Internship Clinical Hours Log
Clinical Pastoral Education International
Directions:
A 24 Hour Clock
is used to correctly calculate hours. You can also enter 1/2 hours (30 minutes) as 1330 as an example.
Calculate the total time
you spent on meals and breaks and add that to the Meals Section. For example, if you spent 1 hour for lunch, you might include 1200-1300. However, if you spent lunch and dinner at work, you might include: 1200-1400 (2-hour period). The specific time is not important.
A separate internship
(clinical) hours log is required for each internship (clinical) site.
Posting in Populi
: You will receive a PDF copy by email, which must be inserted in your weekly Populi Assignments.
The items with an orange star are required fields.
12-Hour to 24-Hour Equivalents
Date of Internship (Clinical) Hours - Week (Monday-Sunday)
*
CPEI Affiliate Organization Campus.
*
This is the organization where you enrolled for CPE training.
Student Name
*
First Name
Last Name
Student Email
*
example@example.com
Internship (Clinical) Site
*
Name of the internship (clinical) site.
Internship (Clinical) Site Coordinator
*
First Name
Last Name
Internship Site Coordinator Email
*
example@example.com
MONDAY: In-Out
Hour Minutes
Until
until
Hour Minutes
Total 0.0
Monday Meals and Breaks Times (Calculate the total time)
Hour Minutes
Until
until
Hour Minutes
Total 0.0
Monday Total Hours
The total hours will auto calculate.
TUESDAY In-Out
Hour Minutes
Until
until
Hour Minutes
Total 0.0
Tuesday Meals and Breaks Times (Calculate the total time)
Hour Minutes
Until
until
Hour Minutes
Total 0.0
Tuesday Total Hours
The total hours will auto calculate.
Wednesday In-Out
Hour Minutes
Until
until
Hour Minutes
Total 0.0
Wednesday Meals and Breaks Times (Calculate the total time)
Hour Minutes
Until
until
Hour Minutes
Total 0.0
Wednesday Total Hours
The total hours will auto calculate.
Thursday In-Out
Hour Minutes
Until
until
Hour Minutes
Total 0.0
Thursday Meals and Breaks Times (Calculate the total time)
Hour Minutes
Until
until
Hour Minutes
Total 0.0
Thursday Total Hours
The total hours will auto calculate.
Friday In-Out
Hour Minutes
Until
until
Hour Minutes
Total 0.0
Friday Meals and Breaks Times (Calculate the total time)
Hour Minutes
Until
until
Hour Minutes
Total 0.0
Friday Total Hours
The total hours will auto calculate.
Saturday In-Out
Hour Minutes
Until
until
Hour Minutes
Total 0.0
Saturday Meals and Breaks Times (Calculate the total time)
Hour Minutes
Until
until
Hour Minutes
Total 0.0
Saturday Total Hours
The total hours will auto calculate.
SUNDAY: In and Out
Hour Minutes
Until
until
Hour Minutes
Total 0.0
Sunday Meals and Breaks Times (Calculate the total time)
Hour Minutes
Until
until
Hour Minutes
Total 0.0
Sunday Total Hours
The total hours will auto calculate.
This Weeks Total Internship (Clinical) Hours Minus Meals
The total weekly hours will auto calculate.
CPEI Student: By checking below, you are stating that the above hours accurately represent the time you spent in the internship (Clinical) setting for the week.
*
I attest to the hours logged above
Submit
Should be Empty: