Faculty to Student Communication Log
OCCUPATIONAL INTERNSHIP FACULTY TO STUDENT COMMUNICATION LOGTo be filled out by faculty
Semester:
Instructor Name:
Student Name:
Student ID #:
Course #: Section #: Units:
DATE
HOURS WORKED
PARTICIPATION SUMMARY
Ex. 08/19/2013
1
Met with student to go over training plan
Total Hours:
*Total Hours worked by faculty should not exceed 5 hours
Faculty Advisors Signature:
Units
Unpaid
Paid
1
60-119
75-149
2
120-179
150-224
3
180-239
225-299
4
240+
300+
Total number of hours completed by student:
Verified by:
click to sign
signature
click to edit
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