5/23/16 1
This study so urc e w a s d o wn lo ad ed b y 10 0 00 0 86 11 686 48 from CourseHero.com on 04-03-2023 13:03:00 GMT -05:00
C S ( U p d a te d 1 0 .2 01 8 M B )
https://www.coursehero.com/file/37236653/NR640-W1-Learning-Agreement-REV-102018docx/
I
Project Practicum Learning
Agreement
Student Name: Student D#
Student E-mail and Phone:
Mentor Name and Credentials:
Mentor Contact Information (Work Phone, Cell Phone, E-mail and Work Addresses):
Directions
For Week 1, fill out the learning agreement with self-identified measurable, specific
goals to meet course outcomes and initial plans to meet those goals; review the goals
and plans with your mentor. The agreement should be revised each week to reflect
completed goals, additional goals, or changes to the plan dictated by the actual
experience or revisions suggested by your professor and/or mentor. At the end of Week
7 of the practicum experience, evaluate the success with your mentor using the
metrics you identified and obtain the mentor’s signature at the bottom of the
agreement. Save this form as a Word document, and enter required information
directly onto it; submit the completed Learning Agreement in Weeks 1 and 7.
Learning agreement consists of three sections.
I. Student Learning Outcomes Table
II. Signatures and mentor approving the plan (Week 1)
III. Signatures and mentor verification (Week 7)
Note: Each section in the table must be completed and the signatures must be included
prior to submission for faculty approval. If you have more than one mentor, please include
each of them, provide their information on page 1, and have them each sign.
Due Dates:
• Initial/draft Learning Agreement is submitted by 11:59 p.m. MT Sunday of Week
1.
• Revised/completed Learning Agreement is submitted by 11:59 p.m. MT Sunday of
Week 7.
A minimum of 72 hours practicum experience is required.
, NR640 Learning Agreement Weeks 1 and 7 Revised 5/23/16 1
This study so urc e w a s d o wn lo ad ed b y 10 0 00 0 86 11 686 48 from CourseHero.com on 04-03-2023 13:03:00 GMT -05:00
C S ( U p d a te d 1 0 .2 01 8 M B )
https://www.coursehero.com/file/37236653/NR640-W1-Learning-Agreement-REV-102018docx/
