FAYETTEVILLE STATE UNIVERSITY
TITLE III TIME AND EFFORT MONTHLY REPORT
Reporting Period (Month/Year): _________________, 20___
Name: ________________________________ Full-Time Employee
Part-Time/Temp Employee
Activity Title: __________________________
Position Title: _________________________
Fund Number: _________________________
Banner and Position Number: _____________
Institution (
%)
Title III (
%)
Other Federal Grant (
%)
**Distribution Of Time:

Full-time: 100% - 40 hours per week= 8 hours per day

Part-time: 50% - 20 hours per week= 4 hours per day

Other: ___% - hours per week = TBD
Week
1
Objective
Addressed
Example:
To increase by 10%
annually the number of
students who participate
in the College’s lyceum
program. (Baseline: 2013
= 100)
Tasks Completed
(Effort)
Example:
Developed
list
of
proposed presenters with
contact information for
Provost’s review
(Hours)
Worked
Lunch
*
Leave
Taken
6
1
N/A
Developed a letter for
Provost’s
signature
inviting guest presenters.
2
Total Hours:
40
5
1
2
3
4
TOTAL:
I certify that this report accurately reflects the effort expended
for the projects and time period listed
Employee's Signature/Date _______________________________________________
1
x
x
x
x
x
x
x
x
x
x
Supervisor/ Activity Director Signature/Date __________________________________
2