Docstoc

PERSONNEL ACTIVITY REPORT for the period

Document Sample
PERSONNEL ACTIVITY REPORT for the period Powered By Docstoc
					PERSONNEL ACTIVITY REPORT for the period
Please review the following employee effort data for accuracy. The estimated % of total effort should
accurately reflect your workload for the above indicated period. If the effort for Federally sponsored projects
is inaccurate by more than 5%, please indicate the correct % of effort in the actual column. Certifications
must be signed and returned to Jeff Selner, Business & Finance, within 30 days.


Name:                                                      Title:

Dept.:                                                     UDDS Code:
                                                               Estimated %age             Actual %age
 Activities                                                     of Total Effort           of Total Effort

 Federally Sponsored Projects

 1.
 2.
 3.
 Cost Sharing (By Project)

 1.
 2.
 Other Institutional Activities

 1.
 2.
 3.
                                                                     100%                      100%

I certify that the above distribution of effort represents a reasonable estimate of all work performed by me
during the indicated period.


 Employee Signature                                                                            Date

I certify that I have first-hand knowledge of all work performed by the above employee and that the
above distribution of effort represents a reasonable estimate of work performed for the period indicated.



Supervisory Official Signature                                                                 Date


 Title
                                                                                                11 April 2011
PERSONNEL ACTIVITY REPORT for the period                                       January 2002

Please review the following employee effort data for accuracy. The estimated % of total effort should
accurately reflect your workload for the above indicated period. If the effort for Federally sponsored projects
is inaccurate by more than 5%, please indicate the correct % of effort in the actual column. Certifications
must be signed and returned to Jeff Selner, Business & Finance, within 30 days.


Name: Newman, Alfred E.                                    Title:           Adjunct Instructor

Dept.:   Natural and Applied Science                       UDDS Code: D-26-3000

                                                               Estimated %age             Actual %age
 Activities                                                     of Total Effort           of Total Effort

 Federally Sponsored Projects

 1. 144-BS33                                                          60%
 2.
 3.
 Cost Sharing (By Project)
                                                                      25%
 1. 102-D-26-3000        (#144-BS33)
 2.
 Other Institutional Activities

 1. 102-D-26-3000                                                     15%
 2.
 3.
                                                                     100%                        100%

I certify that the above distribution of effort represents a reasonable estimate of all work performed by me
during the indicated period.


 Employee Signature                                                                              Date

I certify that I have first-hand knowledge of all work performed by the above employee and that the
above distribution of effort represents a reasonable estimate of work performed for the period indicated.



Supervisory Official Signature                                                                   Date


 Title
                                                                                                 11 April 2011

				
DOCUMENT INFO