WGU Community Health Clinical Time Log for Students in Unregulated States

Use this form to document clinical hours in Community Health. Include the date, activity, location, contact (as appropriate) and time spent in hours. Upon completion of your time log, sign your time log and enter your RN License number. Attach additional sheets if needed.

Date Activity Location& Contact (as appropriate) Time Spent
Windshield Survey
10
Cultural Survey
5
Scavenger Hunt
10

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