Clinical Intern Timesheet

Use this form to track your attendance in your culminating clinical practice placement. Please have the form signed by your cooperating teacher, mentor or school administrator.

It is the teacher candidate’s responsibility to ensure timesheets are submitted correctly, with approval and on time. Please see the calendar for submission deadlines to the Office of Clinical Experiences & Applied Research.

The form can be scanned or sent as a screen shot by email to or it can be faxed to 973-761-7642.

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