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Washington Service Corps
Member Timesheet
PL SL
Please sign the form in ink and submit to your Supervisor. 0 0
Member Name: Month / Year: September-11
Program Coord: Site Name:
1st - 15th
Calendar date: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Sub-Totals
Service Hours: 0.00
Training Hours: 0.00
Fundraising
Hours:
0.00
0.00
16th - End of Month
Calendar date: 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 Sub-Totals Month Total
Service Hours: 0.00 0.00
Training Hours: 0.00 0.00
Fundraising
Hours:
0.00 0.00
0.00 0.00
Instructions:
In the daily boxes, please list any hours spent in service, any hours spent in training and any hours in fundraising in direct support of the project.
Only round to the nearest quarter if necessary; for example, 8.25 or 8.5, etc.
MEMBER: By your signature, you certify that the above time represents SUPERVISOR OR AGENCY DESIGNEE: I certify that this member served
actual hours served during this period. these hours in accordance with Member Agreement.
Member Signature (in ink) Date Supervisor Signature (in ink) Date
08/2011
Washington Service Corps
Member Timesheet
PL SL
Please sign the form in ink and submit to your Supervisor. 0 0
Member Name: 0 Month / Year: October-11
Program Coord: 0 Site Name: 0
1st - 15th
Calendar date: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Sub-Totals
Service Hours: 0.00
Training Hours: 0.00
Fundraising
Hours:
0.00
0.00
16th - End of Month
Calendar date: 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Sub-Totals Month Total
Service Hours: 0.00 0.00
Training Hours: 0.00 0.00
Fundraising
Hours:
0.00 0.00
0.00 0.00
Instructions:
In the daily boxes, please list any hours spent in service, any hours spent in training and any hours in fundraising in direct support of the project.
Only round to the nearest quarter if necessary; for example, 8.25 or 8.5, etc.
MEMBER: By your signature, you certify that the above time represents SUPERVISOR OR AGENCY DESIGNEE: I certify that this member served
actual hours served during this period. these hours in accordance with policies in the Member Agreement.
Member Signature (in ink) Date Supervisor Signature (in ink) Date
Printed on 10/19/2011
Washington Service Corps
Member Timesheet
PL SL
Please sign the form in ink and submit to your Supervisor. 0 0
Member Name: 0 Month / Year: November-11
Program Coord: 0 Site Name: 0
1st - 15th
Calendar date: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Sub-Totals
Service Hours: 0.00
Training Hours: 0.00
Fundraising
Hours:
0.00
0.00
16th - End of Month
Calendar date: 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 Sub-Totals Month Total
Service Hours: 0.00 0.00
Training Hours: 0.00 0.00
Fundraising
Hours:
0.00 0.00
0.00 0.00
Instructions:
In the daily boxes, please list any hours spent in service, any hours spent in training and any hours in fundraising in direct support of the project.
Only round to the nearest quarter if necessary; for example, 8.25 or 8.5, etc.
MEMBER: By your signature, you certify that the above time represents SUPERVISOR OR AGENCY DESIGNEE: I certify that this member served
actual hours served during this period. these hours in accordance with policies in the Member Agreement.
Member Signature (in ink) Date Supervisor Signature (in ink) Date
Printed on 10/19/2011
Washington Service Corps
Member Timesheet
PL SL
Please sign the form in ink and submit to your Supervisor. 0 0
Member Name: 0 Month / Year: December-11
Project Name: 0 Site Name: 0
1st - 15th
Calendar date: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Sub-Totals
Service Hours: 0.00
Training Hours: 0.00
Fundraising
Hours:
0.00
0.00
16th - End of Month
Calendar date: 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Sub-Totals Month Total
Service Hours: 0.00 0.00
Training Hours: 0.00 0.00
Fundraising
Hours:
0.00 0.00
0.00 0.00
Instructions:
In the daily boxes, please list any hours spent in service, any hours spent in training and any hours in fundraising in direct support of the project.
Only round to the nearest quarter if necessary; for example, 8.25 or 8.5, etc.
MEMBER: By your signature, you certify that the above time represents SUPERVISOR OR AGENCY DESIGNEE: I certify that this member served
actual hours served during this period. these hours in accordance with policies in the Member Agreement.
Member Signature (in ink) Date Supervisor Signature (in ink) Date
Printed on 10/19/2011
Washington Service Corps
Member Timesheet
PL SL
Please sign the form in ink and submit to your Supervisor. 0 0
Member Name: 0 Month / Year: January-12
Program Coord: 0 Site Name: 0
1st - 15th
Calendar date: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Sub-Totals
Service Hours: 0.00
Training Hours: 0.00
Fundraising
Hours:
0.00
0.00
16th - End of Month
Calendar date: 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Sub-Totals Month Total
Service Hours: 0.00 0.00
Training Hours: 0.00 0.00
Fundraising
Hours:
0.00 0.00
0.00 0.00
Instructions:
In the daily boxes, please list any hours spent in service, any hours spent in training and any hours in fundraising in direct support of the project.
Only round to the nearest quarter if necessary; for example, 8.25 or 8.5, etc.
MEMBER: By your signature, you certify that the above time represents SUPERVISOR OR AGENCY DESIGNEE: I certify that this member served
actual hours served during this period. these hours in accordance with policies in the Member Agreement.
Member Signature (in ink) Date Supervisor Signature (in ink) Date
Printed on 10/19/2011
Washington Service Corps
Member Timesheet
PL SL
Please sign the form in ink and submit to your Supervisor. 0 0
Member Name: 0 Month / Year: February-12
Program Coord: 0 Site Name: 0
1st - 15th
Calendar date: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Sub-Totals
Service Hours: 0.00
Training Hours: 0.00
Fundraising
Hours:
0.00
0.00
16th - End of Month
Calendar date: 16 17 18 19 20 21 22 23 24 25 26 27 28 Sub-Totals Month Total
Service Hours: 0.00 0.00
Training Hours: 0.00 0.00
Fundraising
Hours:
0.00 0.00
0.00 0.00
Instructions:
In the daily boxes, please list any hours spent in service, any hours spent in training and any hours in fundraising in direct support of the project.
Only round to the nearest quarter if necessary; for example, 8.25 or 8.5, etc.
MEMBER: By your signature, you certify that the above time represents SUPERVISOR OR AGENCY DESIGNEE: I certify that this member served
actual hours served during this period. these hours in accordance with policies in the Member Agreement.
Member Signature (in ink) Date Supervisor Signature (in ink) Date
Printed on 10/19/2011
Washington Service Corps
Member Timesheet
PL SL
Please sign the form in ink and submit to your Supervisor. 0 0
Member Name: 0 Month / Year: March-12
Program Coord: 0 Site Name: 0
1st - 15th
Calendar date: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Sub-Totals
Service Hours: 0.00
Training Hours: 0.00
Fundraising
Hours:
0.00
0.00
16th - End of Month
Calendar date: 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Sub-Totals Month Total
Service Hours: 0.00 0.00
Training Hours: 0.00 0.00
Fundraising
Hours:
0.00 0.00
0.00 0.00
Instructions:
In the daily boxes, please list any hours spent in service, any hours spent in training and any hours in fundraising in direct support of the project.
Only round to the nearest quarter if necessary; for example, 8.25 or 8.5, etc.
MEMBER: By your signature, you certify that the above time represents SUPERVISOR OR AGENCY DESIGNEE: I certify that this member served
actual hours served during this period. these hours in accordance with policies in the Member Agreement.
Member Signature (in ink) Date Supervisor Signature (in ink) Date
Printed on 10/19/2011
Washington Service Corps
Member Timesheet
PL SL
Please sign the form in ink and submit to your Supervisor. 0 0
Member Name: 0 Month / Year: April-12
Program Coord: 0 Site Name: 0
1st - 15th
Calendar date: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Sub-Totals
Service Hours: 0.00
Training Hours: 0.00
Fundraising
Hours:
0.00
0.00
16th - End of Month
Calendar date: 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 Sub-Totals Month Total
Service Hours: 0.00 0.00
Training Hours: 0.00 0.00
Fundraising
Hours:
0.00 0.00
0.00 0.00
Instructions:
In the daily boxes, please list any hours spent in service, any hours spent in training and any hours in fundraising in direct support of the project.
Only round to the nearest quarter if necessary; for example, 8.25 or 8.5, etc.
MEMBER: By your signature, you certify that the above time represents SUPERVISOR OR AGENCY DESIGNEE: I certify that this member served
actual hours served during this period. these hours in accordance with policies in the Member Agreement.
Member Signature (in ink) Date Supervisor Signature (in ink) Date
Printed on 10/19/2011
Washington Service Corps
Member Timesheet
PL SL
Please sign the form in ink and submit to your Supervisor. 0 0
Member Name: 0 Month / Year: May-12
Program Coord: 0 Site Name: 0
1st - 15th
Calendar date: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Sub-Totals
Service Hours: 0.00
Training Hours: 0.00
Fundraising
Hours:
0.00
0.00
16th - End of Month
Calendar date: 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Sub-Totals Month Total
Service Hours: 0.00 0.00
Training Hours: 0.00 0.00
Fundraising
Hours:
0.00 0.00
0.00 0.00
Instructions:
In the daily boxes, please list any hours spent in service, any hours spent in training and any hours in fundraising in direct support of the project.
Only round to the nearest quarter if necessary; for example, 8.25 or 8.5, etc.
MEMBER: By your signature, you certify that the above time represents SUPERVISOR OR AGENCY DESIGNEE: I certify that this member served
actual hours served during this period. these hours in accordance with policies in the Member Agreement.
Member Signature (in ink) Date Supervisor Signature (in ink) Date
Printed on 10/19/2011
Washington Service Corps
Member Timesheet
PL SL
Please sign the form in ink and submit to your Supervisor. 0 0
Member Name: 0 Month / Year: June-12
Program Coord: 0 Site Name: 0
1st - 15th
Calendar date: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Sub-Totals
Service Hours: 0.00
Training Hours: 0.00
Fundraising
Hours:
0.00
0.00
16th - End of Month
Calendar date: 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 Sub-Totals Month Total
Service Hours: 0.00 0.00
Training Hours: 0.00 0.00
Fundraising
Hours:
0.00 0.00
0.00 0.00
Instructions:
In the daily boxes, please list any hours spent in service, any hours spent in training and any hours in fundraising in direct support of the project.
Only round to the nearest quarter if necessary; for example, 8.25 or 8.5, etc.
MEMBER: By your signature, you certify that the above time represents SUPERVISOR OR AGENCY DESIGNEE: I certify that this member served
actual hours served during this period. these hours in accordance with policies in the Member Agreement.
Member Signature (in ink) Date Supervisor Signature (in ink) Date
Printed on 10/19/2011
Washington Service Corps
Member Timesheet
PL SL
Please sign the form in ink and submit to your Supervisor. 0 0
Member Name: 0 Month / Year: July-12
Program Coord: 0 Site Name: 0
1st - 15th
Calendar date: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Sub-Totals
Service Hours: 0.00
Training Hours: 0.00
Fundraising
Hours:
0.00
0.00
16th - End of Month
Calendar date: 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Sub-Totals Month Total
Service Hours: 0.00 0.00
Training Hours: 0.00 0.00
Fundraising
Hours:
0.00 0.00
0.00 0.00
Instructions:
In the daily boxes, please list any hours spent in service, any hours spent in training and any hours in fundraising in direct support of the project.
Only round to the nearest quarter if necessary; for example, 8.25 or 8.5, etc.
MEMBER: By your signature, you certify that the above time represents SUPERVISOR OR AGENCY DESIGNEE: I certify that this member served
actual hours served during this period. these hours in accordance with policies in the Member Agreement.
Member Signature (in ink) Date Supervisor Signature (in ink) Date
Printed on 10/19/2011
Washington Service Corps
Member Timesheet
PL SL
Please sign the form in ink and submit to your Supervisor. 0 0
Member Name: 0 Month / Year: August-12
Program Coord: 0 Site Name: 0
1st - 15th
Calendar date: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Sub-Totals
Service Hours: 0.00
Training Hours: 0.00
Fundraising
Hours:
0.00
0.00
16th - End of Month
Calendar date: 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Sub-Totals Month Total
Service Hours: 0.00 0.00
Training Hours: 0.00 0.00
Fundraising
Hours:
0.00 0.00
0.00 0.00
Instructions:
In the daily boxes, please list any hours spent in service, any hours spent in training and any hours in fundraising in direct support of the project.
Only round to the nearest quarter if necessary; for example, 8.25 or 8.5, etc.
MEMBER: By your signature, you certify that the above time represents SUPERVISOR OR AGENCY DESIGNEE: I certify that this member served
actual hours served during this period. these hours in accordance with policies in the Member Agreement.
Member Signature (in ink) Date Supervisor Signature (in ink) Date
Printed on 10/19/2011
Member Name: 0
Site Name: 0
Service Training Fundraising Personal
Total Hours Sick Leave
MONTH: Hours Hours Hours Leave
September 0.00 0.00 0.00 0.00 0 0
October 0.00 0.00 0.00 0.00 0 0
November 0.00 0.00 0.00 0.00 0 0
December 0.00 0.00 0.00 0.00 0 0
January 0.00 0.00 0.00 0.00 0 0
February 0.00 0.00 0.00 0.00 0 0
March 0.00 0.00 0.00 0.00 0 0
April 0.00 0.00 0.00 0.00 0 0
May 0.00 0.00 0.00 0.00 0 0
June 0.00 0.00 0.00 0.00 0 0
July 0.00 0.00 0.00 0.00 0 0
August 0.00 0.00 0.00 0.00 0 0
TOTAL: 0.00 0.00 0.00 0.00 0 0
Printed on 10/19/2011
