Journal Template
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:
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Time Log
Objectives
· Develop diagnoses for clients receiving psychotherapy*
· Analyze legal and ethical implications of counseling clients with psychiatric disorders*
List the objective(s) met and briefly describe the activities you completed during each time period. If you are not on-site for a specific week, enter “Not on site” for that week in the Total Hours for This Time Frame column. 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.
You are encouraged to complete your practicum hours on a regular schedule, so you will complete the required hours by the END of WEEK 11.
Time Log
Week
Dates
Times
Total Hours for This Time Frame
Activities/Comments
Learning Objective(s) Addressed
Total Hours Completed:
Journal Entries
· Include references immediately following the content.
· Use APA style for your journal entry and references.
