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

 
 

 
 

 
 

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

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