Student Name:

E-mail Address:

Practicum Placement Agency’s Name:

Preceptor’s Name:

Preceptor’s Telephone:

Preceptor’s E-mail Address:

List the objective(s) met and briefly describe the activities you completed during each time period. 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.

Learning Objectives

Students will:

· Apply documentation skills to examine family therapy sessions *

· Develop diagnoses for clients receiving family psychotherapy *

· Analyze legal and ethical implications of counseling clients with psychiatric disorders *

Time Log
Week	Dates	Times	Total Hours for This Time Frame	Activities/Comments	Learning Objective(s) Addressed

Total Hours Completed:

 

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Journal Entries

· Include references immediately following the content.

· Use APA style for your journal entry and references.