Georgia College & State University

Please scan and email to jim.lidstone@gcsu.edu or ernie.kaninjing@gcsu.edu at the conclusion of the

internship.

INTERNSHIP HOURS LOG

Student Name: _____________________ Internship Site: _______________________ Semester:_________

Week Supervisor
WEEK Mon. Tues. Wed. Thurs. Fri. Sat. Sun. Total Initials
8-11:30 8-3, 5:30- 8-4 8-2:30 8-2:30 X X 33.5
1 8:30
8-3:30, 5- 8-3 8-3 9-2:30 X X X 23.5
2 8:30
8-3:15 8-3:30, 8-3 8-2:30 8-9:30 X X 31.65
3 6:30-8:30
8-3 8-1 8-3 8-4 8-3, 4- X X 39.5
4 9:30
8-3 8-2:30 8-3 8-2 8-3 X X 33.5
5
8-1 8-2, 5-8 8-3:30 12-5 X X X 26.5
6
9:30-3:15 8-3, 4:30- X 8-1:45 8-2:30 X X 28.2
7 8
8:30-2 8-2, 5- 8-2:45 8-4 8-3 9:30-11 X 38.25
8 8:30
8-2:30, 4- 8-2:30 9-3:30 8-12:30 12-1 9-11 8-10 54.75
9 5:45
7-12:30 7:30- 7-6 X X X X 43.5
10 10:30
10-12 X X 8-2 11:30- 1-4 X 13
11 1:30
8-3 9-2, 5- 12-4 8-6 8-11:30, X X 38
12 8:30 3-8
8-10, X 8-11:30 8-6 8:30-2:30 X X 24
13 10:30-1
8-9, 9:30- 8-1:30 11-10 X 9-12:45 X X 32.25
14 8:30
X 8-12:45, 8:30-3 8-4 X X 9-11:30 24.75
15 5-8

16

17
Minimum number of Hours required for 12 credit internship: 480 hours Spring semester; 472 Summer
sessions

Hours completed at internship site: 484.85

The student has completed all hours required for internship (circle one). Yes No

_______________________________________________________ _______________________________________________________
Signature of site supervisor Date Signature of student intern Date