APPENDIX E Generated Oct 19, 2026 · Weeks of Sep 7 – Oct 12
SMWC

MS in Clinical Mental Health Counseling – On-Site Weekly Hour Log

*To be completed by the student and signed weekly by Supervisor/s. Due biweekly via Canvas for points in the Internship I course.

Student: [Your name] Site: [Internship site]
Date Direct Hours Indirect Hours Individual Sup Hours Group Sup Hours Total Clock Hours Supervisor Signature
{{r.date}} {{r.d}} {{r.i}} {{r.is}} {{r.gs}} {{r.t}} {{r.sig}}
Total Direct Total Indirect Total Indiv. Sup Total Group Sup Total Clock
Minimum 120 1/wk 1.5/wk 300
Total Hours 26 39 6 8.5 65

*Keep this in a safe place for your records. You will need it when applying for licensure.