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  • 4738 N.W. L.Oooorp 4 101 - .L Antonio,: Northwest Houston, TX

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    David Pang
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    This document appears to be a timesheet for a student in a surgical technology clinical program tracking their hours over 10 weeks at various clinical sites. It includes fields for the student's name, address, week, clinic site location, dates, times in and out for each day worked, total hours for each day and the week, and signatures from the student and clinical supervisor to verify the hours worked.

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    Scan Dec 10, 2018 (4)

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    This document appears to be a timesheet for a student in a surgical technology clinical program tracking their hours over 10 weeks at various clinical sites. It includes fields for the student's name, address, week, clinic site location, dates, times in and out for each day worked, total hours for each day and the week, and signatures from the student and clinical supervisor to verify the hours worked.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    7 views1 page

    4738 N.W. L.Oooorp 4 101 - .L Antonio,: Northwest Houston, TX

    Uploaded by

    David Pang
    This document appears to be a timesheet for a student in a surgical technology clinical program tracking their hours over 10 weeks at various clinical sites. It includes fields for the student's name, address, week, clinic site location, dates, times in and out for each day worked, total hours for each day and the week, and signatures from the student and clinical supervisor to verify the hours worked.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    .

    240 NorthWest Mall

    ,--+--- Houston, TX 77092

    4738 N.W. L.oooorp~4~101----.L David Pang


    San Antonio, TX 78229

    STAC 301 STAC 302 STAC 303

    Week:
    1 2 3 4 {) 6 7 B g 10

    Clinic Site Location

    VA
    j

    .STUDENT REMINDER: UPON COMPLETION OF YOUR CLINICAL HOURS. All COMPLETED ORIGINAL nME SHEFTS MUST BE RETURNED
    '
    :WEEKL y TO THE COLLEGE OF HEALTH CARE PROFESSION'S SURGICAL TECHNOLOGY CLINICAL COORDINATOR.

    DATE TIME(N
    DAY TIMEOUT

    MONDAY
    TUESDAY . . l?./'I
    6'JO ..... J ll'ff j
    '
    ~6 ;30 c.,.-M- Ttlio ',p,.,
    .

    WEONl::S~Y 1-i.1-; 9-
    6:) d c;. , ,1--~0 2
    (',..,
    I f"1 , 1~12 ,
    THURSOAY h./6 fY\ ~
    / / : L(O t.. • .,.,.,
    l-Z./7 6'.16 ~.Y"\
    FRIDAY
    SATUROAY._- 1 - - - - - + - -

    SUNOA,_.J--~
    v . "l'ute!
    ll "~
    sTOTAL E

    1
    TOTA DULEHO r•IUN

    HEINF
    ,/'VERIT
    :PROGRAM.:. soerAJLED
    ·- . e£ARNEDA
    tJ uRsWER
    He CLINIC riO
    I SIGNATURE NTICATET
    '. STUDENT s I AvrHe
    ' NT • sruoENT,
    l noN STATE~E FTHE ABOVE WR
    . : . Atj'tl-lENTICJ. ~ SUPERVISOR 0
    '. . AS TH~ CLINIC SIT cuNICC .

    DAT£ II

    j!TLE
    ' SIGNATURE,
    .- ~,11~nR S .

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