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WILMINGTON UNIVERSITY AHS PROGRAM STUDENT WEEKLY LOG Name of Student:_ Stele Turner zy : Name of Ageney/Site Supervisor: Gud Begmang Name of Agency/site: Op mar Foc aml: Services. Head Gart Check Practicum/Capstone Project Period: _ Fall (Sept-Dec.)___ Spring (Jan.-April) __7 Summer (May-Aug,) Date Hours Site Supervisor Initials Week 1 L ] Week 2 i mn 7 Week 3 | 7 _| [Week 4 7 Week 5 : Week 6 Week 7 a - 24/4 Week 8 the - ah 4 Week 9 143 = VIF Week 10 L=IO7 Week 11 - nt Week 12 Q/5- SAF [| Week 13 10/2- o/\F [Week 14 w/a = i379 (Check haere if you require an extension.) TOTAL HouRS:_ 135 7 SUMMARY: The Guided Practicum requizes 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: (You must be able to document “yes” to each question) © DoThave the required hours documented above? © Has my log been signed weekly by my Site Supervisor? Practicum/Capstone Student Signature: his form is to be submitted to your Faculty Field Instructor at the end of the Practicum or Project. 51 Site Supervisor Signature: NOTE:

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