Practicum Experience Time Log and Journal Template
Student Name:
E-mail Address:
Practicum Placement Agency’s Name:
Preceptor’s Name:
Preceptor’s Telephone:
Preceptor’s E-mail Address:
List the objective(s) met and briefly describe the activities you completed during each time period. Journal entries are due in Weeks 4, 8, and 11; include your Time Log with all hours logged (for current and previous weeks) each time you submit a journal entry.
Learning Objectives
Students will:
· Apply documentation skills to examine family therapy sessions *
· Develop diagnoses for clients receiving family psychotherapy *
· Analyze legal and ethical implications of counseling clients with psychiatric disorders *
| Time Log | |||||
| Week | Dates | Times | Total Hours for This Time Frame | Activities/Comments | Learning Objective(s) Addressed |