Marywood University Scranton, Pennsylvania’ Depariment of Nutrition & Dietetics Intern Hour Reporting Form Complete this reporting form after each rotation of Part ofa rotation, Required Hours in: * ND 565: Community Nutrition ~ minimum 160 hours ND $66 : Food Systems Management ~ minimum 224 hours NDS68: MNT © Long Term Care~ minimum 120 hours © Acute Care ~ minimum 232 hours Professional Practice following MNT: 96 hours ‘Altemative Practice Experiences: please specify below = hours es ee Ifonly a fraction of the hours accomplished, Intem: pra. has completed QB Yo ours fortherotsion Cret> — Gam PL s5 orl flachicn Preceptor Signature: BNE Ee het ait, Alia la ‘required hours were completed ata facility — please indicate that amount of