Summary NR 630 LEARNING AGREEMENT WEEK 1, 4 AND 7

Chamberlain College of Nursing NR630 EXECUTIVE PRACTICUM Learning Agreement NR 630 LEARNING AGREEMENT WEEK 1, 4 AND 7 Student Name: Raul Guardiola Student D#: Student email, phone: Mentor Name and Credentials: Mentor Contact Information: Louise V. Hernandez, MSN, BSN, RN, NE-BC 7207 Holder Forest Ct / 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 be 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