| |
Weekly Hours |
Totals
|
| Academic Work |
|
|
| Attend Classes = number of credit hours this term |
_______________ |
|
| Do homework/study for exams - |
|
|
| Term credit hours ____x 2 hours each week |
_______________ |
|
| Commute to and from campus |
_______________ |
|
| Total academic work hours |
|
_______________
|
| |
|
|
| Employment |
|
|
| Work at job |
_______________
|
|
| Commute to and from job |
_______________
|
|
| Total employment hours |
|
_______________
|
| |
|
|
| Health and Personal Maintenance |
|
|
| Bathe, groom, and dress: ____ hours/day x 7 days |
_______________
|
|
| Eat breakfast, lunch, and dinner: ____ hours/day x 7 days |
_______________
|
|
| Sleep: ____ hours x 7 days |
_______________
|
|
| Exercise |
_______________
|
|
| Total health and personal maintenance hours |
|
_______________
|
| |
|
|
| Family and Home Activities |
|
|
| Spend time with family or be alone for quiet time |
_______________
|
|
| Perform care-giving responsibilities |
_______________
|
|
| Clean, do laundry, shop, etc. |
_______________
|
|
| Total family and home activities hours |
|
_______________
|
| |
|
|
| Membership and Service Participation |
|
|
| Attend religious group; volunteer work |
_______________
|
|
| Attend meeting and participate in activities |
_______________
|
|
| Total membership and service hours |
|
_______________
|
| |
|
|
| Recreation and Leisure |
|
|
| Go to movies, watch TV, and talk on phone |
_______________
|
|
| Attend social events and parties |
_______________
|
|
| Total recreation and leisure hours |
|
_______________
|
| |
|
|
| Total hours in week = 168. Total weekly hours to meet goals |
|
_______________
|
