2005-06 Brewton-Parker College

Work-study Time-sheet: ______Federal        Institutional____ Part-time

 

STUDENT:

 

SOCIAL SECURITY #:

 

Campus PO Box:

 

Department:

 

 

First Working Day:

 

Last Working Day:

 

Time Sheets Due:

 

 

Note:  Time sheets not turned in by 5:00 p.m. on the due date will be held over until the next pay period.

Record date and time worked for each week.

Week 1                                                                                             

 

Date

Time In

Time Out

Hours Worked

Comments    (Example: class was canceled so student worked during class hour)

Th

 

          /

            /

 

 

F

 

          /

            /

 

 

Sa

 

          /

            /

 

 

Su

 

          /

            /

 

 

M

 

          /

            /

 

 

T

 

          /

            /

 

 

W

 

          /

            /

 

 

 

 

 

Total

 

 

 

 

 

 

WEEK 2                                                                                 

 

Date

Time In

Time Out

Hours Worked

Comments     (Example: class was canceled so student worked during class hour)

Th

 

          /

            /

 

 

F

 

          /

            /

 

 

Sa

 

          /

            /

 

 

Su

 

          /

            /

 

 

M

 

          /

            /

 

 

T

 

          /

            /

 

 

W

 

          /

            /

 

 

 

 

 

Total

 

 

 

If you purposely give false or misleading information on this report, you may receive a $10,000 fine, a prison sentence or both.

 

STUDENT: I certify by my signature that I have worked the number of hours reported on this timesheet with the above stated department:                                   

                                                                                                                                                           

                                        Studentís Signature                                       Date

 

SUPERVISOR: I certify by my signature that I supervised the work of the above stated student for the number of hours reported and that he/she performed the work to my satisfaction:

 

                                                                                                                                                           

                                      Supervisorís Signature                                  Date

 

BUSINESS OFFICE USE ONLY:   Grand Total Hours:                         Checked by:              /                      

 

NOTES:                                                                      AMOUNT: $