Executive Summary Feedback Form Paper
Student
Name:
Section & Faculty
Name:
Date of
Interview:
Employee Name :
Last First M.I.
Credential
s:Title:
(I.e. MS, RN, etc.)
Organization:
Phone Number:
E-mail Address:
The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by CCNE and AACN using non-traditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, their specific care discipline and their local communities.
This activity is intended to foster demonstration of skills related to leadership and management.
Share your written proposal with your manager, supervisor or other colleague in a formal leadership position within a healthcare organization. Request their feedback using the following questions as prompts:
1. Do you believe the proposal would be approved if formally proposed?
2. What are some strengths and weaknesses of the proposal?
Signature of Individual Providing Feedback Date Signed NOTE:
Acknowledgement form is to be returned to the student for electronic submission to the faculty member via the learning management system (LoudCloud).
