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Georgia College & State University

Please scan and submit to D2L Drop Box at the conclusion of the internship.

INTERNSHIP HOURS LOG

Student Name: Ofek Laks. Internship Site: Lake Country Medical Group. Semester: Spring 2022

Week Supervisor
WEEK Mon. Tues. Wed. Thurs. Fri. Sat. Sun. Total Initials
6.5 6.5 7.5 8.5 7 0 0 36 Email
1
0 8.5 8 8.5 8 0 0 33 Email
2
8 8 7.5 8 7 0 0 38.5 Email
3
7 8 8.5 7.5 7.5 0 0 38.5 Email
4
7 8.5 7 8 8.5 0 0 39 Email
5
6.5 8.5 8.5 8.5 8.5 0 0 40.5 Email
6
8.5 8.5 8.5 8.5 8.5 0 0 42.5 Email
7
8.5 8.5 8.5 8.5 8.5 0 0 42.5 Email
8
0 8.5 8.5 8.5 8.5 0 0 34 Email
9
0 0 0 0 0 0 0 0 Email
10
8.5 8.5 8.5 8.5 8.5 0 0 42.5 Email
11
8.5 8.5 8.5 8.5 8.5 0 0 42.5 Email
12
8.5 8.5 8.5 8.5 8.5 0 0 42.5 Email
13
8.5 8.5 8.5 8.5 8.5 0 0 42.5 Email
14
6.5 6.5 3 6.5 0 0 0 22.5 Email
15
0 0 0 0 0 0 0 0 Email
16
0 0 0 0 0 0 0 0 Email
17
Minimum number of Hours required for 12 credit internship: 480 hours Fall/Spring semester; 456 Summer
sessions

Hours completed at internship site: 537


The student has completed all hours required for internship (circle one) Yes No

Email Attached Below April 26 th 2022 Ofek Laks April 26 th 2022


Signature of site supervisor Date Signature of student intern Date

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