america reads / america counts · 2018-08-23 · please note: when submitting a revision, the...
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AMERICA READS / AMERICA COUNTS Time Report
Student Name
Site/Agency PP# 02 Begin-End Dates 7/2/18 - 7/15/18 (SUMMER 2)
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 07/02/18
TUESDAY 07/03/18
WEDNESDAY 07/04/18
THURSDAY 07/05/18
FRIDAY 07/06/18
SATURDAY 07/07/18
SUNDAY 07/08/18Week 1 TOTAL
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 07/09/18
TUESDAY 07/10/18
WEDNESDAY 07/11/18
THURSDAY 07/12/18
FRIDAY 07/13/18
SATURDAY 07/14/18
SUNDAY 07/15/18Week 2 TOTAL
Pay Period TOTAL
_____REVISION
to time sheet submitted ___ /____/___._ EMPLOYEE'S SIGNATURE DATE Date
APPROVED BY: SITE SUPERVISOR DATE Employee signature Date
This form is to be completed on a daily basis and it must be received by the department with the appropriate signatures prior to the authorization for payment of hours on the regular Payroll Time Sheet. The employee must account for all of the time she/he is scheduled to work during each pay period on this Time Report. Do not include unpaid lunch periods. Do not include unpaid commute times.
Supervisor signature Date
Please note: When submitting a revision, the revised time sheet REPLACES the previous submission. For this reason, please be sure to indicate ALL time worked during the applicable pay period.
By signing, I certify that this Time Report is an accurate and complete record of time actually worked during this period. Reasons for any absences are correctly stated by me and I hereby request any applicable pay for the absences as prescribed by any specific policies and regulations involved in accordance with applicable University policies.
THIS FORM MUST BE RETAINED IN THE DEPARTMENTAL FILES FOR THREE YEARS
Time Report Due 7/11/2018Please fax completed time report to (269) 387-2555.
Student Name
Site/Agency
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 07/16/18
TUESDAY 07/17/18
WEDNESDAY 07/18/18
THURSDAY 07/19/18
FRIDAY 07/20/18
SATURDAY 07/21/18
SUNDAY 07/22/18Week 1 TOTAL
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 07/23/18
TUESDAY 07/24/18
WEDNESDAY 07/25/18
THURSDAY 07/26/18
FRIDAY 07/27/18
SATURDAY 07/28/18
SUNDAY 07/29/18Week 2 TOTAL
Pay Period TOTAL
_____REVISION
to time sheet submitted ___/___/___nEMPLOYEE'S SIGNATURE DATE Date
APPROVED BY: SITE SUPERVISOR DATE Employee signature Date
This form is to be completed on a daily basis and it must be received by the department with the appropriate signatures prior to the authorization for payment of hours on the regular Payroll Time Sheet. The employee must account for all of the time she/he is scheduled to work during each pay period on this Time Report. Do not include unpaid lunch periods. Do not include unpaid commute times.
Supervisor signature Date
Please note: When submitting a revision, the revised time sheet REPLACES the previous submission. For this reason, please be sure to indicate ALL time worked during the applicable pay period.
By signing, I certify that this Time Report is an accurate and complete record of time actually worked during this period. Reasons for any absences are correctly stated by me and I hereby request any applicable pay for the absences as prescribed by any specific policies and regulations involved in accordance with applicable University policies.
THIS FORM MUST BE RETAINED IN THE DEPARTMENTAL FILES FOR THREE YEARS
Time Report Due 7/25/2018Please fax completed time report to (269) 387-2555.
PP# 04 Begin-End Dates 7/16/18 - 7/29/18 (SUMMER 2)
AMERICA READS / AMERICA COUNTS Time Report
Student Name
Site/Agency
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 07/30/18
TUESDAY 07/31/18
WEDNESDAY 08/01/18
THURSDAY 08/02/18
FRIDAY 08/03/18
SATURDAY 08/04/18
SUNDAY 08/05/18Week 1 TOTAL
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 08/06/18
TUESDAY 08/07/18
WEDNESDAY 08/08/18
THURSDAY 08/09/18
FRIDAY 08/10/18
SATURDAY 08/11/18
SUNDAY 08/12/18Week 2 TOTAL
Pay Period TOTAL
_____REVISION
to time sheet submitted ___/___/____. EMPLOYEE'S SIGNATURE DATE Date
APPROVED BY: SITE SUPERVISOR DATE Employee signature Date
This form is to be completed on a daily basis and it must be received by the department with the appropriate signatures prior to the authorization for payment of hours on the regular Payroll Time Sheet. The employee must account for all of the time she/he is scheduled to work during each pay period on this Time Report. Do not include unpaid lunch periods. Do not include unpaid commute times.
Supervisor signature Date
Please note: When submitting a revision, the revised time sheet REPLACES the previous submission. For this reason, please be sure to indicate ALL time worked during the applicable pay period.
By signing, I certify that this Time Report is an accurate and complete record of time actually worked during this period. Reasons for any absences are correctly stated by me and I hereby request any applicable pay for the absences as prescribed by any specific policies and regulations involved in accordance with applicable University policies.
THIS FORM MUST BE RETAINED IN THE DEPARTMENTAL FILES FOR THREE YEARS
Time Report Due 8/8/2018Please fax completed time report to (269) 387-2555.
PP# 06 Begin-End Dates 7/30/18 - 8/12/18 (SUMMER 2)
AMERICA READS / AMERICA COUNTS Time Report
Student Name
Site/Agency
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 08/13/18
TUESDAY 08/14/18
WEDNESDAY 08/15/18
THURSDAY 08/16/18
FRIDAY 08/17/18
SATURDAY 08/18/18
SUNDAY 08/19/18Week 1 TOTAL
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 08/20/18
TUESDAY 08/21/18
WEDNESDAY 08/22/18
THURSDAY 08/23/18
FRIDAY 08/24/18
SATURDAY 08/25/18
SUNDAY 08/26/18Week 2 TOTAL
Pay Period TOTAL
_____REVISION
to time sheet submitted ___ /____/___._ EMPLOYEE'S SIGNATURE DATE Date
APPROVED BY: SITE SUPERVISOR DATE Employee signature Date
This form is to be completed on a daily basis and it must be received by the department with the appropriate signatures prior to the authorization for payment of hours on the regular Payroll Time Sheet. The employee must account for all of the time she/he is scheduled to work during each pay period on this Time Report. Do not include unpaid lunch periods. Do not include unpaid commute times.
Supervisor signature Date
Please note: When submitting a revision, the revised time sheet REPLACES the previous submission. For this reason, please be sure to indicate ALL time worked during the applicable pay period.
By signing, I certify that this Time Report is an accurate and complete record of time actually worked during this period. Reasons for any absences are correctly stated by me and I hereby request any applicable pay for the absences as prescribed by any specific policies and regulations involved in accordance with applicable University policies.
THIS FORM MUST BE RETAINED IN THE DEPARTMENTAL FILES FOR THREE YEARS
Time Report Due 8/22/2018Please fax completed time report to (269) 387-2555.
PP# 08 Begin-End Dates 8/13/18 - 8/26/18 (SUMMER 2)
AMERICA READS / AMERICA COUNTS Time Report
Student Name
Site/Agency
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 08/27/18
TUESDAY 08/28/18
WEDNESDAY 08/29/18
THURSDAY 08/30/18
FRIDAY 08/31/18
SATURDAY 09/01/18
SUNDAY 09/02/18Week 1 TOTAL
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 09/03/18
TUESDAY 09/04/18
WEDNESDAY 09/05/18
THURSDAY 09/06/18
FRIDAY 09/07/18
SATURDAY 09/08/18
SUNDAY 09/09/18Week 2 TOTAL
Pay Period TOTAL
_____REVISION
to time sheet submitted ___ /____/___._ EMPLOYEE'S SIGNATURE DATE Date
APPROVED BY: SITE SUPERVISOR DATE Employee signature Date
This form is to be completed on a daily basis and it must be received by the department with the appropriate signatures prior to the authorization for payment of hours on the regular Payroll Time Sheet. The employee must account for all of the time she/he is scheduled to work during each pay period on this Time Report. Do not include unpaid lunch periods. Do not include unpaid commute times.
Supervisor signature Date
Please note: When submitting a revision, the revised time sheet REPLACES the previous submission. For this reason, please be sure to indicate ALL time worked during the applicable pay period.
By signing, I certify that this Time Report is an accurate and complete record of time actually worked during this period. Reasons for any absences are correctly stated by me and I hereby request any applicable pay for the absences as prescribed by any specific policies and regulations involved in accordance with applicable University policies.
THIS FORM MUST BE RETAINED IN THE DEPARTMENTAL FILES FOR THREE YEARS
Time Report Due 9/5/2018Please fax completed time report to (269) 387-2555.
PP# 10 Begin-End Dates 8/27/18 - 9/09/18 (FALL)
AMERICA READS / AMERICA COUNTS Time Report
Student Name
Site/Agency
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 09/10/18
TUESDAY 09/11/18
WEDNESDAY 09/12/18
THURSDAY 09/13/18
FRIDAY 09/14/18
SATURDAY 09/15/18
SUNDAY 09/16/18Week 1 TOTAL
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 09/17/18
TUESDAY 09/18/18
WEDNESDAY 09/19/18
THURSDAY 09/20/18
FRIDAY 09/21/18
SATURDAY 09/22/18
SUNDAY 09/23/18Week 2 TOTAL
Pay Period TOTAL
_____REVISION
to time sheet submitted ___/___/___nEMPLOYEE'S SIGNATURE DATE Date
APPROVED BY: SITE SUPERVISOR DATE Employee signature Date
This form is to be completed on a daily basis and it must be received by the department with the appropriate signatures prior to the authorization for payment of hours on the regular Payroll Time Sheet. The employee must account for all of the time she/he is scheduled to work during each pay period on this Time Report. Do not include unpaid lunch periods. Do not include unpaid commute times.
Supervisor signature Date
Please note: When submitting a revision, the revised time sheet REPLACES the previous submission. For this reason, please be sure to indicate ALL time worked during the applicable pay period.
By signing, I certify that this Time Report is an accurate and complete record of time actually worked during this period. Reasons for any absences are correctly stated by me and I hereby request any applicable pay for the absences as prescribed by any specific policies and regulations involved in accordance with applicable University policies.
THIS FORM MUST BE RETAINED IN THE DEPARTMENTAL FILES FOR THREE YEARS
Time Report Due 9/19/2018Please fax completed time report to (269) 387-2555.
PP# 12 Begin-End Dates 9/10/18 - 9/23/18 (FALL)
AMERICA READS / AMERICA COUNTS Time Report
Student Name
Site/Agency
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 09/24/18
TUESDAY 09/25/18
WEDNESDAY 09/26/18
THURSDAY 09/27/18
FRIDAY 09/28/18
SATURDAY 09/29/18
SUNDAY 09/30/18Week 1 TOTAL
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 10/01/18
TUESDAY 10/02/18
WEDNESDAY 10/03/18
THURSDAY 10/04/18
FRIDAY 10/05/18
SATURDAY 10/06/18
SUNDAY 10/07/18Week 2 TOTAL
Pay Period TOTAL
_____REVISION
to time sheet submitted ___/___/____. EMPLOYEE'S SIGNATURE DATE Date
APPROVED BY: SITE SUPERVISOR DATE Employee signature Date
This form is to be completed on a daily basis and it must be received by the department with the appropriate signatures prior to the authorization for payment of hours on the regular Payroll Time Sheet. The employee must account for all of the time she/he is scheduled to work during each pay period on this Time Report. Do not include unpaid lunch periods. Do not include unpaid commute times.
Supervisor signature Date
Please note: When submitting a revision, the revised time sheet REPLACES the previous submission. For this reason, please be sure to indicate ALL time worked during the applicable pay period.
By signing, I certify that this Time Report is an accurate and complete record of time actually worked during this period. Reasons for any absences are correctly stated by me and I hereby request any applicable pay for the absences as prescribed by any specific policies and regulations involved in accordance with applicable University policies.
THIS FORM MUST BE RETAINED IN THE DEPARTMENTAL FILES FOR THREE YEARS
Time Report Due 10/3/2018Please fax completed time report to (269) 387-2555.
PP# 14 Begin-End Dates 9/24/18 - 10/7/18 (FALL)
AMERICA READS / AMERICA COUNTS Time Report
Student Name
Site/Agency
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 10/08/18
TUESDAY 10/09/18
WEDNESDAY 10/10/18
THURSDAY 10/11/18
FRIDAY 10/12/18
SATURDAY 10/13/18
SUNDAY 10/14/18Week 1 TOTAL
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 10/15/18
TUESDAY 10/16/18
WEDNESDAY 10/17/18
THURSDAY 10/18/18
FRIDAY 10/19/18
SATURDAY 10/20/18
SUNDAY 10/21/18Week 2 TOTAL
Pay Period TOTAL
_____REVISION
to time sheet submitted ___/___/___. EMPLOYEE'S SIGNATURE DATE Date
APPROVED BY: SITE SUPERVISOR DATE Employee signature Date
This form is to be completed on a daily basis and it must be received by the department with the appropriate signatures prior to the authorization for payment of hours on the regular Payroll Time Sheet. The employee must account for all of the time she/he is scheduled to work during each pay period on this Time Report. Do not include unpaid lunch periods. Do not include unpaid commute times.
Supervisor signature Date
Please note: When submitting a revision, the revised time sheet REPLACES the previous submission. For this reason, please be sure to indicate ALL time worked during the applicable pay period.
By signing, I certify that this Time Report is an accurate and complete record of time actually worked during this period. Reasons for any absences are correctly stated by me and I hereby request any applicable pay for the absences as prescribed by any specific policies and regulations involved in accordance with applicable University policies.
THIS FORM MUST BE RETAINED IN THE DEPARTMENTAL FILES FOR THREE YEARS
Time Report Due 10/17/2018Please fax completed time report to (269) 387-2555.
PP# 16 Begin-End Dates 10/8/18 - 10/21/18 (FALL)
AMERICA READS / AMERICA COUNTS Time Report
Student Name
Site/Agency
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 10/22/18
TUESDAY 10/23/18
WEDNESDAY 10/24/18
THURSDAY 10/25/18
FRIDAY 10/26/18
SATURDAY 10/27/18
SUNDAY 10/28/18Week 1 TOTAL
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 10/29/18
TUESDAY 10/30/18
WEDNESDAY 10/31/18
THURSDAY 11/01/18
FRIDAY 11/02/18
SATURDAY 11/03/18
SUNDAY 11/04/18Week 2 TOTAL
Pay Period TOTAL
_____REVISION
to time sheet submitted ___/___/___. EMPLOYEE'S SIGNATURE DATE Date
APPROVED BY: SITE SUPERVISOR DATE Employee signature Date
This form is to be completed on a daily basis and it must be received by the department with the appropriate signatures prior to the authorization for payment of hours on the regular Payroll Time Sheet. The employee must account for all of the time she/he is scheduled to work during each pay period on this Time Report. Do not include unpaid lunch periods. Do not include unpaid commute times.
Supervisor signature Date
Please note: When submitting a revision, the revised time sheet REPLACES the previous submission. For this reason, please be sure to indicate ALL time worked during the applicable pay period.
By signing, I certify that this Time Report is an accurate and complete record of time actually worked during this period. Reasons for any absences are correctly stated by me and I hereby request any applicable pay for the absences as prescribed by any specific policies and regulations involved in accordance with applicable University policies.
THIS FORM MUST BE RETAINED IN THE DEPARTMENTAL FILES FOR THREE YEARS
Time Report Due 10/31/2018Please fax completed time report to (269) 387-2555.
PP# 18 Begin-End Dates 10/22/18 - 11/4/18 (FALL)
AMERICA READS / AMERICA COUNTS Time Report
Student Name
Site/Agency
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 11/05/18
TUESDAY 11/06/18
WEDNESDAY 11/07/18
THURSDAY 11/08/18
FRIDAY 11/09/18
SATURDAY 11/10/18
SUNDAY 11/11/18Week 1 TOTAL
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 11/12/18
TUESDAY 11/13/18
WEDNESDAY 11/14/18
THURSDAY 11/15/18
FRIDAY 11/16/18
SATURDAY 11/17/18
SUNDAY 11/18/18Week 2 TOTAL
Pay Period TOTAL
_____REVISION
to time sheet submitted ___/___/___. EMPLOYEE'S SIGNATURE DATE Date
APPROVED BY: SITE SUPERVISOR DATE Employee signature Date
This form is to be completed on a daily basis and it must be received by the department with the appropriate signatures prior to the authorization for payment of hours on the regular Payroll Time Sheet. The employee must account for all of the time she/he is scheduled to work during each pay period on this Time Report. Do not include unpaid lunch periods. Do not include unpaid commute times.
Supervisor signature Date
Please note: When submitting a revision, the revised time sheet REPLACES the previous submission. For this reason, please be sure to indicate ALL time worked during the applicable pay period.
By signing, I certify that this Time Report is an accurate and complete record of time actually worked during this period. Reasons for any absences are correctly stated by me and I hereby request any applicable pay for the absences as prescribed by any specific policies and regulations involved in accordance with applicable University policies.
THIS FORM MUST BE RETAINED IN THE DEPARTMENTAL FILES FOR THREE YEARS
Time Report Due 11/14/2018Please fax completed time report to (269) 387-2555.
PP# 20 Begin-End Dates 11/5/18 - 11/18/18 (FALL)
AMERICA READS / AMERICA COUNTS Time Report
Student Name
Site/Agency
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 11/19/18
TUESDAY 11/20/18
WEDNESDAY 11/21/18
THURSDAY 11/22/18
FRIDAY 11/23/18
SATURDAY 11/24/18
SUNDAY 11/25/18Week 1 TOTAL
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 11/26/18
TUESDAY 11/27/18
WEDNESDAY 11/28/18
THURSDAY 11/29/18
FRIDAY 11/30/18
SATURDAY 12/01/18
SUNDAY 12/02/18Week 2 TOTAL
Pay Period TOTAL
_____REVISION
to time sheet submitted ___/___/___. EMPLOYEE'S SIGNATURE DATE Date
APPROVED BY: SITE SUPERVISOR DATE Employee signature Date
This form is to be completed on a daily basis and it must be received by the department with the appropriate signatures prior to the authorization for payment of hours on the regular Payroll Time Sheet. The employee must account for all of the time she/he is scheduled to work during each pay period on this Time Report. Do not include unpaid lunch periods. Do not include unpaid commute times.
Supervisor signature Date
Please note: When submitting a revision, the revised time sheet REPLACES the previous submission. For this reason, please be sure to indicate ALL time worked during the applicable pay period.
By signing, I certify that this Time Report is an accurate and complete record of time actually worked during this period. Reasons for any absences are correctly stated by me and I hereby request any applicable pay for the absences as prescribed by any specific policies and regulations involved in accordance with applicable University policies.
THIS FORM MUST BE RETAINED IN THE DEPARTMENTAL FILES FOR THREE YEARS
Time Report Due 11/28/2018Please fax completed time report to (269) 387-2555.
PP# 22 Begin-End Dates 11/19/18 - 12/2/18 (FALL)
AMERICA READS / AMERICA COUNTS Time Report
Student Name
Site/Agency
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 12/03/18
TUESDAY 12/04/18
WEDNESDAY 12/05/18
THURSDAY 12/06/18
FRIDAY 12/07/18
SATURDAY 12/08/18
SUNDAY 12/09/18Week 1 TOTAL
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 12/10/18
TUESDAY 12/11/18
WEDNESDAY 12/12/18
THURSDAY 12/13/18
FRIDAY 12/14/18
SATURDAY 12/15/18
SUNDAY 12/16/18Week 2 TOTAL
Pay Period TOTAL
_____REVISION
to time sheet submitted ___/___/___. EMPLOYEE'S SIGNATURE DATE Date
APPROVED BY: SITE SUPERVISOR DATE Employee signature Date
This form is to be completed on a daily basis and it must be received by the department with the appropriate signatures prior to the authorization for payment of hours on the regular Payroll Time Sheet. The employee must account for all of the time she/he is scheduled to work during each pay period on this Time Report. Do not include unpaid lunch periods. Do not include unpaid commute times.
Supervisor signature Date
Please note: When submitting a revision, the revised time sheet REPLACES the previous submission. For this reason, please be sure to indicate ALL time worked during the applicable pay period.
By signing, I certify that this Time Report is an accurate and complete record of time actually worked during this period. Reasons for any absences are correctly stated by me and I hereby request any applicable pay for the absences as prescribed by any specific policies and regulations involved in accordance with applicable University policies.
THIS FORM MUST BE RETAINED IN THE DEPARTMENTAL FILES FOR THREE YEARS
Time Report Due 12/12/2018Please fax completed time report to (269) 387-2555.
PP# 24 Begin-End Dates 12/3/18 - 12/16/18 (FALL)
AMERICA READS / AMERICA COUNTS Time Report
Student Name
Site/Agency
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 12/17/18
TUESDAY 12/18/18
WEDNESDAY 12/19/18
THURSDAY 12/20/18
FRIDAY 12/21/18
SATURDAY 12/22/18
SUNDAY 12/23/18Week 1 TOTAL
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 12/24/18
TUESDAY 12/25/18
WEDNESDAY 12/26/18
THURSDAY 12/27/18
FRIDAY 12/28/18
SATURDAY 12/29/18
SUNDAY 12/30/18Week 2 TOTAL
Pay Period TOTAL
_____REVISION
to time sheet submitted ___/___/___. EMPLOYEE'S SIGNATURE DATE Date
APPROVED BY: SITE SUPERVISOR DATE Employee signature Date
This form is to be completed on a daily basis and it must be received by the department with the appropriate signatures prior to the authorization for payment of hours on the regular Payroll Time Sheet. The employee must account for all of the time she/he is scheduled to work during each pay period on this Time Report. Do not include unpaid lunch periods. Do not include unpaid commute times.
Supervisor signature Date
Please note: When submitting a revision, the revised time sheet REPLACES the previous submission. For this reason, please be sure to indicate ALL time worked during the applicable pay period.
By signing, I certify that this Time Report is an accurate and complete record of time actually worked during this period. Reasons for any absences are correctly stated by me and I hereby request any applicable pay for the absences as prescribed by any specific policies and regulations involved in accordance with applicable University policies.
THIS FORM MUST BE RETAINED IN THE DEPARTMENTAL FILES FOR THREE YEARS
Time Report Due To Be DeterminedPlease fax completed time report to (269) 387-2555.
PP# 26 Begin-End Dates 12/17/18 - 12/30/18 (FALL)
AMERICA READS / AMERICA COUNTS Time Report
Student Name
Site/Agency
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 12/31/18
TUESDAY 01/01/19
WEDNESDAY 01/02/19
THURSDAY 01/03/19
FRIDAY 01/04/19
SATURDAY 01/05/19
SUNDAY 01/06/19Week 1 TOTAL
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 01/07/19
TUESDAY 01/08/19
WEDNESDAY 01/09/19
THURSDAY 01/10/19
FRIDAY 01/11/19
SATURDAY 01/12/19
SUNDAY 01/13/19Week 2 TOTAL
Pay Period TOTAL
_____REVISION
to time sheet submitted ___/___/___. EMPLOYEE'S SIGNATURE DATE Date
APPROVED BY: SITE SUPERVISOR DATE Employee signature Date
This form is to be completed on a daily basis and it must be received by the department with the appropriate signatures prior to the authorization for payment of hours on the regular Payroll Time Sheet. The employee must account for all of the time she/he is scheduled to work during each pay period on this Time Report. Do not include unpaid lunch periods. Do not include unpaid commute times.
Supervisor signature Date
Please note: When submitting a revision, the revised time sheet REPLACES the previous submission. For this reason, please be sure to indicate ALL time worked during the applicable pay period.
By signing, I certify that this Time Report is an accurate and complete record of time actually worked during this period. Reasons for any absences are correctly stated by me and I hereby request any applicable pay for the absences as prescribed by any specific policies and regulations involved in accordance with applicable University policies.
THIS FORM MUST BE RETAINED IN THE DEPARTMENTAL FILES FOR THREE YEARS
Time Report Due 1/09/2019Please fax completed time report to (269) 387-2555.
PP# 28 Begin-End Dates 12/31/18 - 1/13/19 (SPRING)
AMERICA READS / AMERICA COUNTS Time Report
Student Name
Site/Agency
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 01/14/19
TUESDAY 01/15/19
WEDNESDAY 01/16/19
THURSDAY 01/17/19
FRIDAY 01/18/19
SATURDAY 01/19/19
SUNDAY 01/20/19Week 1 TOTAL
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 01/21/19
TUESDAY 01/22/19
WEDNESDAY 01/23/19
THURSDAY 01/24/19
FRIDAY 01/25/19
SATURDAY 01/26/19
SUNDAY 01/27/19Week 2 TOTAL
Pay Period TOTAL
_____REVISION
to time sheet submitted ___/___/___. EMPLOYEE'S SIGNATURE DATE Date
APPROVED BY: SITE SUPERVISOR DATE Employee signature Date
This form is to be completed on a daily basis and it must be received by the department with the appropriate signatures prior to the authorization for payment of hours on the regular Payroll Time Sheet. The employee must account for all of the time she/he is scheduled to work during each pay period on this Time Report. Do not include unpaid lunch periods. Do not include unpaid commute times.
Supervisor signature Date
Please note: When submitting a revision, the revised time sheet REPLACES the previous submission. For this reason, please be sure to indicate ALL time worked during the applicable pay period.
By signing, I certify that this Time Report is an accurate and complete record of time actually worked during this period. Reasons for any absences are correctly stated by me and I hereby request any applicable pay for the absences as prescribed by any specific policies and regulations involved in accordance with applicable University policies.
THIS FORM MUST BE RETAINED IN THE DEPARTMENTAL FILES FOR THREE YEARS
Time Report Due 1/23/2019Please fax completed time report to (269) 387-2555.
PP# 30 Begin-End Dates 1/14/19 - 1/27/19 (SPRING)
AMERICA READS / AMERICA COUNTS Time Report
Student Name
Site/Agency
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 01/28/19
TUESDAY 01/29/19
WEDNESDAY 01/30/19
THURSDAY 01/31/19
FRIDAY 02/01/19
SATURDAY 02/02/19
SUNDAY 02/03/19Week 1 TOTAL
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 02/04/19
TUESDAY 02/05/19
WEDNESDAY 02/06/19
THURSDAY 02/07/19
FRIDAY 02/08/19
SATURDAY 02/09/19
SUNDAY 02/10/19Week 2 TOTAL
Pay Period TOTAL
_____REVISION
to time sheet submitted ___/___/___. EMPLOYEE'S SIGNATURE DATE Date
APPROVED BY: SITE SUPERVISOR DATE Employee signature Date
This form is to be completed on a daily basis and it must be received by the department with the appropriate signatures prior to the authorization for payment of hours on the regular Payroll Time Sheet. The employee must account for all of the time she/he is scheduled to work during each pay period on this Time Report. Do not include unpaid lunch periods. Do not include unpaid commute times.
Supervisor signature Date
Please note: When submitting a revision, the revised time sheet REPLACES the previous submission. For this reason, please be sure to indicate ALL time worked during the applicable pay period.
By signing, I certify that this Time Report is an accurate and complete record of time actually worked during this period. Reasons for any absences are correctly stated by me and I hereby request any applicable pay for the absences as prescribed by any specific policies and regulations involved in accordance with applicable University policies.
THIS FORM MUST BE RETAINED IN THE DEPARTMENTAL FILES FOR THREE YEARS
Time Report Due 2/6/2019Please fax completed time report to (269) 387-2555.
PP# 32 Begin-End Dates 1/28/19 - 2/10/19 (SPRING)
AMERICA READS / AMERICA COUNTS Time Report
Student Name
Site/Agency
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 02/11/19
TUESDAY 02/12/19
WEDNESDAY 02/13/19
THURSDAY 02/14/19
FRIDAY 02/15/19
SATURDAY 02/16/19
SUNDAY 02/17/19Week 1 TOTAL
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 02/18/19
TUESDAY 02/19/19
WEDNESDAY 02/20/19
THURSDAY 02/21/19
FRIDAY 02/22/19
SATURDAY 02/23/19
SUNDAY 02/24/19Week 2 TOTAL
Pay Period TOTAL
_____REVISION
to time sheet submitted ___/___/___. EMPLOYEE'S SIGNATURE DATE Date
APPROVED BY: SITE SUPERVISOR DATE Employee signature Date
This form is to be completed on a daily basis and it must be received by the department with the appropriate signatures prior to the authorization for payment of hours on the regular Payroll Time Sheet. The employee must account for all of the time she/he is scheduled to work during each pay period on this Time Report. Do not include unpaid lunch periods. Do not include unpaid commute times.
Supervisor signature Date
Please note: When submitting a revision, the revised time sheet REPLACES the previous submission. For this reason, please be sure to indicate ALL time worked during the applicable pay period.
By signing, I certify that this Time Report is an accurate and complete record of time actually worked during this period. Reasons for any absences are correctly stated by me and I hereby request any applicable pay for the absences as prescribed by any specific policies and regulations involved in accordance with applicable University policies.
THIS FORM MUST BE RETAINED IN THE DEPARTMENTAL FILES FOR THREE YEARS
Time Report Due 2/20/2019Please fax completed time report to (269) 387-2555.
PP# 34 Begin-End Dates 2/11/19 - 2/24/19 (SPRING)
AMERICA READS / AMERICA COUNTS Time Report
Student Name
Site/Agency
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 02/25/19
TUESDAY 02/26/19
WEDNESDAY 02/27/19
THURSDAY 02/28/19
FRIDAY 03/01/19
SATURDAY 03/02/19
SUNDAY 03/03/19Week 1 TOTAL
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 03/04/19
TUESDAY 03/05/19
WEDNESDAY 03/06/19
THURSDAY 03/07/19
FRIDAY 03/08/19
SATURDAY 03/09/19
SUNDAY 03/10/19Week 2 TOTAL
Pay Period TOTAL
_____REVISION
to time sheet submitted ___/___/___. EMPLOYEE'S SIGNATURE DATE Date
APPROVED BY: SITE SUPERVISOR DATE Employee signature Date
This form is to be completed on a daily basis and it must be received by the department with the appropriate signatures prior to the authorization for payment of hours on the regular Payroll Time Sheet. The employee must account for all of the time she/he is scheduled to work during each pay period on this Time Report. Do not include unpaid lunch periods. Do not include unpaid commute times.
Supervisor signature Date
Please note: When submitting a revision, the revised time sheet REPLACES the previous submission. For this reason, please be sure to indicate ALL time worked during the applicable pay period.
By signing, I certify that this Time Report is an accurate and complete record of time actually worked during this period. Reasons for any absences are correctly stated by me and I hereby request any applicable pay for the absences as prescribed by any specific policies and regulations involved in accordance with applicable University policies.
THIS FORM MUST BE RETAINED IN THE DEPARTMENTAL FILES FOR THREE YEARS
Time Report Due 3/6/2019Please fax completed time report to (269) 387-2555.
PP# 36 Begin-End Dates 2/25/19 - 3/10/19 (SPRING)
AMERICA READS / AMERICA COUNTS Time Report
Student Name
Site/Agency
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 03/11/19
TUESDAY 03/12/19
WEDNESDAY 03/13/19
THURSDAY 03/14/19
FRIDAY 03/15/19
SATURDAY 03/16/19
SUNDAY 03/17/19Week 1 TOTAL
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 03/18/19
TUESDAY 03/19/19
WEDNESDAY 03/20/19
THURSDAY 03/21/19
FRIDAY 03/22/19
SATURDAY 03/23/19
SUNDAY 03/24/19Week 2 TOTAL
Pay Period TOTAL
_____REVISION
to time sheet submitted ___/___/___. EMPLOYEE'S SIGNATURE DATE Date
APPROVED BY: SITE SUPERVISOR DATE Employee signature Date
This form is to be completed on a daily basis and it must be received by the department with the appropriate signatures prior to the authorization for payment of hours on the regular Payroll Time Sheet. The employee must account for all of the time she/he is scheduled to work during each pay period on this Time Report. Do not include unpaid lunch periods. Do not include unpaid commute times.
Supervisor signature Date
Please note: When submitting a revision, the revised time sheet REPLACES the previous submission. For this reason, please be sure to indicate ALL time worked during the applicable pay period.
By signing, I certify that this Time Report is an accurate and complete record of time actually worked during this period. Reasons for any absences are correctly stated by me and I hereby request any applicable pay for the absences as prescribed by any specific policies and regulations involved in accordance with applicable University policies.
THIS FORM MUST BE RETAINED IN THE DEPARTMENTAL FILES FOR THREE YEARS
Time Report Due 3/20/2019Please fax completed time report to (269) 387-2555.
PP# 38 Begin-End Dates 3/11/19 - 3/24/19 (SPRING)
AMERICA READS / AMERICA COUNTS Time Report
Student Name
Site/Agency
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 03/25/19
TUESDAY 03/26/19
WEDNESDAY 03/27/19
THURSDAY 03/28/19
FRIDAY 03/29/19
SATURDAY 03/30/19
SUNDAY 03/31/19Week 1 TOTAL
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 04/01/19
TUESDAY 04/02/19
WEDNESDAY 04/03/19
THURSDAY 04/04/19
FRIDAY 04/05/19
SATURDAY 04/06/19
SUNDAY 04/07/19 Week 2 TOTAL
Pay Period TOTAL
_____REVISION
to time sheet submitted ___/___/___. EMPLOYEE'S SIGNATURE DATE Date
APPROVED BY: SITE SUPERVISOR DATE Employee signature Date
This form is to be completed on a daily basis and it must be received by the department with the appropriate signatures prior to the authorization for payment of hours on the regular Payroll Time Sheet. The employee must account for all of the time she/he is scheduled to work during each pay period on this Time Report. Do not include unpaid lunch periods. Do not include unpaid commute times.
Supervisor signature Date
Please note: When submitting a revision, the revised time sheet REPLACES the previous submission. For this reason, please be sure to indicate ALL time worked during the applicable pay period.
By signing, I certify that this Time Report is an accurate and complete record of time actually worked during this period. Reasons for any absences are correctly stated by me and I hereby request any applicable pay for the absences as prescribed by any specific policies and regulations involved in accordance with applicable University policies.
THIS FORM MUST BE RETAINED IN THE DEPARTMENTAL FILES FOR THREE YEARS
Time Report Due 4/3/2019Please fax completed time report to (269) 387-2555.
PP# 40 Begin-End Dates 3/25/19 - 4/7/19 (SPRING)
AMERICA READS / AMERICA COUNTS Time Report
Student Name
Site/Agency
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 04/08/19
TUESDAY 04/09/19
WEDNESDAY 04/10/19
THURSDAY 04/11/19
FRIDAY 04/12/19
SATURDAY 04/13/19
SUNDAY 04/14/19Week 1 TOTAL
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 04/15/19
TUESDAY 04/16/19
WEDNESDAY 04/17/19
THURSDAY 04/18/19
FRIDAY 04/19/19
SATURDAY 04/20/19
SUNDAY 04/21/19Week 2 TOTAL
Pay Period TOTAL
_____REVISION
to time sheet submitted ___/___/___. EMPLOYEE'S SIGNATURE DATE Date
APPROVED BY: SITE SUPERVISOR DATE Employee signature Date
This form is to be completed on a daily basis and it must be received by the department with the appropriate signatures prior to the authorization for payment of hours on the regular Payroll Time Sheet. The employee must account for all of the time she/he is scheduled to work during each pay period on this Time Report. Do not include unpaid lunch periods. Do not include unpaid commute times.
Supervisor signature Date
Please note: When submitting a revision, the revised time sheet REPLACES the previous submission. For this reason, please be sure to indicate ALL time worked during the applicable pay period.
By signing, I certify that this Time Report is an accurate and complete record of time actually worked during this period. Reasons for any absences are correctly stated by me and I hereby request any applicable pay for the absences as prescribed by any specific policies and regulations involved in accordance with applicable University policies.
THIS FORM MUST BE RETAINED IN THE DEPARTMENTAL FILES FOR THREE YEARS
Time Report Due 4/17/2019Please fax completed time report to (269) 387-2555.
PP# 42 Begin-End Dates 4/8/19 - 4/21/19 (SPRING)
AMERICA READS / AMERICA COUNTS Time Report
Student Name
Site/Agency
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 04/22/19
TUESDAY 04/23/19
WEDNESDAY 04/24/19
THURSDAY 04/25/19
FRIDAY 04/26/19
SATURDAY 04/27/19
SUNDAY 04/28/19Week 1 TOTAL
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 04/29/19
TUESDAY 04/30/19
WEDNESDAY 05/01/19
THURSDAY 05/02/19
FRIDAY 05/03/19
SATURDAY 05/04/19
SUNDAY 05/05/19Week 2 TOTAL
Pay Period TOTAL
_____REVISION
to time sheet submitted ___/___/___. EMPLOYEE'S SIGNATURE DATE Date
APPROVED BY: SITE SUPERVISOR DATE Employee signature Date
This form is to be completed on a daily basis and it must be received by the department with the appropriate signatures prior to the authorization for payment of hours on the regular Payroll Time Sheet. The employee must account for all of the time she/he is scheduled to work during each pay period on this Time Report. Do not include unpaid lunch periods. Do not include unpaid commute times.
Supervisor signature Date
Please note: When submitting a revision, the revised time sheet REPLACES the previous submission. For this reason, please be sure to indicate ALL time worked during the applicable pay period.
By signing, I certify that this Time Report is an accurate and complete record of time actually worked during this period. Reasons for any absences are correctly stated by me and I hereby request any applicable pay for the absences as prescribed by any specific policies and regulations involved in accordance with applicable University policies.
THIS FORM MUST BE RETAINED IN THE DEPARTMENTAL FILES FOR THREE YEARS
Time Report Due 5/1/2019Please fax completed time report to (269) 387-2555.
PP# 44 Begin-End Dates 4/22/19 - 5/5/19 (SPRING)
AMERICA READS / AMERICA COUNTS Time Report
Student Name
Site/Agency
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 05/06/19
TUESDAY 05/07/19
WEDNESDAY 05/08/19
THURSDAY 05/09/19
FRIDAY 05/10/19
SATURDAY 05/11/19
SUNDAY 05/12/19Week 1 TOTAL
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 05/13/19
TUESDAY 05/14/19
WEDNESDAY 05/15/19
THURSDAY 05/16/19
FRIDAY 05/17/19
SATURDAY 05/18/19
SUNDAY 05/19/19Week 2 TOTAL
Pay Period TOTAL
_____REVISION
to time sheet submitted ___/___/___. EMPLOYEE'S SIGNATURE DATE Date
APPROVED BY: SITE SUPERVISOR DATE Employee signature Date
This form is to be completed on a daily basis and it must be received by the department with the appropriate signatures prior to the authorization for payment of hours on the regular Payroll Time Sheet. The employee must account for all of the time she/he is scheduled to work during each pay period on this Time Report. Do not include unpaid lunch periods. Do not include unpaid commute times.
Supervisor signature Date
Please note: When submitting a revision, the revised time sheet REPLACES the previous submission. For this reason, please be sure to indicate ALL time worked during the applicable pay period.
By signing, I certify that this Time Report is an accurate and complete record of time actually worked during this period. Reasons for any absences are correctly stated by me and I hereby request any applicable pay for the absences as prescribed by any specific policies and regulations involved in accordance with applicable University policies.
THIS FORM MUST BE RETAINED IN THE DEPARTMENTAL FILES FOR THREE YEARS
Time Report Due 5/15/2019Please fax completed time report to (269) 387-2555.
PP# 46 Begin-End Dates 5/6/19 - 5/19/19 (SUMMER 1)
AMERICA READS / AMERICA COUNTS Time Report
Student Name
Site/Agency
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 05/20/19
TUESDAY 05/21/19
WEDNESDAY 05/22/19
THURSDAY 05/23/19
FRIDAY 05/24/19
SATURDAY 05/25/19
SUNDAY 05/26/19Week 1 TOTAL
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 05/27/19
TUESDAY 05/28/19
WEDNESDAY 05/29/19
THURSDAY 05/30/19
FRIDAY 05/31/19
SATURDAY 06/01/19
SUNDAY 06/02/19Week 2 TOTAL
Pay Period TOTAL
_____REVISION
to time sheet submitted ___/___/___. EMPLOYEE'S SIGNATURE DATE Date
APPROVED BY: SITE SUPERVISOR DATE Employee signature Date
This form is to be completed on a daily basis and it must be received by the department with the appropriate signatures prior to the authorization for payment of hours on the regular Payroll Time Sheet. The employee must account for all of the time she/he is scheduled to work during each pay period on this Time Report. Do not include unpaid lunch periods. Do not include unpaid commute times.
Supervisor signature Date
Please note: When submitting a revision, the revised time sheet REPLACES the previous submission. For this reason, please be sure to indicate ALL time worked during the applicable pay period.
By signing, I certify that this Time Report is an accurate and complete record of time actually worked during this period. Reasons for any absences are correctly stated by me and I hereby request any applicable pay for the absences as prescribed by any specific policies and regulations involved in accordance with applicable University policies.
THIS FORM MUST BE RETAINED IN THE DEPARTMENTAL FILES FOR THREE YEARS
Time Report Due 5/29/2019Please fax completed time report to (269) 387-2555.
PP# 48 Begin-End Dates 5/20/19 - 6/2/19 (SUMMER 1)
AMERICA READS / AMERICA COUNTS Time Report
Student Name
Site/Agency
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 06/03/19
TUESDAY 06/04/19
WEDNESDAY 06/05/19
THURSDAY 06/06/19
FRIDAY 06/07/19
SATURDAY 06/08/19
SUNDAY 06/09/19Week 1 TOTAL
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 06/10/19
TUESDAY 06/11/19
WEDNESDAY 06/12/19
THURSDAY 06/13/19
FRIDAY 06/14/19
SATURDAY 06/15/19
SUNDAY 06/16/19Week 2 TOTAL
Pay Period TOTAL
_____REVISION
to time sheet submitted ___/___/___. EMPLOYEE'S SIGNATURE DATE Date
APPROVED BY: SITE SUPERVISOR DATE Employee signature Date
This form is to be completed on a daily basis and it must be received by the department with the appropriate signatures prior to the authorization for payment of hours on the regular Payroll Time Sheet. The employee must account for all of the time she/he is scheduled to work during each pay period on this Time Report. Do not include unpaid lunch periods. Do not include unpaid commute times.
Supervisor signature Date
Please note: When submitting a revision, the revised time sheet REPLACES the previous submission. For this reason, please be sure to indicate ALL time worked during the applicable pay period.
By signing, I certify that this Time Report is an accurate and complete record of time actually worked during this period. Reasons for any absences are correctly stated by me and I hereby request any applicable pay for the absences as prescribed by any specific policies and regulations involved in accordance with applicable University policies.
THIS FORM MUST BE RETAINED IN THE DEPARTMENTAL FILES FOR THREE YEARS
Time Report Due 6/12/2019Please fax completed time report to (269) 387-2555.
PP# 50 Begin-End Dates 6/3/19 - 6/16/19 (SUMMER 1)
AMERICA READS / AMERICA COUNTS Time Report
Student Name
Site/Agency
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 06/17/19
TUESDAY 06/18/19
WEDNESDAY 06/19/19
THURSDAY 06/20/19
FRIDAY 06/21/19
SATURDAY 06/22/19
SUNDAY 06/23/19Week 1 TOTAL
MORNING AFTERNOON
DAY DATE TIME BEGAN TIME ENDED TIME BEGAN TIME ENDED DAILY TOTAL
MONDAY 06/24/19
TUESDAY 06/25/19
WEDNESDAY 06/26/19
THURSDAY 06/27/19
FRIDAY 06/28/19
SATURDAY 06/29/19
SUNDAY 06/30/19Week 2 TOTAL
Pay Period TOTAL
_____REVISION
to time sheet submitted ___/___/___. EMPLOYEE'S SIGNATURE DATE Date
APPROVED BY: SITE SUPERVISOR DATE Employee signature Date
This form is to be completed on a daily basis and it must be received by the department with the appropriate signatures prior to the authorization for payment of hours on the regular Payroll Time Sheet. The employee must account for all of the time she/he is scheduled to work during each pay period on this Time Report. Do not include unpaid lunch periods. Do not include unpaid commute times.
Supervisor signature Date
Please note: When submitting a revision, the revised time sheet REPLACES the previous submission. For this reason, please be sure to indicate ALL time worked during the applicable pay period.
By signing, I certify that this Time Report is an accurate and complete record of time actually worked during this period. Reasons for any absences are correctly stated by me and I hereby request any applicable pay for the absences as prescribed by any specific policies and regulations involved in accordance with applicable University policies.
THIS FORM MUST BE RETAINED IN THE DEPARTMENTAL FILES FOR THREE YEARS
Time Report Due 6/26/2019Please fax completed time report to (269) 387-2555.
PP# 52 Begin-End Dates 6/17/19 - 6/30/19 (SUMMER 1)
AMERICA READS / AMERICA COUNTS Time Report