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WILMINGTON UNIVERSITY AHS PROGRAM STUDENT WEEKLY LOG Name of Student; CARO _KWG-RVES Name of Ageney/Site Supervisor: ELIS¥4A SENWWS Name of Agency/Site: DELADARE “Dwis io) FORTHE Visuetey IMPAREO 1: _VFall (Sept.-Dec.)__ Spring (Jan.-April) Summer (May-Aug) Cheek Practieum/Capstone Project Perio Date Hours Site Supervisor Initials Week 1 APA WT 5 Week 2 qo VE i Week 3 ah= ax > Week 4 Ajat- Viae 1B Week 5 0A = IS WS Week 6 10/3 = Wha aS Week 7 jOfes = toh oO Week 8 iola— 19) We Week 9 iofaA— WIR % Week 10 Wis -W/4 35 ‘Week 11 Wia= Wie 4 a Week 12 WG = Wiad Gi z= Week 13 Way — 130. Va = Week 14 js = wT iB - (Check here if you require an extension.) TOTAL HOURS: AS SUMMARY: ‘The Guided Practicum requires 120 clock hours for the 14-week period. You must get formal approval if you require an extension to complete your hours. ‘The Capstone Project averages 10 hours per week over the course of the semester. ‘You must get formal approval if you require an extension to complete your project. CHECKLIST: (You must be able to document “yes” to each question) © Do! have the required hours documented above? © Has my log been signed aaa Practicum/Capstone Student Signature: Site Supervisor Signature: NOTE: This form is o be submitted to ydur Faculty Field Instructor at the end of the Practicum or Project. 51

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