School Psychology Practicum Hours Log

General Information
Student Name
First Last
Student Email
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Supervisr Name
First Last
Supervisor Email
Enter Email Confirm Email
Site
Week
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Hidden Entry
Entry
Beginning Date of Week
MM slash DD slash YYYY
End Date of Week
MM slash DD slash YYYY
Assessment Activity
File Review
Hours
Running Total
Running %
Observation: Preschool
(3.0-5.11)
Hours
Running Total
Running %
Observation: Elementary
(6.0-12.6)
Hours
Running Total
Running %
Observation: Middle
(12.6-14.6)
Hours
Running Total
Running %
Observation: High
(14.7 and above)
Hours
Running Total
Running %
Diagnostic Interview:
Parent(s)
Hours
Running Total
Running %
Diagnostic Interview:
Student
Hours
Running Total
Running %
Diagnostic Interview:
Teacher
Hours
Running Total
Running %
Diagnostic Interview:
Other Professional(s)
Hours
Running Total
Running %
Norm-Referenced Assessment: Preschool
(3.0-5.11)
Hours
Running Total
Running %
Norm-Referenced Assessment: Elementary
(6.0-12.6)
Hours
Running Total
Running %
Norm-Referenced Assessment: Middle
(12.7-14.6)
Hours
Running Total
Running %
Norm-Referenced Assessment: High
(14.7 and above)
Hours
Running Total
Running %
Alternative Assessments:
Screening
Hours
Running Total
Running %
Alternative Assessments:
Curriculum-Based Measurement
Hours
Running Total
Running %
Alternative Assessments:
Progress Monitoring
Hours
Running Total
Running %
Alternative Assessments:
Criterion-Referenced
Hours
Running Total
Running %
Scoring and Report Writing
Hours
Running Total
Running %
Miscellaneous, Other
Hours
Running Total
Running %
Hours
Hours this Week
Running Total Section
Running % Section
Direct Interventions
Individual Counseling
Hours
Running Total
Running %
Group Counseling
Hours
Running Total
Running %
Class-Wide Social Emotional Service
Hours
Running Total
Running %
Functional Behavioral Assessments
Hours
Running Total
Running %
Behavior Support Plan/Behavior Intervention Plan
Development/ Intervention
Hours
Running Total
Running %
Academic Support Plan
Development/ Implementation
Hours
Running Total
Running %
Other Intervention Implementation/ Measurement
Hours
Running Total
Running %
Crisis Intervention
Hours
Running Total
Running %
Miscellaneous, Other
Hours
Running Total
Running %
Hours
Hours this Week
Running Total Section
Running % Section

Consultation and Collaboration
Indirect Interventions
Pre-referral/Support Team Meeting
Regular Ed
Hours
Running Total
Running %
Multidisciplinary
Team Meeting
Special Ed
Hours
Running Total
Running %
IEP/Evaluation
Team Meeting
Hours
Running Total
Running %
Parent/Family
Hours
Running Total
Running %
School Personnel
Hours
Running Total
Running %
Other Professional
Hours
Running Total
Running %
Miscellaneous, Other
Hours
Running Total
Running %
Hours
Hours this Week
Running Total Section
Running % Section
Program Evaluation and Research
Child Study/
Evaluation Planning
Hours
Running Total
Running %
Formative Evaluation of Individual Student Data
Hours
Running Total
Running %
Formative Evaluation of Groups in School
Hours
Running Total
Running %
Formative Evaluation of School-Wide Data
Hours
Running Total
Running %
Formative Evaluation of District-Wide Data
Hours
Running Total
Running %
Research
Hours
Running Total
Running %
Miscellaneous, Other
Hours
Running Total
Running %
Hours
Hours this Week
Running Total Section
Running % Section
Professional Growth and Development
Orientations
(School Setting and Organization, Programs and Community Service)
Hours
Running Total
Running %
School Staff Workshop/In-Service
(Giving)
Hours
Running Total
Running %
School Staff Workshop/In-Service
(Attending)
Hours
Running Total
Running %
Psychologist Training/ Professional Development
Hours
Running Total
Running %
Direct University Supervision
Hours
Running Total
Running %
Miscellaneous, Other
Hours
Running Total
Running %
Hours
Hours this Week
Running Total Section
Running % Section
Supervision
Must be at least one hour per week on average.
Supervision
Field
Hours
Running Total
Miscellaneous/Other
Organizational Time
Hours
Running Total
Running %
Travel
Hours
Running Total
Running %
Hours
Hours this Week
Running Total Section
Running % Section
Total Hours for Internship
Combined
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Hidden Fields
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Hidden File Review
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Hidden Observation: Preschool
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Hidden Observation: Elementary
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Hidden Observation: Middle
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Hidden Observation: High
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Hidden Diagnostic Interview: Parents
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Hidden Diagnostic Interview: Student
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Hidden Diagnostic Interview: Teacher
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Hidden Diagnostic Interview: Other Professionals
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Hidden Norm-Referenced Assessment: Preschool
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Hidden Norm-Referenced Assessment: Elementary
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Hidden Norm-Referenced Assessment: Middle
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Hidden Norm-Referenced Assessment: High
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Hidden Alternative Assessments: Screenings
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Hidden Alternative Assessments: Curriculum-Based Measurement
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Hidden Alternative Assessments: Progress Monitoring
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Hidden Alternative Assessments: Criterion-Referenced
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Hidden Scoring and Report Writing
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Hidden Miscellaneous, Other Assessment Activity
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Hidden Individual Counseling
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Hidden Group Counseling
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Hidden Class-Wide Social Emotional Services
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Hidden Functional Behavioral Assessments
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Hidden Behavior Support Plan/Behavior Intervention Plan Development/Implementation
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Hidden Academic Support Plan Development/Implementation
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Hidden Other Intervention Implementation/Measurement
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Hidden Crisis Intervention
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Hidden Miscellaneous, Other Direct Interventions
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Hidden Pre-Refferal/Support Team Meeting (Regular Ed)
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Hidden Multidisciplinary Team Meeting (Special Ed)
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Hidden IEP/Evaluation Team Meeting
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Hidden Parent/Family
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Hidden School Personnel
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Hidden Other Professional
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Hidden Miscellaneous, Other Consultation and Collaboration
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Hidden Child Study/Evaluation Planning
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Hidden Formative Evaluation of Individual Student Data
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Hidden Formative Evaluation of Groups in School
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Hidden Formative Evaluation School-Wide Data
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Hidden Formative Evaluation District-Wide Data
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Hidden Research
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Hidden Miscellaneous, Other Program Evaluation and Research
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Hidden Orientations
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Hidden School Staff Workshop/In-Service (Giving)
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Hidden School Staff Workshop/In-Service (Attending)
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Hidden Psychologist Training/Professional Meetings
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Hidden Direct University Supervision
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Hidden Miscellaneous, Other Professional Growth and Development
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Hidden Supervision
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Hidden Organizational Time
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Hidden Travel
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Hidden Assessment Activity for Week
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Hidden Direct Interventions for Week
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Hidden Consultation and Collaboration for Week
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Hidden Program Evaluation and Research for Week
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Hidden Professional Growth and Development for Week
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Hidden Miscellaneous/Other for Week

School Psychology Practicum Hours Log

School Psychology Practicum Hours Log

General Information

Week

Assessment Activity

Direct Interventions

Consultation and Collaboration

Program Evaluation and Research

Professional Growth and Development

Supervision

Miscellaneous/Other

Total Hours for Internship

Hidden Fields