COLLEGE WORK-STUDY TIME SHEET

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COLLEGE WORK-STUDY TIME SHEET Employee Name Period Beginning (1st or 16th of the month) Department Ending IN OUT IN OUT TOTAL HOURS 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 REMARKS DATE MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY Subtotal MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY Subtotal MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY Subtotal X X X TOTAL 0:00 0.00 I do hereby certify that the above record totaling 0.00 hours is a correct record of the hours worked by me for UTPB for the period indicated and that no part of the amount due for these said hours of service has been or is to be directly or indirectly, divided with or paid to any other person on account of or by reason of such employment. Employee's Signature X I certify that the student employee has worked the hours as totaled above and has performed his/her duties satisfactorily. Supervisor' Signature X Date: Department: COLLEGE WORK-STUDY TIME SHEET Employee Name Period Beginning (1st or 16th of the month) Department Ending IN OUT IN OUT TOTAL HOURS REMARKS DATE MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY Subtotal MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY Subtotal MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY Subtotal X X X TOTAL 0:00 I do hereby certify that the above record totaling hours is a correct record of the hours worked by me for UTPB for the period indicated and that no part of the amount due for these said hours of service has been or is to be directly or indirectly, divided with or paid to any other person on account of or by reason of such employment. Employee's Signature X Employee's SS# I certify that the student employee has worked the hours as totaled above and has performed his/her duties satisfactorily. Supervisor' Signature X Date: Department:

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