Uwf Social Work Log Of Field Hours

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UWF Social Work Log of Field Hours
Student: ________________________ BSW Senior___ MSW Foundation___ MSW Clinical____
Agency:__________________________________ Field Instructor____________________________
Semester: ________________
The student should keep this log of hours spent in the field internship. The Field Instructor (F.I.) and Task
Supervisor (T.S), if applicable, should initial the hours weekly. At the end of the internship, this form should be
signed by the student, F.I. and TS, if applicable, and submitted at the last seminar by the student.
Week
Dates of
# Hours
# Hours
# Hours
# Hours
# Hours
Total
Total
Supervision
F.I.
T.S.
Hours
Hours
Week
Day 1
Day 2
Day 3
Day 4
Day 5
Date &
Initials
Initials
This
to
Time with
Week
Date
F.I.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Please sign after all hours are completed:
Field Instructor Signature & Date ________________________________________________
Task Instructor Signature & Date_________________________________________________
Student Signature & Date________________________________________________________

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