Executive Summary Feedback Form

Share your written proposal with your manager, supervisor, or another colleague in a formal leadership position within a healthcare organization. Complete the “Executive Summary Feedback Form,” located in topic Resources, during the exchange and submit the document.

Executive Summary Feedback Form

Student Name:__________________	Section & Faculty Name:_________________________________
Date of Interview:________________
Provider Information
Employee Name :
Last	First	M.I.
Credentials:		Title:
(I.e. MS, RN, etc.)
Organization:
Phone Number:
E-mail Address:
Feedback Section

 

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 practising nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students to engage in learning within the context of their hospital organization, their specific care discipline and their local communities.

This activity is intended to foster the demonstration of skills related to leadership and management.

Share your written proposal with your manager, supervisor or other colleagues 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:

The acknowledgement form is to be returned to the student for electronic submission to the faculty member via the learning management system (LoudCloud).