ABCDEFGHIJKLMNOPQRSTUVWXYZAAABACADAEAFAGAHAIAJAKALAMANAO
1
Azusa Pacific University
2
Department of Social Work
3
Practicum Time Log - Community Specialization Year
4
Weeks 1-8
5
6
Student Name:Semester/Year:
7
8
ActivityWeek 1Week 2Week 3Week 4Week 5Week 6Week 7Week 8
9
Date:Date:Date:Date:Date:Date:Date:Date:
10
MTWThFMTWThFMTWThFMTWThFMTWThFMTWThFMTWThFMTWThF
11
Public relations/marketing
12
Planning/Policy
13
Partnership/collaboration
14
Program development/evaluation
15
Fiscal Management
16
Grant Writing/Fund Development
17
Supervision
18
Meetings
19
Training/Development
20
Documentation
21
Capstone Project
22
Clinical/direct service
23
Holidays
24
Other: (specify)
25
26
Agency Related Travel:
27
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
28
Total Hours for each Week0.000.000.000.000.000.000.000.00
29
Total Hours for Weeks 1-8:0.00Total Hours for Semester0.00
30
31
32
This represents a fair and accurate accounting of the efforts expended by the student.
33
34
Signature of Student: Date:
35
Signature of Supervisor: Date:
36
APU Liaison Signature:Date:
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100