Masters of Arts in Counseling
SCHOOL COUNSELING
INTERNSHIP (COUN 584/585) WEEKLY SUMMARY LOG
Week #
Date Week Begins
Direct Service
Total On-Site Hours this Week
Time
Spent
Indirect Service
Individual Counseling
Observations
Group Counseling
Career Counseling
Scheduling
(without student present)
Planning/Preparation
Classroom Guidance
Group Testing/Assessment
New Student Orientation
On-Site Supervision
Individual Appraisal
Information/Data Search
Teacher/Admin. Consultation
Student Record Review
Parent Consultation
Staff/Team Meeting
Other (list)
Other (list)
Total Direct Hours
Total Indirect Hours
Diverse Background
Diverse Background
Disability
Disability
Site Supervisor (please print)
Site Supervisor Signature
Time
Spent
Date
I acknowledge that checking this box electronically serves the same purpose as affixing my
original signature to this document.
Student Intern (please print)
Student Intern Signature
Date
I acknowledge that checking this box electronically serves the same purpose as affixing my
original signature to this document.