Negotiated Between 1. 2.……………………………………………………(Facilitator) …………………………………(Student) Practice Location: ............................................................... Duration of Contract: From: ...................................... to: ................................ Strategies and resources Predicted Evidence of Date Learning Outcomes (SMART) Evidence of Completion Date & Completion Achievement - Clinical Educator Achievement - Final Date / Halfway Assessment Signature Assessment Progress Weeks Progress
Negotiated Between 1. …………………………………(Student) 2.……………………………………………………(Facilitator) Practice Location: ............................................................... Duration of Contract: From: ...................................... to: ................................ Date Learning Outcomes (SMART) Strategies and resources Predicted Completion Date / Weeks Evidence of Achievement - Halfway Assessment Progress Evidence of Achievement - Final Assessment Progress Completion Date & Clinical Educator Signature