CLC Agreement Form

This is a Collaborative Learning Community (CLC) assignment.

Download and complete the attached “Collaborative Learning Community (CLC) Agreement” form. Fill out the agreement and upload the completed document to the assignment dropbox. This agreement pertains to the CLC – Health Care Organization Evaluation assignment, due in Topic 4.

This agreement is to be completed in a group, which will be determined and assigned by your instructor. This agreement will be submitted and graded as a group assignment.

American Association of Colleges of Nursing Core Competencies for Professional Nursing Education

This assignment aligns to AACN Core Competencies 2.9.

Collaborative Learning Community (CLC) Agreement

This is a Collaborative Learning Community (CLC) agreement for the CLC assignment titled CLC – Health Care Organization Evaluation, due in Topic 4. This assignment is to be completed in a group, which will be determined and assigned by your instructor. This agreement will be submitted and graded as a group assignment.

CLC Course Information

Course Name/Section Number:  
Instructor’s Name:  
Start Date of the Course:  

CLC Member Contact Information

(Who is in our group?)

CLC Group Member’s Name Primary Email Address Phone Number
     
     
     
     

Team Member Roles

(Who is in our group?)

CLC Group Member’s Name Team Role (e.g., team leader, proofreader, reviewer of references/citations, manage PPT setup, researching)
   
   
   
   

Project Management Specifics

(What needs to be undertaken to complete the CLC project?)

CLC Group Member’s Name Task to Be Completed by This Team Member Due Date for Completing the Task for the CLC to Review
     
     
     
     
     
     
     

CLC Group Values

(What do we need to do to ensure our team’s success?)

What Each Team Member Agrees to Do Why This Is Important to the Team
   
   
   
   
   
   

 

CLC Group Interaction Guidelines

(How can we anticipate and deal with group conflict when it arises?)

What Could Happen to Impede Our Teamwork What We Will Do If This Happens
   
   
   

CLC Agreement Form

Here’s a filled-out version of the Collaborative Learning Community (CLC) Agreement for the CLC assignment titled “Health Care Organization Evaluation“:


CLC Course Information

Course Name/Section Number: [Insert Course Name/Section Number]

Instructor’s Name: [Insert Instructor’s Name]

Start Date of the Course: [Insert Start Date of the Course]

CLC Member Contact Information

CLC Group Member’s Name Primary Email Address Phone Number
John Doe john.doe@email.com (555) 123-4567
Jane Smith jane.smith@email.com (555) 987-6543
Alex Johnson alex.johnson@email.com (555) 789-0123

Team Member Roles

CLC Group Member’s Name Team Role
John Doe Team Leader
Jane Smith Proofreader
Alex Johnson Reviewer of References/Citations

Project Management Specifics

CLC Group Member’s Name Task to Be Completed by This Team Member Due Date for Completing the Task for the CLC to Review
John Doe Coordinate meetings and assign tasks February 28, 2024
Jane Smith Proofread final report March 3, 2024
Alex Johnson Ensure proper referencing and citation March 1, 2024

CLC Group Values

What Each Team Member Agrees to Do Why This Is Important to the Team
Communicate regularly and openly Ensures everyone is informed and on the same page
Complete assigned tasks promptly Keeps the project on track and ensures timely completion
Respect differing opinions Fosters a collaborative and inclusive team environment

CLC Group Interaction Guidelines

What Could Happen to Impede Our Teamwork What We Will Do If This Happens
Miscommunication Clarify misunderstandings promptly
Conflicting schedules Adjust meeting times or utilize alternative communication methods
Differences in work pace Allocate tasks based on individual strengths and availability
Scroll to Top