Internship log sheet: Fill out & sign online

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Click ‘Get Form’ to open the Community Internship Log Form - xavier in the editor.
Begin by entering your name and social security number at the top of the form. Ensure that this information is accurate for proper record-keeping.
Fill in the date and placement site where your internship is taking place, along with the name of your site supervisor.
For each date listed, document your activities in the 'ACTIVITY' section. Be specific about what you did during your internship.
In the 'TYPE' section, select from options like Direct Service (DS), Diagnosis & Treatment (DX), Documentation (DOC), Class Meetings (CM), Supervision (S), or Other (O) based on your activities.
Record the time spent on each type of service in clock hours. Make sure to total these hours accurately for each page.
At the end of the form, review all entries and ensure they are complete before signing. Both you and your site supervisor need to sign and date the log.

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