MONTH ______________ YEAR _____ ___ ___ ___ ___ STUDENT CORPS

MONTH: ______________ YEAR: _____ ( ___/25/___-___/24/___) STUDENT CORPS MONTHLY TIMESHEET UNIVERSITY OF CALIFORNIA, SANTA CRUZ Hours worked are not to exceed an average of 19.00 hours/week or 76 hours/month. NAME: __________________________________________________ SOCIAL SECURITY #: __________________________________________ 25 Job #: Job #: Job #: 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 1 9 20 21 22 23 24 Total Job #: ________ Job Title: __________________________________ UCSC Department: __________________________________________ Job #: ________ Job Title: __________________________________ UCSC Department: __________________________________________ INSTRUCTIONS FOR USE OF TIMESHEET 1. Record daily the number of hours actually worked, to the nearest quarter hour, in decimals. Job #: ________ Job Title: __________________________________ 2. This timesheet must be signed by the Student UCSC Department: __________________________________________ Corps employee and Career Center Supervisor. I certify that this is a true statement of the hours actually worked. 3. Completed Weekly Time Records with Unit Supervisor Signatures must be attached to this Student Employee Signature: X_________________________________ timesheet for processing. FOR CAREER CENTER USE ONLY: Career Center Supervisor Name (Print): Cyndi Edinger, 459-2789 Payroll Authorization: _________________________________ ************************************************************** Account Number: Pay Rate: Total Hours Worked: Total Earnings: 4. Completed and signed timesheets must be submitted to the Career Center by the 24th of each month at 10AM. Late submissions will delay payment by one month. DUE BY THE 24TH OF EACH MONTH! 68890-680580 $7.12/hour x _______________ = ______________

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