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Student Name:
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Program: ______________________
Goal(s) (reasons for being in the program):
I-CANS skills in which I have gained a high level of understanding and that support the above goal(s):
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Additional skills I have improved:
On the back side of this paper tell us:
1. How your have used the above skills outside of the classroom.
2. How you plan to use the above skills in the future.
3. Your future educational
and /or work goals (what's next?).
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Student Signature
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Instructor Signature
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Date