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Marywood University Scranton, Pennsylvania Department of Nutrition, Athletic Training and Exercise Science Intern Hour Reporting Form ¥ Complete this reporting form after each rotation or part ofa rotation. Required Hours in © ND 565: Community Nutrition ~ minimum 256 hours + ND 566: Food Systems Management ~ minimum 280 hours NDS68: MNT. © Long Term Care ~ minimum 144 hours © Acute Care ~ minimum 288 hours CHOICE: 64 hours if only a fraction of the required hours were completed at a facility ~ please indicate that amount of hours accomplished, mem: EMily Sinn has completed /2 hours forthe rpfessioay! Practice. rosaion. Preceptor Signature: Inter Signature:

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