2-15-10
Social Work Department
MSW Field Practicum
Weekly Activities Log
For each week the student is in the field, a Weekly Activities Log should be completed and kept in the Field Portfolio.
Student Name _________________________________ Semester/Year ____________
Agency ____________________________ Program (if applicable) _________________
Type of Placement:
____ Foundation 553 (17.5 hours/week = 260 hours/semester)
____ AGP Field 555 (16 hours/week = 240 hours/semester)
____ AGP Field 557 (16 hours/week = 160 hours/semester)
____ AGP Field 559 (16 hours/week = 240 hours/semester)
Day
Times
worked
(indicate am & pm)
# Hours
List of Activities*
(include scheduled field supervision)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
* See attached list of suggested field activities
Week of : _____________ Total Hours for week: ________ Cumulative Hours: _________
________________________________ __________________________________
Signature of Student Signature of Field Instructor
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signature
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signature
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