WILMINGTON T]NIVI,RSITY

AIIS PROGRAM

STUDENT WEEKLY LOG

Name of Student:

Name of Agency/Site Supervisor:

Name of Agency/Site:

Check Practicum/Capstone Project Period: Fall (Sept.-Dec.) _ Spring (Jan.-April)

Z Summer (May-Aug.)

(Check here if you require an extension.)

TOTAL HOURS: I L?
SUMMARY: The Guided Practicum requires 120 clock hours for the l4-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)

o Do I have the required hours documented above?
o Has my log been signed weekly$r my Supervisor?

Practicum/Capstone Student Signature:

Site Supervisor Signature:

NOTE: This form is to be submitted to your Faculty Field Instructor at the end of the Practicum or Project.

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