NURS 6531 Practicum Experience Journal Template

Student Name:

E-mail Address:

Practicum Placement Agency’s Name:

Preceptor’s Name:

Preceptor’s Telephone:

Preceptor’s E-mail Address:

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Time Log

List the objective(s) met and briefly describe 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.

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