School Psychology Practicum Hours Log School Psychology Practicum Hours Log 12 General InformationStudent Name First Last Student Email Enter Email Confirm Email Supervisr Name First Last Supervisor Email Enter Email Confirm Email Site WeekHiddenHidden EntryEntryBeginning Date of Week MM slash DD slash YYYY End Date of Week MM slash DD slash YYYY Assessment ActivityFile Review HoursRunning TotalRunning %Observation: Preschool (3.0-5.11)HoursRunning TotalRunning %Observation: Elementary (6.0-12.6)HoursRunning TotalRunning %Observation: Middle (12.6-14.6)HoursRunning TotalRunning %Observation: High (14.7 and above)HoursRunning TotalRunning %Diagnostic Interview: Parent(s)HoursRunning TotalRunning %Diagnostic Interview: StudentHoursRunning TotalRunning %Diagnostic Interview: TeacherHoursRunning TotalRunning %Diagnostic Interview: Other Professional(s)HoursRunning TotalRunning %Norm-Referenced Assessment: Preschool (3.0-5.11)HoursRunning TotalRunning %Norm-Referenced Assessment: Elementary (6.0-12.6)HoursRunning TotalRunning %Norm-Referenced Assessment: Middle (12.7-14.6)HoursRunning TotalRunning %Norm-Referenced Assessment: High (14.7 and above)HoursRunning TotalRunning %Alternative Assessments: ScreeningHoursRunning TotalRunning %Alternative Assessments: Curriculum-Based MeasurementHoursRunning TotalRunning %Alternative Assessments: Progress Monitoring HoursRunning TotalRunning %Alternative Assessments: Criterion-ReferencedHoursRunning TotalRunning %Scoring and Report WritingHoursRunning TotalRunning %Miscellaneous, OtherHoursRunning TotalRunning %HoursHours this WeekRunning Total SectionRunning % SectionDirect InterventionsIndividual CounselingHoursRunning TotalRunning %Group CounselingHoursRunning TotalRunning %Class-Wide Social Emotional ServiceHoursRunning TotalRunning %Functional Behavioral AssessmentsHoursRunning TotalRunning %Behavior Support Plan/Behavior Intervention Plan Development/ InterventionHoursRunning TotalRunning %Academic Support Plan Development/ ImplementationHoursRunning TotalRunning %Other Intervention Implementation/ MeasurementHoursRunning TotalRunning %Crisis InterventionHoursRunning TotalRunning %Miscellaneous, OtherHoursRunning TotalRunning %HoursHours this WeekRunning Total SectionRunning % Section Consultation and CollaborationIndirect InterventionsPre-referral/Support Team MeetingRegular EdHoursRunning TotalRunning %Multidisciplinary Team Meeting Special EdHoursRunning TotalRunning %IEP/Evaluation Team MeetingHoursRunning TotalRunning %Parent/FamilyHoursRunning TotalRunning %School PersonnelHoursRunning TotalRunning %Other ProfessionalHoursRunning TotalRunning %Miscellaneous, OtherHoursRunning TotalRunning %HoursHours this WeekRunning Total SectionRunning % SectionProgram Evaluation and ResearchChild Study/Evaluation PlanningHoursRunning TotalRunning %Formative Evaluation of Individual Student DataHoursRunning TotalRunning %Formative Evaluation of Groups in SchoolHoursRunning TotalRunning %Formative Evaluation of School-Wide DataHoursRunning TotalRunning %Formative Evaluation of District-Wide DataHoursRunning TotalRunning %ResearchHoursRunning TotalRunning %Miscellaneous, OtherHoursRunning TotalRunning %HoursHours this WeekRunning Total SectionRunning % SectionProfessional Growth and DevelopmentOrientations (School Setting and Organization, Programs and Community Service) HoursRunning TotalRunning %School Staff Workshop/In-Service (Giving)HoursRunning TotalRunning %School Staff Workshop/In-Service (Attending)HoursRunning TotalRunning %Psychologist Training/ Professional DevelopmentHoursRunning TotalRunning %Direct University SupervisionHoursRunning TotalRunning %Miscellaneous, OtherHoursRunning TotalRunning %HoursHours this WeekRunning Total SectionRunning % SectionSupervisionMust be at least one hour per week on average. SupervisionFieldHoursRunning TotalMiscellaneous/OtherOrganizational TimeHoursRunning TotalRunning %TravelHoursRunning TotalRunning %HoursHours this WeekRunning Total SectionRunning % SectionTotal Hours for InternshipCombinedHiddenHidden FieldsHiddenHidden File ReviewHiddenHidden Observation: PreschoolHiddenHidden Observation: ElementaryHiddenHidden Observation: MiddleHiddenHidden Observation: HighHiddenHidden Diagnostic Interview: ParentsHiddenHidden Diagnostic Interview: StudentHiddenHidden Diagnostic Interview: TeacherHiddenHidden Diagnostic Interview: Other ProfessionalsHiddenHidden Norm-Referenced Assessment: PreschoolHiddenHidden Norm-Referenced Assessment: ElementaryHiddenHidden Norm-Referenced Assessment: MiddleHiddenHidden Norm-Referenced Assessment: HighHiddenHidden Alternative Assessments: ScreeningsHiddenHidden Alternative Assessments: Curriculum-Based MeasurementHiddenHidden Alternative Assessments: Progress MonitoringHiddenHidden Alternative Assessments: Criterion-ReferencedHiddenHidden Scoring and Report WritingHiddenHidden Miscellaneous, Other Assessment ActivityHiddenHidden Individual CounselingHiddenHidden Group CounselingHiddenHidden Class-Wide Social Emotional ServicesHiddenHidden Functional Behavioral AssessmentsHiddenHidden Behavior Support Plan/Behavior Intervention Plan Development/ImplementationHiddenHidden Academic Support Plan Development/ImplementationHiddenHidden Other Intervention Implementation/MeasurementHiddenHidden Crisis InterventionHiddenHidden Miscellaneous, Other Direct InterventionsHiddenHidden Pre-Refferal/Support Team Meeting (Regular Ed)HiddenHidden Multidisciplinary Team Meeting (Special Ed)HiddenHidden IEP/Evaluation Team MeetingHiddenHidden Parent/FamilyHiddenHidden School PersonnelHiddenHidden Other ProfessionalHiddenHidden Miscellaneous, Other Consultation and CollaborationHiddenHidden Child Study/Evaluation PlanningHiddenHidden Formative Evaluation of Individual Student DataHiddenHidden Formative Evaluation of Groups in SchoolHiddenHidden Formative Evaluation School-Wide DataHiddenHidden Formative Evaluation District-Wide DataHiddenHidden ResearchHiddenHidden Miscellaneous, Other Program Evaluation and ResearchHiddenHidden OrientationsHiddenHidden School Staff Workshop/In-Service (Giving)HiddenHidden School Staff Workshop/In-Service (Attending)HiddenHidden Psychologist Training/Professional MeetingsHiddenHidden Direct University SupervisionHiddenHidden Miscellaneous, Other Professional Growth and DevelopmentHiddenHidden SupervisionHiddenHidden Organizational TimeHiddenHidden TravelHiddenHidden Assessment Activity for WeekHiddenHidden Direct Interventions for WeekHiddenHidden Consultation and Collaboration for WeekHiddenHidden Program Evaluation and Research for WeekHiddenHidden Professional Growth and Development for WeekHiddenHidden Miscellaneous/Other for Week Δ
