FAYETTEVILLE STATE UNIVERSITY TITLE III TIME AND EFFORT MONTHLY REPORT Reporting Period (Month/Year): _________________, 20___ Name: ________________________________ Student Employee Faculty 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 Developed a letter for Provost’s signature inviting guest presenters. 1 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 _____________________________ Supervisor/ Activity Director Signature Date ________________ 6 x x x x x x x x x x