2005-06 Brewton-Parker College
Work-study Time-sheet: ______Federal Institutional____ Part-time
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STUDENT: |
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SOCIAL SECURITY #: |
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Campus PO Box: |
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Department: |
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First Working Day: |
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Last Working Day: |
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Time Sheets Due: |
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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
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Date |
Time In |
Time Out |
Hours Worked |
Comments (Example: class was canceled so student worked during class hour) |
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Th |
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F |
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Sa |
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Su |
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/ |
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M |
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/ |
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T |
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/ |
/ |
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W |
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Total |
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WEEK 2
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Date |
Time In |
Time Out |
Hours Worked |
Comments (Example: class was canceled so student worked during class hour) |
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Th |
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/ |
/ |
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F |
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/ |
/ |
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Sa |
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/ |
/ |
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Su |
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/ |
/ |
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M |
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/ |
/ |
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T |
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/ |
/ |
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W |
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/ |
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Total |
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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:
Student’s 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:
Supervisor’s Signature Date
BUSINESS OFFICE USE ONLY: Grand Total Hours: Checked by: /
NOTES: AMOUNT: $