WILMINGTON UNIVERSITY

AHSPROGRAM

STUDENT WEEKLY LOG

Name of Student: b(l

VS-\-i Q

\0\ \ \ DC'U-~T:e

E.\ \l \fC\ Sm\m

C C "C') ~ t(; :5\S &'(c-t(\ \ f\ 9 <::.e()-\~\

Name of Agency/Site Supervisor:

Name of Agency/Site:

Check Practicum/Capstone

Project Period: __

Fall (Sept.-Dec.) __ Spring (Jan.-April)

?Summer
(May-Aug.)

Daet
WeekI
Week 2
Week 3
Week 4
WeekS
Week 6
Week 7
Week 8
Week 9
Week 10
Week 11
Week 12
Week 13
Week 14
__

I e Supervisor Imitiia Is
su

Hours

t:)q

>~

~ lto
f).3

Q.5

P5

f) By

~5

R,~

~r0

lo I~ Co I \'~ ( f) \ \'1

:ID -

( l'l

(D

8,

(0

2.5
?/~

6.5

'J '1->
J .iI

Ia I

E",~

e-S

'C)'"S
~.S

R.5

--

I~)
7 I d7)
p)/ I

-;;;oOi-"'""=...-:"c---

5
E"-S
E:5

..

~
~

<;;",,>

c;

~g

z-S

(Check here if you require an extension.)

TOTAL HOURS: ---"\........

Q.c=.C"-\.L-1

SUMMARY:

The Guided Practicum requires 120 clock hours for the 14-week period. You must
get formal approval if you require an extension to complete your hours.
The Capstone Project averages 10 hours per week over the course of the semester.
You must get formal approval if you require an extension to complete your project.

CHECKLIST:

(Y 9Jl must be able to document "yes" to each question)

if ))0

I have the required hours documented above?

log been signed weekly by my Site Supervisor?

V Has my
Practicum/Capstone

Student Signature: .1*:.Lro.!........:....\\--'-b'-=_~(~~ff\Q.'-'-' ' '--

Site Supervisor Signature:

f!u,:Uk

~,

NOTE: This form is to be submitted to your Faculty Field Instructor at the end of the Practicum or Project.

51