Appendix I: Field Placement Timesheet
CALIFORNIA STATE UNIVERSITY, BAKERSFIELD
Department of Social Work
Students need to keep accurate track of the time spent at their placement. Fill out this
time sheet and submit it to the Field Seminar instructor at the end of each month.
Month___________________
Print Name: __________________________
Cumulative hours, beginning of month: _______
Date
Time in
Time out
Total Hrs
Supervisor initials
Total hours for month: _________
Cumulative hours, end of month: _______
_____________________________
Student Signature
_____________________________________
FI/Task Supervisor Signature
Reviewed by Seminar Instructor