TIME SHEET FOR MPH STUDENT PRACTICUM
Student Name:
Site Name:
Preceptor:
Phone:
Drexel First Year Advisor:
Please keep track of your practicum hours on this form and be prepared to show it to your practicum facilitator if they
request it. If you have any questions or concerns, please contact Jon Cass at (215) 762-4396 or jcass@drexel.edu. 120
hours are required for the practicum experience. The student may work additional hours at the site at their discretion
(e.g. if the student is considering doing their CBMP project at the site). Please submit this form to Jon Cass at the end of
your practicum.
Date
Hours
Worked /
Running
Total
Comments
Student
Signature
Preceptor
Signature*
Date
Hours
Worked /
Running
Total
Comments
Student
Signature
Preceptor
Signature*
*signature of another staff member at the site designated
by the Preceptor is acceptable if Preceptor is not available