CABRILLO COLLEGE FWS AND CALWORKS WORK STUDY TIME CARD
Report Period: __________/20 - __________/19
Month
(PRINT)
Last
First
/
Student ID Number
Year: _________
Month
- I certify that the reported hours worked are correct.
- I am employed in more than one assignment: 
- I am presently enrolled at Cabrillo in a minimum of
6 units:  yes  no
Middle initial
/
Position level
Division/Dept.
___________________________________//______
(FWS budget) ____-____-_______-_______-__________-_____
Employee's signature
%_____
Approved: ________________________//______
Salary: $
per hr. x
hours = $ ____
Supervisor's signature
(please initial weekends/holidays worked)
(SRSN budget) ____-____-_______-_______-_________-_____
%_____
Salary: $
per hr. x
Salary: $_____ per hr. x
Date
Approved: ________________________//______
hours = $ _____
SRSN signature (req. for 205 budget)
(Dept. budget) ____-___-_______-_______-__________-_____
%_____
Date
Date
Approved: ________________________//______
hours = $ _______
Financial Aid signature (req. for 150 budget)
Date
Hours Worked: Please round hours to nearest quarter hour. Time cards MUST be in Payroll by 5:00 p.m. on date due.
20
21
22
23
24
25
26
27
28
29
30
31
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Total
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Total
Sick Time Missed each day: (please note total number of hours)
20
21
22
23
24
25
26
27
28
29
30
31
Students may never work more than 8 hours a day, or more than19.5 hours a week while school is in session, or more than 5 days a week M-Sun., all time cards
combined.
FWS/2015 time card
CABRILLO COLLEGE FWS AND CALWORKS WORK STUDY TIME CARD
Report Period: __________/20 - __________/19
Month
(PRINT)
Last
First
/
Student ID Number
Year: _________
Month
- I certify that the reported hours worked are correct.
- I am employed in more than one assignment: 
- I am presently enrolled at Cabrillo in a minimum of
6 units:  yes  no
Middle initial
/
Position level
Division/Dept.
___________________________________//______
(FWS budget) ____-____-_______-_______-__________-_____
Employee's signature
%_____
Approved: ________________________//______
Salary: $
per hr. x
hours = $ ____
Supervisor's signature
(please initial weekends/holidays worked)
(SRSN budget) ____-____-_______-_______-_________-_____
%_____
Salary: $
per hr. x
Salary: $_____ per hr. x
Date
Approved: ________________________//______
hours = $ _____
SRSN signature (req. for 205 budget)
(Dept. budget) ____-___-_______-_______-__________-_____
%_____
Date
Date
Approved: ________________________//______
hours = $ _______
Financial Aid signature (req. for 150 budget)
Date
Hours Worked: Please round hours to nearest quarter hour. Time cards MUST be in Payroll by 5:00 p.m. on date due.
20
21
22
23
24
25
26
27
28
29
30
31
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Total
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Total
Sick Time Missed each day: (please note total number of hours)
20
21
22
23
24
25
26
27
28
29
30
31
Students may never work more than 8 hours a day, or more than19.5 hours a week while school is in session, or more than 5 days a week M-Sun., all time cards
combined.
FWS/2015 time card