Printed Name: __________________________________
Student ID: ________________________________
Registered Nursing Clinical Timesheet
Circle and highlight the clinical rotation this timesheet is for:
Fundamentals 4th Med/Surg 4th Mental Health 5th Med/Surg 5th OB/PEDS 6th Med/Surg
Days
Date
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Weekly
Total
Time In
Lunch Out
Lunch In
Time Out
Hours
Student Signature:
_____________________________________________________________________________
Instructor Signature:
_____________________________________________________________________________
Comments: ______________________________________________________________________________________________
TIME SHEETS MUST BE TURNED IN ON A WEEKLY BASIS
Date Created: 06.29.15
Faculty approval: 06.29.15
Revised: 01.19.16