Internship Time Sheet

	Timesheet Human Services Program Forms.HSPFieldStudies@wwu.edu	#New Form

Sudent Last Name:

First Name:

Quarter:

Year:

Agency Name:

Field Supervisor Name:

This Intern has completed

supervised hours in internship as of

I anticipate that this intern will complete the required 120 hours for this quarter by (mm/dd/yyyy)

Field Supervisor Signature:

Date:

Student Intern Signature:

Date:

University Instructor Signature:

Date:

Routing Instructions

	Routing Instructions: Make Sure to Fill out All Fields for Your section before Submission to Forms.HSPFieldStudies@wwu.edu
	Student submits form to Forms.HSPFieldStudies@wwu.edu
	FORMS (Field Studies) approves or disapproves and sends back to the student email
	Student submits the form link into their CANVAS assignment for that Form (per their instructor)
	Faculty opens form from the Canvas assignment, approves or disapproves, and submits form to Forms.HSPFieldStudies@wwu.edu
	FORMS (Field Studies) then locks the form and no further changes can occur. Questions? Contact HSP.FieldStudies@wwu.edu; or 360-650-4655

Signatures and Attachments

The submitter may optionally enter their email address below. Press SUBMIT to send it.

Your Email Address: