NATIONAL INSTITUTE OF EXPRESSIVE THERAPY

1164 Bishop Street, Suite 124, Honolulu HI 96813

LEARNING CONTRACT

Student:

Mentor:

Advisor:

Course Title:

Enrollment Period:

Total Hours:

FACULTY INFO

(To be completed by mentor.) Please type or print clearly. Also enclose current resume.

COURSE DESCRIPTION
Please type or print clearly. This will become part of the student's permanent record exactly as it appears here.

OBJECTIVES
Please type or print clearly.

ACTIVITIES
Please type or print clearly.

MATERIALS
Please type or print clearly. Attach bibliography if appropriate.

EVALUATION METHODS
Please type or print clearly.

Student Signature:
Date:
Advisor Approval:

Mentor Signature:
Date:

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