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School Counseling Student - Weekly Log

Student Name:

Madison Midkiff

Site: Brier Creek Elementary

Supervisor Name:

Jack Martin

Supervisor Signature:

Codes:
DS - Direct Service
IS - Indirect Service
FS- Field Supervision
Time
8:30 - 9:00
9:00 - 9:30
9:30 - 10:00
10:00 - 10:30
10:30 - 11:00
11:00 - 11:30
11:30 - 12:00
12:00 - 12:30
12:30 - 1:00
1:00 - 1:30
1:30 - 2:00
2:00 - 2:30
2:30 - 3:00
3:00 - 3:30
3:30 - 4:00
4:00 - 4:30
4:30 - 5:00
5:00 - 5:30
5:30 - 6:00
Other
Other

DS-IC Individ. Counseling

DS-T Test admin./interp.

DS-GC Group Counseling

DS-CN Consultation

DS-CG Class. Guidance

Monday

4
0
4.5
8.5

IS-Co Coordinating act.

IS-R Referral

IS-Pd Prof. Dev.

IS-M Meetings

IS-Pr Preparation

IS-Ob Observation

IS-Cl Clerical act.


IS-Cm Committee work

IS-O Other

Scheduling ,Screening, e.g.

Tuesday

IS-O
IS-O
DS-CN
DS-IC
DS-IC
IS-PR
IS-PR
IS-O
DS-CG
DS-CG
DS-GC
IS-PR
IS-O
DS-IC
DS-IC
IS-O
IS-O

DS =
FS =
IS =
Total =

9/14/2015

Specifiers for DS & IS:

DS-O
8:00
7:00- 8:30
- 7:30

Week of:

Wednesday

Thursday

DS-CN
DS-O
IS-PR
DS-IC
DS-IC
IS-O
IS-PR
DS-GC
IS-PR
DS-GC
DS-IC
DS-CN
DS-IC
DS-IC
DS-IC
FS
IS-O

DS =
FS =
IS =
Total =

0
0
0
0

DS =
FS =
IS =
Total =

5.5
0.5
2.5
8.5

DS =
FS =
IS =
Total =

0
0
0
0

Friday

Time

IS-O
IS-PR
DS-IC
IS-PR
IS-PR
DS-GC
DS-GC
DS-GC
IS-PR
DS-IC
IS-PR
FS
IS-PR
IS-PR
IS-O
IS-O

8:00 - 8:30
8:30 - 9:00
9:00 - 9:30
9:30 - 10:00
10:00 - 10:30
10:30 - 11:00
11:00 - 11:30
11:30 - 12:00
12:00 - 12:30
12:30 - 1:00
1:00 - 1:30
1:30 - 2:00
2:00 - 2:30
2:30 - 3:00
3:00 - 3:30
3:30 - 4:00
4:00 - 4:30
4:30 - 5:00
5:00 - 5:30
5:30 - 6:00
Other
Other
12
1
12
25

DS =
FS =
IS =
Total =

2.5
0.5
5
8

Weekly DS Total
Weekly FS Total
Weekly IS Total
Weekly Grand Total

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