Marywood University Scranton, Pennsylvania Department of Nutrition, Athletic Training and Exercise Science Intern Hour Reporting Form Y Complete this reporting form after each rotation or part of a rotation, Required fours i: © ND 565; Community Nutrition — minimum 256 hours ND 566 : Food Systems Management — minimum 280 hours: © Long Term Care — minimum 144 hours © Acute Care~ minimum 288 hours Professional Practice following MNT: 128 hours CHOICE: 64 hours Ifonly a fraction of the required hours were completed at a facility — please indicate that amount of hours accomplished, Intem: EAU /y SiN has completed 2 hours for the CI re rotation. Preceptor Signature: Intern Signature: