CGH306:SupervisedFieldTraininginPublicHealth
ClaremontGraduateUniversityMPHProgram
FIELDTRAININGTIMEREPORT
StudentName: ______________________________
DAYOFTHEWEEK
Site:______________________________________ TimePeriod:_________to_________
DATE
TOTALHOURSWORKED
Friday
Saturday
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Monday
Tuesday
Wednesday
Thursday
TOTALHOURS
StudentSignature:
__________________________________________ Date:___/___/___
Iherebycertifythatthistimereportisatruestatementofhoursworkedbythisstudent,andthattheworkhas
beenperformedinasatisfactorymanner.
SupervisorSignature:_______________________________________ Date:___/___/___