TIME SHEET
SOCIAL WORK PRACTICUM
Student
•
•
•
Agency, Location
Round off time to the nearest quarter (¼) hour.*
Practicum requires 450 clock hours (Do not include lunch, holidays, sick days, seminar, travel to/from home, etc.)
One time sheet can be used for the dates between seminars and should be submitted at each seminar meeting.
Total hours from previous time sheet:
Week
No.
Date
*Time In-Out
Hrs./day
Subtotal
1
1/18/11
8:00-4:30
8
8
1
1/19/11
8:00-4:30
8
16
1
1/20/11
8:30-4:30
7.5
23.5
1
1/21/11
0
23.5
2
1/24/11
8:30-4:30
7.5
31
2
1/25/11
8:00-4:30
8
39
2
1/26/11
8:00-4:30
8
47
2
1/27/11
8:00-12:00
4
51
2
1/27/11
0
51
Note supervisory meetings, absences, other
special events
Seminar class
Left early for medical reasons.
Ill. Did not go to agency.
Total hours to date:
Agency Field Instructor Signature
Department of Social Work | Western Illinois University
51
Date
Time Sheet: 07/07