Internship Program Work Hours Log

Please print or type legibly. Turn in form to your faculty coordinator at the end of your internship.

Intern __________________________________________

Term ______________________________

Internship Site ____________________________________

Supervisor _________________________

Week Beginning

Mon.

Tues.

Wed.

Thurs.

Fri.

Sat.

Sun.

Total

Total Hours Worked: __________

I verify that the hours listed above are accurate.

Intern’s Signature______________________________________________

Date________

Supervisor’s Signature__________________________________________

Date________

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Parent category: Miscellaneous