NUR 330 Population/Community Health PRACTICUM HOURS Verification Please use this form to document your practicum hours. Include the dates and times of your ‘experiences with a brief description* of what was accomplished. Students may include 2 hours of time for practicum preparation during Week 1. All students are required to document at least 45 total hours of experience. Please have this form signed by you and your preceptor (if applicable) during your last practicum experience. This form is due Week 13 with your Practicum Log. student: EMI avers Ettenhoye Practicum Agency:_Chinigtlana Care Preceptor. Kelly a Date and Times Activity Completed Preceptor Hours Initials completed ho]29]23"1a-To |Prackwarn cn 1. toledlas 1p [Practivum ovprcienve at Chri yee iv 4) = Pratticum eypeitne at Lbristane py 1z W812. FY | Pachium ype E Chrsrana Vd ee [DE121/23 4nd cc ticu GQ HOO a TOTAL HOURS COMPLETED lonference attendance: Students may claim hours by attending a professional conference as a part of their practicum hours, Conferences must be pre-approved by your instructor. Students who attend a conference must document the information here and submit a copy of the CEI Certificate Date Time of Conference Title Total CEU conference Hours | Certificate Submitted Total Hours completed 15 '*45 hours are required to meet course expectations