Non-Paid Work-Based Learning Time Sheet Page 3
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3Student Name: ___________________________
SY:_________
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
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
Total Hours:
Comments: ___________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Worksite Supervisor Signature:_________________________________
Date:___________________
CTE Teacher Signature:___________________________________
Date:____________________
Non-Paid Work-Based Learning Time Sheet – v1.0 - 10/10
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