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Student Name: Madison Powers__ Internship Site: Coliseum Medical Center ___ Semester: Spring 2020_
Week Supervisor
WEEK Mon. Tues. Wed. Thurs. Fri. Sat. Sun. Total Initials
0 0 0 8 0 0 0 8 FT
1
8 8 8 8 0 0 0 32 FT
2
3 8 8 8 8 0 0 35 FT
3
8 8 8 8 5 0 0 37 FT
4
8 8 8 8 8 0 0 40 FT
5
9 9 9 9 9 0 0 45 FT
6
9 9 9 9 9 0 0 45 FT
7
9 9 9 9 9 0 0 45 FT
8
9 9 9 9 9 0 0 45 FT
9
9 9 9 9 9 0 0 45 FT
10
SKIP SKIP SKIP SKIP SKIP SKIP SKIP
11
SKIP SKIP SKIP SKIP SKIP SKIP SKIP
12
13
14
15
16
17
Minimum number of Hours required for 12 credit internship: 480 hours Fall/Spring semester; 456 Summer
sessions
4/13/2020
_______________________________________________________ _______________________________________________________
Signature of site supervisor Date Signature of student intern Date