Journal Template
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
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