NOTE: THIS IS THE ORDER OF PRESENTATION. DO NOT FILL IN THE BLANKS.
Name Phone Phone
Report for week ending
PART I: SUMMARY OF ACTIVITIES Time Spent
1. Description of an activity #1 Amount of time spent
2. Description of an activity #2 Amount of time spent
(Continue with this format until all activities are reported.)
Total hours for the week
Total hours to date
PART II: REMARKS
1. Progress: Discuss the progress (or lack thereof) toward attaining practicum objectives, your evaluation of your strengths and weaknesses, and what you have learned about yourself and the work you are performing.
2. Goals: Outline of your goals for the coming week.
PART III: ON-SITE SUPERVISORS SIGNATURE AND THE DATE (comments about students progress)