This is a Collaborative Learning Community (CLC) assignment. Before beginning this assignment, each group should submit a filled-in copy of the CLC Agreement Form.

Course Name/Section Number:

Instructor’s Name:

Start Date of the Course:

CLC Member Name

Primary E-mail Address

Secondary E-mail Address

Other Contact Information

Each team member agrees to do the following:

Why this is important to the team?

Check into the CLC regularly to review progress on the assignment.

Contribute ideas and feedback to the group from initial discussions throughout assignment completion.

Communicate with all CLC members as soon as a problem or issue arises.

Maintain respectful communications with all team members.

Complete assigned tasks by the deadlines set by the CLC members.

Take a leadership role in CLC assignments.

Cite and reference all sources of information used in completing tasks.

Other:

Other:

CLC Group Member’s Name:

Task to be completed by this team member:

Due date for completing the task for the CLC to review:

Contributes one or more ideas for implementing and completing assignment.

Outlines the CLC assignment.

Assigns tasks to CLC members.

Performs research on assigned topics and writes it up for CLC members to review.

Ensures members meet assigned deadlines for tasks.

Proofreads and edits assignment.

Submits assignment(s) by the due date.

Other:

Other:

What may impede teamwork?

Group (Re) mediation Process

A CLC member does not provide assignment ideas or feedback to team members.

A CLC member does not complete any components of his/her task.

A CLC member completes his or her task, but turns it in after the agreed-upon due date.

Other:

Other:

What did our CLC do well this time?

What can we do to be a more effective CLC next time?