Fieldwork Timesheet
Student name: _______________________________________________________________________________
Site name: ____________________________________________________________________________________
Fieldwork Educator: ________________________________________________________________________
Dates:
One-week concentrated __________________ Weekly extended____________________
Rotation: Level I Adult Physical Rehabilitation Required: Minimum 30 hours
| Date of Visit | Time | Hours |
Total Number of Hours: ____________________________________
Student: _____________________________________________________ Date:_________________________
Supervisor: _________________________________________________ Date: _________________________