Student’s Timesheet Report (A)
Student’s Name (Print)
Company Name
Total Hours (this page)
An account of days/times worked by the student must be recorded below and verified by their supervisor.
*Please fill in the number of hours worked each day (for example: 8 hours…not 9:00-5:00).
*Use quarter-hour rounding for the time listed below (for example: 8 hours + 15 minutes = 8.25)
*Hours worked only count if you are registered and have paid for the class.
January
S
1/10/16 – 1/16/16
-na-
M
T
W
Th
F
S
-na-
-na-
-na-
-na-
-na-
-na-
Total hrs
1/17/16 – 1/23/15
1/24/15 – 1/30/16
1/31/16
*I certify that the above time report is a true statement of the hours worked.
(Please sign below; the date below should reflect the last day worked on this timesheet)
__________________________________________
Student signature
Date
___________________________________________
Employer signature
Date
Please Note:
If you decide that you must withdraw from your work-based learning experience, follow these steps:
o Inform your Faculty Coordinator as well as your Workplace Learning Coordinator of your decision.
o Return your workbook to the Workplace Learning office with timesheets filled out and signed up to and
including the last day you worked.
3-A