WILMINGTON UNIVERSITY AHS PROGRAM STUDENT WEEKLY LOG ‘Name of Student: _ Name of Agency/Site Supervisor: _ ‘Name of Ageney/Site: _DVé trv le —— Check Practicum/Capstone Project Period: ___ Fall (Sept.-Dec.) _’ Spring (Jan.-April) Summer (May-Aug.) Hig Date Hours Site Supoyyisor Initials ‘Week 1 He 335] ‘Week 2 Gad Few ‘Week 3 3305334 = Shown ‘Week 4 7303 nego 2 OT, ‘Week 5 = Week 6 = Week 7 «Week 8 Week 9 Week 10 “Siew ona. = Week 11 = Soy Week 12 4 = Week 13 Pum - Yous Shy Week 14 : Sop-Yexpiy Phe Week 15 (Check here if you require an extension.) TOTAL HOURS: __/ 2/ SUMMARY ‘The Guided Practicum requires 120 clock hours for the 14-week period. You must get formal approval if you require an extension to complete your hours. ‘The Capstone Project averages 10 hours per week over the course of the semester. ‘You must get formal approval if you require an extension to complete your project. CHECKLIST: (You must be able to document “yes” to each question) © Do I have the required hours documented above? © Has my log been signed weekly by my Site Supervisor? Practicum/Capstone Student Signad\te: Site Supervisor Signature: __\ NOTE: This form is to be submitted to your Faculty Field Instructor at the end of Practicum or Project. 31