Date and Time Total Hours/cumulative Brief Description of Your Duties/Activities During This

Spent at Site hours Week (please present information in parallel format)

Hours in
Service/cumulative service
hours

Hours in Administrative
duties/ cumulative
administrative hours
January 11th Total: 1 hr • Read through packet
3:45-4:45 Admin: 1 hr/ 1 hr • Discussed class and schedule
• Set up schedule

January 15th Total: 7 hrs / 8hrs • Observed the classroom

8:00-3:00 Service:5 hrs/ 5hrs • Assisted with bus transitions
Admin:2 hrs/ 3 hrs • Interacted and got to know kids during free play
• Participated in Circle time and small group
• Discussed Daily Plans with Teacher and Assistant
• Prepared for each session

January 17th Total: 4hrs/ 12 hrs

• Observed the classroom
8:00-12:00 Service: 2 hrs/ 7hrs
• Assisted with bus transitions
Admin: 2 hrs/ 5hrs
• Introduced to the children’s Objectives binder

January 22nd Total: 6 hrs/ 18 hrs

9:00-3:00 Service:4 hrs/ 11hrs • Put in the scores from a BDI into the database
Admin:2 hrs/ 7hrs • Kristin explained the purpose of a BDI, the process, and
what the scoring means.
• Assisted with bus transitions
• Interacted with children during free play
• Participated in circle time and small group
• Prepared for each session
• Looked through children’s IEPs
• Kristin explained the WIAT assessment

January 24th Total: 4.5 hrs/ 22.5 hrs • Assisted with bus transitions
8:00-12:30 Service: 2 hrs/13 hrs • Observed objectives during free play
Admin: 2.5 hrs/ 9.5 hrs • Kristin explained their reasoning or their objective
trackers
• End of Day tasks
January 31st Total: 3 hrs/ 25.5 hrs • Wrote an Evaluation Report with Skills Based included
10:00-1:00 Admin: 3hrs/ 12.5hrs
February 12th Total: 7 hrs / 32.5 hrs • Assisted with bus transitions
8:00- 3:00 Service:4 hrs/ 17hrs • Observed circle time
Admin:3 hrs/ 15.5 hrs • Engaged with children during free play
• Administered objectives during free play
• Assisted students at small group
• Went over objectives with Kristin and how students did
 • Discussed Kindergarten screening and our students
options
February 18th Total: 3hrs/35.5hrs • Lesson Planned small group activities for Nursery Week
1:00 – 4:00 Admin: 3hrs/ 18.5 hrs • Lesson Preparation (cut and put together activities)
February 19th Total: 7 hrs / 42.5 hrs • Assisted in transitions
8:00-3:00 Service:5 hrs/ 22 hrs • Observed circle time
Admin:2 hrs/ 20.5 hrs • Engaged with children during free play
• Lead small group activities
• End of Day tasks
February 21st Total: 7 hrs/ 49.5 hrs • Assisted in transitions
8:00-3:00 Service: 5 hrs/ 27 hrs • Observed circle time
Admin: 2 hrs/ 22.5hrs • Engaged with children during free play
• Lead small group activities
February 26th Total: 7hrs/ 56.5 hrs • Assisted in transitions
8:00- 3:00 Service:5 hrs/ 32hrs • Observed circle time
Admin: 2 hrs/ 24.5hrs • Engaged with children during free play
• Planned on attending IEP meetings, screening, and birth
to 3 visits over Spring Break
• Observed how to support a child with behaviors
• End of Day tasks
February 28th Total: 7 hrs/ 63.5 hrs • Observed a different room- Andrea’s
8:00- 3:00 Service: 3 hrs/35 hrs • Administered Objectives
Admin: 4hrs/ 28.5 hrs • Observed objectives and ideas to implement
• Engaged and played with students
• Lesson planning for Rainbow week
• Assisted with small group
• Assisted with bus transitions
• End of Day tasks
March 5th Total: 6 hrs/ 69.5 hrs • Assisted with Bus Transitions
9:00-3:00 Service: 6hrs/41 hrs • Interacted and played with students
• Circle time
• Helped with differentiated instruction
• Observed objectives
• Assisted with small groups
• Reflected on strategies for students with Kristin
End of Day tasks
March 6th Total: 8hrs/ 77.5 hours • Administered a Screening
8:00-4:00 pm Admin: 8hrs/ 36.5 • Observed an Autism Testing
• Observed and Assisted in an Eval
• Scored a Screening
• Lesson planning and preparation
March 7th Total: 6hrs/ 83.5 • Observed and assisted with Birth to Three Visits
8:00- 3:00 Service: 5hrs/ 46 hrs • Assisted with Bus Transitions
Admin: 1hr/ 37.5 hrs • Interacted and played with students
• Circle time
• Helped with differentiated instruction
• Observed objectives
• Assisted with small groups
• Assisted with classroom set up
• Observed a physical therapy session
• End of Day tasks

March 8th Total: 3.5 hours/ 87 hrs • Wrote an eval report for Amy
8:00-11:30 Service: 1 hours/ 48 hrs • Looked at IFSP Plans
Admin: 2.5 hrs/ 40 hrs • Observed Amy’s Classroom
• Discussed with Amy her teaching style and classroom
set up
• Assisted with bus transitions
• End of Day tasks
March 12th Total: 7hrs/ 94 hrs • Bus transitions
8:00-3:00 Service: 6hrs/ 54 hrs • Interacted with students during free play
Admin: 1 hrs/ 41 hrs • Taught Circle Time
• Taught small group
• Offered Differentiated instruction
• Taught and instructed table activity
• Discussed the day with Kristin
• Made sure the next day was prepped
• End of Day tasks
March 19th Total: 7hrs/ 101 hrs • Assisted with bus transitions
8:00-3:00 Service: 5hrs/ 59 hrs • Observed circle time
Admin: 2hrs/ 43 hrs • Engaged with children during free play
• Administered objectives during free play
• Assisted students at small group
• End of Day tasks
March 21st Total: 6hrs/107 hrs • Scored BDI
8:00- 3:15 Admin: 6hrs/ 49hrs • Did obejectives
(left from 12-1for • Eval report and Skill Based
another class) • Administered Eval/ BDI for a soon to be 6 year old
• End of Day tasks
March 26th Total: 7hrs/114 • Assisted with bus transition
8:00-3:00 Service: 2 hrs/ 61hrs • Assisted with small groups
Admin: 5hrs/ 54hrs • Objectives during all sessions
• Learned how to do objectives and tricks for those who
do not want to do them
• Wrote Progress reports
• Looked over IEPS- discussed with Kristin Summer plans
for some and the kids going to kindergarten
• End of Day tasks

March 28th Total: 6hrs/ 120 hrs • Assisted with bus transition
8:00- 3:00 Service:5 hrs/ 65hrs • Assisted with small groups
(left from 12-1 for Admin: 1 hr/ 55hrs • Wrote Progress reports
another class) • Gave Kristin Thank You Note
• Played with Children during Free Play
• Kristin and I discussed assessments that I have done
and looked at this semester
• End of day task
Total: