Georgia College & State University Please scan and email to jim.lidstone@gesu.edu or ernie kaninjinga@gosu.edu at the conclusion of the internship. INTERNSHIP HOURS LOG ‘Student Name: Tiuljov on Tacce) Internship Site: (1bershicun MecUic CCV Semester: 2phing 1? I Week | Supervisor week | Mon. | Tues. | wed. | thurs. | Fr,_| sat._| sun | Total_| inate tae | af as | least alk las| OE, é 365.5105 | TU/ 2 {15 [1.95/75 [13 [40 be 23.95 (7c a (1 [45 [435 14. leo 34.05 |G a2 [1.0 [ue [7.0 foo [gr f 26.10 (7L7 s_ [19 [19 [15 |1.0 |y.0 26.5 oo [%-0 (80 [4.0 [4.0 | 41.00 727 1 |6.15|%.0|15|¢.0 | 7.9 30. oe {1.0 [5.5 [¢.0 [76 |e.15 34.19 T/ o 4.5 [1-5 [1.5 [1.5 [1-0 ' 34.00 W/ wo |v-5 {7.0 [9.0 [00 fs 41:00 DS ieee ial OBO | Om (i180) [24.00 |Wn/ aoee Ole OVO its a0 late 0. 28.5 |\TL/ so {1-5 [0.0 [70 [7.0 [Us 28.0 Wp/ 1 [0.0 [0.0 [7.0 [0.0 [70 44.00 We, ss (7-0 |¥-5 |5.5 [7-5 |5.0 ALE 16 17 Minimum number of Hours required for 12 credit internship: 480 hours Spring semester; 472 Summer sessions Hours completed at internship site: The student has completed all hours required for internship (circle one). Yes No Signature of ie supervisor ‘Das ‘Signature of tudent intern Date