Practicum Experience Time Log and Journal Template

Student Name: Tania Gonzalez Diaz

E-mail Address: tania.gonzalezdiaz@waldenu.edu

Practicum Placement Agency’s Name: Private Practice Kenia Castro MD.PA.

Preceptor’s Name: Kenia Castro

Preceptor’s Telephone: (305) 5194916

Preceptor’s E-mail Address: keniacastromdpa@gmail.com

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Time Log

Objectives#9:Psychotherapy With Children and Adolescents

Assess clients presenting with disruptive behavior

Analyze therapeutic approaches for treating clients presenting with disruptive behavior

Evaluate outcomes for clients presenting with disruptive behavior

List AND COMPLETE the 8 objective(s) met and Briefly Describe 8 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.