Directions: Complete the Activity Plan Template below with your site supervisor that identifies the plan for attaining the knowledge and skills identified in the Learning Contract. Refer to the "PCN-622A: Learning Contract" that was completed in your previous course. A copy of the "PCN-622A: Learning Contract" has been provided as an assignment attachment for your reference as needed.

Student Name:

Course/Program:

Date:

Learning Contract Goals

Include the specific knowledge and skills identified in the Learning Contract that this Activity Plan aims to attain.

Activity Description

Provide a brief description of the planned activity.

Resources Utilized

Type	Title/Description
Readings	[List the required readings]
Websites	[Specify relevant websites]
Agency Materials	[List any agency-specific materials]
Other	[List any other resources to be utilized (trainings, conferences, seminars, lectures, etc.)]

Persons to Be Consulted

Include the name and contact information and list any other individuals to be consulted.

Site Supervisor:

Other Relevant Contacts:

Observations to Be Done

Describe any specific observations or tasks related to the activity.

Timeline for Goals to Be Met

Goals Include a brief description of each goal.	Start Date	End Date

*Add additional rows if needed.

Feedback Loop

Describe how and when you will revisit the plan to assess progress towards meeting learning goals and explain how you will make revisions to the plan if necessary.

Plan for Revisiting the Activity Plan:

Appropriate Revisions: