Loyola University School of Social Work

Field Placement - Monthly Time Sheet

Student: _______________________________________________

Date: _____________ Agency: ___________________________________

___BSW ____1st level ___Advanced Standing ___MSW 2nd level

___ CADC ____ Type 73- Post MSW

Directions: Record total number of daily hours you reported for work at your agency.
Travel to and from agency and lunch time are not counted in the total hours. Note that
BSW & 1st level placements require a minimum of 480 hours & 2nd level & Advanced
Standing require a minimum of 720 hours. CADC placements require 500 hours.

Date Start Time End Time Total Hours

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Student Signature____________________________ Date________________

Field Instructor Signature______________________ Date________________

Please make sure that the:

 Both supervisor and student keep a copy
 Student emails time logs with evaluation signed by student and to the Loyola Field Coordinator