Learning Contract

                                                            OPT

The attached detailed clinical objectives reflect the results

of a discussion with                                   ,

Center Coordinator of Clinical Education/Clinical Instructor

at Cardinal Hill Rehabilitation Hospital, in which we

clarified expectations of my behavior or performance, in areas

that were identified as problems______________________________ ______________________________________________________________          

The purpose of defining specific performance statements is to

clarify the expectations of my performance during the

remainder of my clinical experience at Cardinal Hill

Rehabilitation Hospital.

I understand that I must incorporate these suggestions into my

daily activities at Cardinal Hill Rehabilitation Hospital. 

Failure to successfully meet these objectives by________________________ will result in____________________.               

(consequences: failure of the clinical experience, early

termination of the experience, etc).

I understand that emphasis on these objectives should in no

way be construed to mean that the remainder of the goals and

objectives for this experience are less important, or that

successful completion of the remaining objectives is not

required for successful completion of this experience.

                                                              Student's signature/date:____________________________________ 

CCCE/CI's signature/date:____________________________________