pg2_3-B

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Student’s Timesheet Report (B)
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.
February
S
2/1/16 – 2/6/16
-na-
M
T
W
Th
F
S
-na-
-na-
-na-
-na-
-na-
Total hrs
2/7/16 – 2/13/16
2/14/16 – 2/20/16
2/21/16 – 2/27/16
2/28/16 – 2/29/16
*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
This timesheet MUST be submitted at the end of the month!
You can scan/email a copy
-orbring a copy to the Workplace Learning Office
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-B
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