http://www.uakron.edu/colleges/educ/docs/supvhours.doc
Record of Direct Team Hours Worksheet
This sheet is for recording a running total of team (behind the mirror) hours. Please
provide a copy to your supervisor at the end of each semester. You will also need to put
the total for each individual section on your Clinical Activity Form at the end of each
semester.
NAME:
Date
Client#
SEMESTER:
SUPERVISOR:
Group
Individual
Couple
Date
Trainee Signature
Date
Supervisor Signature
Family
Group Supervision Worksheet
This sheet for recording group supervision hours is for your convenience. You are only
required to record the total hours from each section, and turn in a Clinical Activity form
at the end of each semester.
Date
Supervisor
Record Number of Supervision Hours
Case Report
Live
(Consultation)
Video
Individual Supervision Hours Worksheet
This sheet for recording individual supervision hours is for your convenience—you do
not have to turn this in—only the total from each section on the “Clinical Activity Form
at the end of each semester.
Date
Supervisor
Record Number of Supervision Hours
Case Report
Live
(Consultation)
Video