JOHNSON C. SMITH UNIVERSITY HEALTH AND HUMAN PERFORMANCE DEPARTMENT. OBSERVATION AND PARTICIPATION TIME SHEET Name _Khieduah Seauva Course Name/Number_SDM 4 34 DATE | TIMEIN| TIME OUT STUDENT'S SUPERVISOR'S | SIGNATURE {f22-[15| 4.00 asm] 12.-40—m| 4 SIGNATURE Qiburerat— ts] V0 on] (1,46 pal A Lgl ‘aly hw a0 | Yealis | 4200 am | {2% wn LYLE [9:00 om | 200 pol Lslio | 4200 om) 1240444 A ) Daud Dd oucah [2fla)s |2.00 ann | 12:30 pm (210) |4.00 a0 | 0:30 pom 4 | 4:00 om| 12°30 1 fis 9.00 am 12:30pm An 14.00 on 1236 ne Bll |a06ay| 12’ 36 15 [9:00 12.30, Vn S[ro V2) 139 Hed | 400 aul 12.494 Bld |4:000m) 2:30,1 (2/2 [4200 pm] 11:45 9 BI LY | 4:00 am (14S pm 4/2 | 1:00 as] |:00 p.m TOTAL NUMBER OF HOURS.off-site. JOHNSON C. SMITH UNIVERSITY HEALTH AND HUMAN PERFORMANCE DEPARTMENT. OBSERVATION AND PARTICIPATION TIME SHEET TOTAL NUMBER OF HOURS (Blt 4 o. Tpn hedehe Sula | Name WG Course NameNumber MYA _ DATE | TIME IN TIME STUDENT'S: SUPERVISOR’S A ; 70 5 40 7 SIGNATURE Btethedd [M0 con a p23 UA0om| 5:50 pm abcde eer M]2a | 4:00.0m| 1:00 om’ dV Aicheriie~| 4f50—[4200.,4. [7.00 one Sees H[90_ [850 em. [12.0.0 Hill Sfi 12.00 5m.| 1:30 p0 | afd $f2_|7:00.m| (2:15, Gf Qe hil 5f2 | V.00.m| 1.30 al 61d |USknl 3.3 Ona! Lf 25 | @ om | w.aq04 44. | Del ffew ee Paw | 5] 4:20 Detige~ ie GB0pn| B_ ge ey, Bona {IL ae | Seda tabelen, Yip [Babee Se am [2A [iL yer [230 pm Ty We $8 | 10a] 3 om | 3130 | Nam [5:30pm A, fal |Student, HEALTH AND HUMAN PERFORMANCE DEPARTMENT ASSESSMENT OF FIELD PARTICIPATION fe te Ses, ova Date, Meas, aly” Nature of Experience Spor +5 Hainage cach Lntienger?P Orgmization — FG-LIC ype have SAL pans AS BS octal S Directions: Zenuan Please use the code below to indicate the extent to which the student has demonstrated the qualities listed, Code of Assessment Very Good Good Average Below Average Unsatisfactory Not applicable or observed ‘The candidate: E Yu iG o é Loin ! Rating ‘Was regular in attendance ‘Was punctual in attendance Sought to meet high academic standards Worked well with the supervisor Established rapport with others (e.g., clients/staff ) Made adequate preparations Carried out assignments well ‘Demonstrated leadership qualities SP SPP FFP eI Showed enthusiasm for the discipline 70. Used good communication skills hrirery LL. Participated as a contributing member to the organization 112. Showed initiative 13. Was receptive to suggestions 14. Exhibited ethical and professional behavior (over) 1B irrh detiyeh woes pe vey yalvenle Maurar df) My tic thisceurdier. SHE. DaslA shosdee + desine +> be sath an enthusiaric Spirit pawo piso to Ste is tonk haut poset bor nor QE ke 4? SL At okinrs 2a Ad ben HELP when nccitaio. jad Wien pesowr! Skis wate DO Aspley Wes pasted at ph Kseintuck Corbes Sy session Ape Sit wis Ue“ ova" raw ho S$noqw Bk, httst, She 15 witlnc te tobe nip Yd wit! £6 hatte tables be couplele. ee KeSiqued TASKS. Ka Piyte SE3P02 18 one Agency Supervisor Signature Olas Heel G0O_ pate 2] PS]/S Z will covlurc to der Neesowos Leth sec soperdl the a ea 7 yo drhaor? Co Snde sont: ahightul Hy OA eat cal i, Gbeer tans et ao epwhwes. 17 Lae wis a paokacepr ue i : en a ar ceern einen