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:
(Continued next page)
Time Log
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.
Practicum Experience Time Log and Journal Template
