WEEKLY INTERNSHIP ACTIVITIES LOG

COURSE: _______________         TERM: ________     INTERN: ____________________

Date

Activity Code

Description of Activities

Hours Required

Reviewer’s Initials
   

 

    
         
     To download a copy of this form: Click Here    
    The activity log was created using Ms Word. Once downloaded, simply begin typing in the first field, pressing the TAB to advance to the next field.    
         
         
         
         
         
         

TOTAL HOURS FOR THE WEEK

    

Cumulative Total - To Date

    

Activity Code: A – Supervisor performed             B – Intern performed     C – Intern performed
                                while intern observed/assisted           under supervision             without supervision