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Azusa Pacific University
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Department of Social Work
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Practicum Time Log - Foundation Year
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Weeks 1-8
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Student Name:Semester/Year:
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ActivityWeek 1Week 2Week 3Week 4Week 5Week 6Week 7Week 8
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Date:Date:Date:Date:Date:Date:Date:Date:
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MTWThFMTWThFMTWThFMTWThFMTWThFMTWThFMTWThFMTWThF
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Client Contact: Individuals:
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Client Contact: Group:
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Client Contact: Family:
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Collateral Contacts Case Management:
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Agency Training / Team Meetings:
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Agency In-Service / Workshops:
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Supervision: Individual and/or Group:
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Documentation:
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Client Related Travel:
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Macro Project:
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Holidays:
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Other (specify):
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Total Hours for each Day 0.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.00
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Total Hours for each Week0.000.000.000.000.000.000.000.00
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Total Hours for Weeks 1-8:0.00Total Hours for Semester0.00
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This represents a fair and accurate accounting of the efforts expended by the student.
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Signature of Student: Date:
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Signature of Supervisor: Date:
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APU Liaison Signature:Date:
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