Practicum/Preceptorship Weekly Log Form

Jiann-Ping Hsu College of Public Health

Georgia Southern University
(Submit completed and signed form to Administrative Coordinator for Academic Affairs)

Student Name: Carla D. English

Practicum Site: Savannah Technical College: Economic Development Department

Practicum Site Supervisor: Dr. Brent Stubbs, V.P. of Economic Development

Date Submitted: July 13, 2020

Reporting Semester (Select one and fill in the year):

Fall Spring Summer 2020

Reporting Dates (Check Only One) Additional Weeks

Weeks 1 - 3 Weeks
Weeks 4 - 6 Weeks
Weeks 7 - 9 Weeks
Weeks 10 - 12 Weeks
Weeks 13 - 15 Weeks

Total Hours Worked (Daily and Weekly)

Week Monday Tuesday Wednesday Thursday Friday Saturday Sunday TOTAL

# 4 0 4 3 3 5 5 5 25
# 5 4 4 3 4 5 5 25
# 6 2 3 3 5 4 5 3 25
TOTAL 6 11 9 12 14 15 8 75

Narrative Describing Activities and Accomplishments (Use additional paper if necessary)

Refer to the attached Word Document for a supportive overview of the activities and accomplishments applicable to the DrPH
Preceptorship with Savannah Technical College under the supervision of Dr. Brent Stubbs, V.P of Economic Development.

File name: PUBH 9790_Week 4_5_6_Preceptorship_STC_Stubbs_GSU_English _Summer 2020

Use additional paper if necessary

To Be Reviewed and Verified by the Site Supervisor

Please Indicate Practicum Status (Check All That Apply)

I am satisfied with the progression of the Practicum
I am not satisfied with the progression of the Practicum

I have reviewed the information as prepared by the student and verify its accuracy.

July 13. 2020

Site Supervisor's Signature Date