Professional Documents
Culture Documents
Week 5 Hours
Week 5 Hours
Student Name:
Madison Midkiff
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-CN Consultation
Monday
4
0
4.5
8.5
IS-R Referral
IS-M Meetings
IS-Pr Preparation
IS-Ob Observation
IS-O Other
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
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