Non-Paid Work-Based Learning Time Sheet

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SY: 2010-11
Non-Paid Work-Based Learning
Time Sheet
School Information:
School Name:
Principal:
School Supervisor (Co-op Coordinator):
Telephone:
Student Information:
Student Name:
Student ID#:
Grade:
Beginning Date:
Work Site Information:
Work Site Name:
Work Site Supervisor:
Address:
City/Zip:
Telephone:
Alt. Telephone:
Instructions:
Fill in the daily hours worked. Note: Training must not exceed 45 hours per training plan.
Week of:
Mon
Tues
Wed
Thurs
Fri
Total
Student’s
Employer’s
Coordinator’s
Hours
Cumulative
Initials
Initials
Initials
Total
Week of:
Mon
Tues
Wed
Thurs
Fri
Total
Student’s
Employer’s
Coordinator’s
Hours
Cumulative
Initials
Initials
Initials
Total
Week of:
Mon
Tues
Wed
Thurs
Fri
Total
Student’s
Employer’s
Coordinator’s
Hours
Cumulative
Initials
Initials
Initials
Total
Non-Paid Work-Based Learning Time Sheet – v1.0 - 10/10

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