Weekly Supervision for BSSW Program Field Education Student and Supervisor, please sign off weekly. Notes are optional! Student Signature & Notes Supenisor Signature Date loys. On ‘August 21st HA MD cca, 205 September 4th | Poh 0 cans re8< Pee BO cess 465° ‘September 17° fete Real Ucs cee ‘September 18" Yar Ral TD can, = ‘September 224 Wok x F 0 eaye| October & (act pets can, 7 ‘October 13° Qt DSL Leaw 70 | oaoveram November 4° _ ‘ I@AGL vaswgesc Brel 0 Lea0 765 November 10" Lay iL ucss.0 Pps November 18" Heath Q tices) PRS 10/24Briar Cliff University BSW Student Intern Timesheet Upload to Brightspace at the conclu: Student Signature: Qyate Field Instructor Signature’ n of each month Date: 11/23/2020 M LOGW £P5Date:_ (2/8/20 Agency: East Bay Agency for Children Month: September (Done Monthly) Date Optional Comments In Out Total Hours (09/01/2020 | Individual supervision | 9:00 am 10:30 am hr 30 mins with Allison & Julia; ‘working on intro video for CoC. 0970172020 | Leading HUSD HUB 12:00 pm 1:00 pm Thour Check-in\866.333.4606 (help line for last payment). 0970172020 _ | Circle of Care hours 1:00 pm 5:00 pm Thours 09/02/2020 | Attending FRC 10:30 am [12:30 pm 2 hour Coordinator meeting | (0970372020 _| Circle of Care hours £00 pm 9:00 pm Shours 0970472020 | Individual supervision | 9:30 am 10:30 am Thour with Noa ‘0970472020 | One-on-one supervision | 10:30 am 11:00 am 30 mins with Allison (0970472020 | Supervision with Julia | 11:00 am 12:00 pm Thour (0970872020 | Attended HUSD Health | 9:00 am 10:00 am Thour and Wellness Partners Meeting _ 0970872020 _| Circe of Care hours 100 pm 9:00 pm Thours 0970972020 | Leading HUSD HUB 1:00 pm 200 pm Thour check-in 0971073020 | Training: The role and — | 10:00am 1130 am Thour 30 responsibility of health & mins (0971072020 215 pm 9:15 pm Thours (0971172020 10:30 am 11:30 am Thour ‘971172020 1130 am 1:00 pm Thour 30 mins(9/14/2020 | HUSD Team check-in 10:00 am 1100 am_ Thour 971472020 | Training: Understanding | 11:00 am 1:00pm hours internalized oppression for BIPOC professionals ‘9715/2020 | Cirele of Care hours 9:00 pm S hours 097162020 _ | HUSD team check-in 200 pm Thour 097162020 | CoC training- TIS 101 3:45 pm Thours 45 mins 09/17/2020 _ | CoC outreach emails 12:07 pm T hour 7 mins (0971772020 | FEW interviews with 2 3:00 pm Thour 30 EBAC Staff. mins 09/17/2020 _| Cirele of Care hours 9:00 pm 4 hours (09/18/2020 | Individual supervision 10:30 am Thour ‘with Noa 097182020 _| Supervision with Julia | 11:00am Thour 0971872020 | FCW interview wih CoC | 12:05 pm 35 mins staff 0972172020 _| Leadership call 10:00 am 10:30 am 30 mins 0972172020 | Cheek-in/supervision with | 2:30 pm 330pm Thour Allison and Julia (0972172020 | Management related 3335 pm “#15 pm 40 mins training on Relias & emails for CoC (0972272020 | FCW with EBAC 9:00 am 10:00 am T hour employee (0972272020 _| Individual supervision | 10:00 am 11:00 am Thour with Noa. 0972272020 _ | Cirele of Care hours 100 pm 5:00 pm Thours 0972372020 | Individual supervision | 2:00 pm 3500 pm Thour swith Allison TOTAL MONTHLY HOURS: 73 hrs 27 minsBriar Cliff University BSW Student Intern jesheet Upload to Brightspace at the conclusion of each month Student Signature: 4 Date:_11/23/2020 ?. Field Instructor Signature: SWLPKdate:_ (2/13/29 Agency: East Bay Agency for Children Month: October (Done Monthly) Date Optional Comments In Out Total Hours 10/01/2020 | Cirele of Care hours 2:15 pm 9:15 pm T hours 10/02/2020 | Midterm evaluation with | 9:30 am 10:00 am 30 mins Noa 10/02/2020 Supervision with Allison & | 10:30 am 12:00 pm Thour 30 Julia mins 10/02/2020 FCW Interview with EBAC | 2:30 pm 3:30 pm T hour staff 10/02/2020 _| Friday Inte mixer £00 pm 00 pm hows 10/03/2020 | Equity literacy & allied 930 am 1230 om hours behavior training 10/03/2020 [ HUSD team check-in 12:30 pm 1:05 pm 35 mins 10/06/2020 | HUSD Health & Wellness | 9:00am 10:00 am Thour partners meeting 10/06/2020 _| Circle of Care hours 100 pm 7:00 pm S hours 1010772020 _| HUSD staff meeting 12:00 pm 1:00 pm Thour 10/08/2020 _| Evaluation with Noa 9:00 am 930am 30 mins 10/08/2020 1:00 pm ¥00 pm hours 707082020 5:00 9:20pm FT hours 20) | mins 10/09/2020 11:00 am 12:00pm 1 hour 1070972020 12:00pm___[ 1:00pm | Thour 1071272020 [10:00 am 10:30am | 30 mins 7072/2020 1:00 pm 130pm | 30 mins 100 pm 00pm | Shours 10:30 am TEAL pm Thour 11 | mins 12:30 pm 10pm | Lhour 130 pm 430 pm hoursyouth and Families 1071572020 | Attended: Navigating police | 11:00 am 1:00 pm hours violence & understanding | the trauma it causes Cirele of Care hours 130 pm 930 pm S hours ‘Attended Help Me Grow | 10:00 am 1Z00pm | 2 hours Connection Café for HUSD Supervision with Julia 12:00 pm 1-00 pm Thour FCW interview with EBAC | 3:15 pm 15 pm Thour staf? 101672020 | Amtended Equity literacy and | 9:30 am 12:30 pm 3 hours allied behavior training 107202020 _| Cirele of Care hours 1:00 pm 9:00 pm 8 Hours 1072172020 _| Check-in with Julia Tra5 am 12:00 pm 15 mins 10/21/2020 _| HUSD staff meeting 1:00 pm 200 pm Thour 10/22/2020 | Circle of Care hours 100 pm 9:20pm Shours 20 mins 10/23/2020 | Individual supervision with | 9:30 am 70:00 aim 30 mins Allison | | 10/23/2020 _| Supervision with Julia 100 am TraS am 45 mins 1072372020 _| HUSD staff meeting 1-00 pm 1:45 pm 45 mins 1072672020 _| Leadership call 10:00 am 1030 am 30 mins 102262020 | HUSD Staffmeeting and | 12:00 pm 13 pm Thour 45 supervision with Julia mins 1027/2020 _ | Circle of Care hours 100 pm 9:00 pm S hours 1072772020 | Kick offmeeting for OHE [9:30am 12:00 pm Thours 30 mins 1027/2020 | HUSD Staff meeting & 2:00 pm 430 pm 2 hours 30 OHE community partner mins meeting 1029/2020 _| Supervision with Julia 10:30 am 1130 am Thour 1072972020 _| Circle of Care hours 1:00 pm 9:00 pin Shours 707302020 | Individual supervision with | 10:30 am 12:00 pm Thour 30 Allison | mins TOTAL MONTHLY HOURS: 109 hours 56 minsBriar Cliff University BSW Student Intern Timesheet Upload to Brightspace at the conclusion of each month ‘Student Signature: 7 Date: 11/23/2020 Field instructor Signatur WAT, 60, ?P5C Dae: (2(2/20 Agency: East Bay Agency for Children Month: November (Done Monthly) Date ‘Optional Comments in Out Total Hours 11/02/2020 _ | OHE training, 9:00 am 2:30 pm 5 hours 30 mins 1170272020 | CAFB meeting with 4:00 pm £10 pm 10 mins Angeles 11/03/2020 | Meeting with Julia and | 10:30am 1130am Thour Angeles 1170372020 _| Cirele of Care hours 1:00 pm 5:00 pm S hours 11/03/2020 | Individual supervision | 6:00 am 330am 30 mins with Norma 1170472020 | OHE training 9:00 am This am 2 hours 15 1170472020 _| Individual supervision _| 4:15 pm S15 pm Tour swith Noa 1170572020 _ | OHE training 9:00 pm 1035 am Thour 35 7170572020 _| Cirele of Care hours 130 pm FS pm 7 hours 45 11/06/2020 _| Circle of Care hours 3:00 am 11:00am 2 hours 1170672020 _| HUSD staff meeting 12:00 pm 1:00 pm Thour 1170972020 _| Supervision with Allison | 330 pm 430 pm 1171072020 _| Circle of Care hours 1:00 pm 00 pra 1171272020 _| Circle of Care hours 1200 pm 5:00 pm 1171372020 _| OHE meeting 12:30 pm 1:00 pm 1171372020 _| HUSD staff meeting 130 pm 200 pm 11/13/2020 | Worked on OHE training 3:30 pm 1171372020 | CoC related cemails/outreach 1171672020 _| Leadership call11/16/2020 | OHE meeting 1:00 pm 1:30 pm 30 mins 11/16/2020 | Individual supervision 3:00pm | 4:00pm T hour with Allison al TIN72020_| Circle of Care hours 1:00 pm 5:00 pm S hours 11/18/2020 | Individual supervision | 2:00 pm 3:00 pm T hour with Noa 117182020” [OHE partner network | 4:00 pm 5:00 pm T hour meeti 1171872020 | FRC coordinator meeting | 10:30 am 12:30 pm hours 117192020 _[ OHE meeting 10:00 am 10:30 am 30 mins 11/19/2020 | Circle of Care hours 1:00pm | 9:00 pm & hours 117202020 | Working on OHE training | 1:00 pm 245 pm Thour 45 1172072020 | Individual supervision | 3:00 pm “00 pm Thour with Allison 1172472020 [Individual supervision | 2:00 pm 3:10 pm Thour 10 with Allison mins TOTAL MONTHLY HOURS: 76 hour 25 mins