1

PRACTICUM TIME SHEET

Students are responsible for completing time sheets accurately (including signatures) and submitting them at
the end of every week.

Breaks and commuting time to and from your site are NOT counted in your practicum hours. If you have a
question about whether something should be recorded, please contact Professor Lesyk.

Please email timesheets to Professor Lesyk and keep a copy for your own records and your e-portfolio.

Student Name (Print): _Aidan Holz

______________________________________________________________________

Day of Week Date Time In Time Out Hours Spent At Agency (breaks and
commuting time not included)
Monday

Tuesday

Wednesday 02/14/24 10:15 AM 5:15 PM 6 hours and 45 minutes

Thursday

Friday

Saturday

Sunday

Total:

TOTAL NUMBER OF HOURS WORKED DURING THIS PERIOD: ___6 hours and 45 minutes ________
NUMBER OF HOURS MISSED DURING THIS PERIOD: __N/A___________
REASON(S) WHY HOURS WERE MISSED DURING THIS PERIOD (if any):

NUMBER OF HOURS REMAINING: ___73 hours and 15 minutes____________

Student Signature: _________________________________________Date:_02/16/24
____________

Revised: 1/11/2022
 2

Site Supervisor
2/16/2024
Signature: ________________________________________________Date:_____________

ANY COMMENTS YOU WOULD LIKE TO MAKE ABOUT THIS WEEK? Feel free to continue on the second page if
necessary. These comments do not need to be shared with the site supervisor, but it may be suggested that
you do so depending on the circumstances.

Revised: 1/11/2022
 1

PRACTICUM TIME SHEET

Students are responsible for completing time sheets accurately (including signatures) and submitting them at
the end of every week.

Breaks and commuting time to and from your site are NOT counted in your practicum hours. If you have a
question about whether something should be recorded, please contact Professor Lesyk.

Please email timesheets to Professor Lesyk and keep a copy for your own records and your e-portfolio.

Student Name (Print): _Aidan Holz

_______________________________________________________________________

Day of Week Date Time In Time Out Hours Spent At Agency (breaks and
commuting time not included)
Monday

Tuesday

Wednesday 02/21/24 9:00AM 4:00PM 6 hours 50 minutes

Thursday

Friday

Saturday

Sunday

Total:

TOTAL NUMBER OF HOURS WORKED DURING THIS PERIOD: __6 hours 50 minutes_________
NUMBER OF HOURS MISSED DURING THIS PERIOD: ___N/A__________
REASON(S) WHY HOURS WERE MISSED DURING THIS PERIOD (if any):

NUMBER OF HOURS REMAINING: ____67 hours and 5 minutes___________

Student Signature: _________________________________________Date:___02/25/24
_________

Revised: 1/11/2022
 2

Site Supervisor
2/26/2023
Signature: ________________________________________________Date:_____________

ANY COMMENTS YOU WOULD LIKE TO MAKE ABOUT THIS WEEK? Feel free to continue on the second page if
necessary. These comments do not need to be shared with the site supervisor, but it may be suggested that
you do so depending on the circumstances.

Revised: 1/11/2022
 1

PRACTICUM TIME SHEET

Students are responsible for completing time sheets accurately (including signatures) and submitting them at
the end of every week.

Breaks and commuting time to and from your site are NOT counted in your practicum hours. If you have a
question about whether something should be recorded, please contact Professor Lesyk.

Please email timesheets to Professor Lesyk and keep a copy for your own records and your e-portfolio.

Student Name (Print): __Aidan Holz

______________________________________________________________________

Day of Week Date Time In Time Out Hours Spent At Agency (breaks and
commuting time not included)
Monday

Tuesday

Wednesday 9:00 AM 4:30 PM 7 hours and 30 minutes

02/28/24
Thursday

Friday

Saturday

Sunday

Total:

TOTAL NUMBER OF HOURS WORKED DURING THIS PERIOD: _7 hours and 30 minutes__________
NUMBER OF HOURS MISSED DURING THIS PERIOD: ____N/A_________
REASON(S) WHY HOURS WERE MISSED DURING THIS PERIOD (if any):
N/A

NUMBER OF HOURS REMAINING: _____59 hours and 35 minutes __________

03/04/24
Student Signature: _________________________________________Date:_____________
Site Supervisor

Revised: 1/11/2022
 2

3/4/24
Signature: ________________________________________________Date:_____________

ANY COMMENTS YOU WOULD LIKE TO MAKE ABOUT THIS WEEK? Feel free to continue on the second page if
necessary. These comments do not need to be shared with the site supervisor, but it may be suggested that
you do so depending on the circumstances.

Revised: 1/11/2022
 1

PRACTICUM TIME SHEET

Students are responsible for completing time sheets accurately (including signatures) and submitting them at
the end of every week.

Breaks and commuting time to and from your site are NOT counted in your practicum hours. If you have a
question about whether something should be recorded, please contact Professor Lesyk.

Please email timesheets to Professor Lesyk and keep a copy for your own records and your e-portfolio.

Student Name (Print): ________Aidan Holz

________________________________________________________________

Day of Week Date Time In Time Out Hours Spent At Agency (breaks and
commuting time not included)
Monday

Tuesday

Wednesday 9:00 AM 6:00 PM 9 hours

03/06/2024
Thursday

Friday

Saturday

Sunday

Total:

TOTAL NUMBER OF HOURS WORKED DURING THIS PERIOD: _9 hours__________

NUMBER OF HOURS MISSED DURING THIS PERIOD: ___N/A__________
REASON(S) WHY HOURS WERE MISSED DURING THIS PERIOD (if any):
N/A

NUMBER OF HOURS REMAINING: ___50 hours 35 minutes____________

Student Signature: _________________________________________Date:__03/07/2024___________
Site Supervisor

Revised: 1/11/2022
 2

3/7/24
Signature: ________________________________________________Date:_____________

ANY COMMENTS YOU WOULD LIKE TO MAKE ABOUT THIS WEEK? Feel free to continue on the second page if
necessary. These comments do not need to be shared with the site supervisor, but it may be suggested that
you do so depending on the circumstances.

Revised: 1/11/2022
 1

PRACTICUM TIME SHEET

Students are responsible for completing time sheets accurately (including signatures) and submitting them at
the end of every week.

Breaks and commuting time to and from your site are NOT counted in your practicum hours. If you have a
question about whether something should be recorded, please contact Professor Lesyk.

Please email timesheets to Professor Lesyk and keep a copy for your own records and your e-portfolio.

Student Name (Print): ________________________________________________________________________

Day of Week Date Time In Time Out Hours Spent At Agency (breaks and
commuting time not included)
Monday

Tuesday

Wednesday 9:00 AM 3:35 PM 6 hours 35 minutes

03/13/2024
Thursday

Friday

Saturday

Sunday

Total:

TOTAL NUMBER OF HOURS WORKED DURING THIS PERIOD: ____6 hours 35 minutes_______
NUMBER OF HOURS MISSED DURING THIS PERIOD: ___N/A__________
REASON(S) WHY HOURS WERE MISSED DURING THIS PERIOD (if any):
N/A

NUMBER OF HOURS REMAINING: ______44 hours_________

03/18/2024
Student Signature: _________________________________________Date:_____________
Site Supervisor
03/17/2024
Signature: ________________________________________________Date:_____________

Revised: 1/11/2022
 2

ANY COMMENTS YOU WOULD LIKE TO MAKE ABOUT THIS WEEK? Feel free to continue on the second page if
necessary. These comments do not need to be shared with the site supervisor, but it may be suggested that
you do so depending on the circumstances.

Revised: 1/11/2022
 1

PRACTICUM TIME SHEET

Students are responsible for completing time sheets accurately (including signatures) and submitting them at
the end of every week.

Breaks and commuting time to and from your site are NOT counted in your practicum hours. If you have a
question about whether something should be recorded, please contact Professor Lesyk.

Please email timesheets to Professor Lesyk and keep a copy for your own records and your e-portfolio.

Student Name (Print): _Aidan Holz

_______________________________________________________________________

Day of Week Date Time In Time Out Hours Spent At Agency (breaks and
commuting time not included)
Monday

Tuesday

Wednesday 03/27/24 9:00AM 3:30PM 6 hours 30 minutes

Thursday

Friday

Saturday

Sunday

Total:

TOTAL NUMBER OF HOURS WORKED DURING THIS PERIOD: _6 hours 30 minutes__________

NUMBER OF HOURS MISSED DURING THIS PERIOD: _N/A____________
REASON(S) WHY HOURS WERE MISSED DURING THIS PERIOD (if any):
N/A

NUMBER OF HOURS REMAINING: ___37 hours and 30 minutes____________

04/01/2024
Student Signature: _________________________________________Date:_____________
Site Supervisor

Revised: 1/11/2022
 2
4/1/2024
Signature: ________________________________________________Date:_____________

ANY COMMENTS YOU WOULD LIKE TO MAKE ABOUT THIS WEEK? Feel free to continue on the second page if
necessary. These comments do not need to be shared with the site supervisor, but it may be suggested that
you do so depending on the circumstances.

Revised: 1/11/2022
 1

PRACTICUM TIME SHEET

Students are responsible for completing time sheets accurately (including signatures) and submitting them at
the end of every week.

Breaks and commuting time to and from your site are NOT counted in your practicum hours. If you have a
question about whether something should be recorded, please contact Professor Lesyk.

Please email timesheets to Professor Lesyk and keep a copy for your own records and your e-portfolio.

Student Name (Print): _______Aidan Holz

_________________________________________________________________

Day of Week Date Time In Time Out Hours Spent At Agency (breaks and
commuting time not included)
Monday

Tuesday

Wednesday 04/03/2024 1:30 PM 6:30PM 5 hours

Thursday

Friday

Saturday

Sunday

Total:

TOTAL NUMBER OF HOURS WORKED DURING THIS PERIOD: __5 hours_________

NUMBER OF HOURS MISSED DURING THIS PERIOD: __N/A___________
REASON(S) WHY HOURS WERE MISSED DURING THIS PERIOD (if any):
N/A

NUMBER OF HOURS REMAINING: __32 hours 30 minutes_____________

04/08/2024
Student Signature: _________________________________________Date:_____________
Site Supervisor

Revised: 1/11/2022
 2
4/8/2024
Signature: ________________________________________________Date:_____________

ANY COMMENTS YOU WOULD LIKE TO MAKE ABOUT THIS WEEK? Feel free to continue on the second page if
necessary. These comments do not need to be shared with the site supervisor, but it may be suggested that
you do so depending on the circumstances.

Revised: 1/11/2022