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Community Internship Log Form - xavier 2026
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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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