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Field Practicum Process Recording Log Student Name: Placement: Field Instructor: Field Liaison: *Please give your clients a pseudonym, use a code or initials to protect anonymity. It is the responsibility of the student to obtain the signature of the Field Instructor. F A L L 2019 PR # Date Submitted Date Discussed Field Instructor Signature Student Signature Recording Type Comments 1 2 3 4 5 6 7 8 S P R I N G 2020 1 2 3 4 5 6 7 8 Field Instructor Signature: Date: Student Signature: Date:

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Page 1: Field Practicum Process Recording LogField Practicum Process Recording Log Student Name: Placement: Field Instructor: Field Liaison: *Please give your clients a pseudonym, use a code

FieldPracticumProcessRecordingLog

StudentName: Placement: FieldInstructor: FieldLiaison:

*Pleasegiveyourclientsapseudonym,useacodeorinitialstoprotectanonymity.

ItistheresponsibilityofthestudenttoobtainthesignatureoftheFieldInstructor.

FALL

2019

PR#

DateSubmitted

DateDiscussed

FieldInstructorSignature

StudentSignature

RecordingType Comments

1

2

3

4

5

6

7

8

SPRING

2020

1

2

3

4

5

6

7

8

FieldInstructorSignature: Date: StudentSignature: Date:

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