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School of Social Work
APPENDIX J
MSW FIELD ACTIVITY/TIME LOG

CLICK HERE TO GET 995 SOFTWARE INSTUCTIONS. CLICK ON THE LINKS AND FOLLOW THE DOWNLOAD PROCEDURE. DOUBLE CLICK EACH FILE TO INSTALL ON YOUR COMPUTER. 1. Fill out the form completely 2. File > Print 3. Select PDF995 as your printer 4. Press OK 5. Save file on your computer (ignore software window or 'X' to clear) 6. Email and send as an attachment to the appropriate person.

Semester:         


Sun Mon Tues Wed Thurs Fri Sat Total


Sun Mon Tues Wed Thurs Fri Sat Total


Sun Mon Tues Wed Thurs Fri Sat Total


Sun Mon Tues Wed Thurs Fri Sat Total

Required Signatures:

Student_____________________________________________Date___________________________

Field Instructor_______________________________________Date__________________________



Faculty Liaison______________________________________Date__________________________