Adjunct Curriculum Development Grant Time Tracking Sheet
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1Program Development Curriculum Development Grant
Adjunct Work Effort Tracking Sheet
Please Print
Name: ____________________________________________________ ID# _____________________________
Department: _______________________________________ Location/Campus: _________________________
Semester: _________________________ (please do a new sheet for each semester a grant is received)
Please list each date working on the grant and amount of work time for that date.
Date Working on Grant (month/day/year)
Grant Related Time Worked This Date in Hours and
Minutes (round to the nearest ¼ hour)
(attach additional sheets as needed)
I certify the information here to be correct.
____________________________________________ __________
Employee Signature
Date
____________________________________________ __________
Supervisor Signature
Date
Please send completed form to Carrie Haefner, Compliance Coordinator Human Resources at cahaefner@dmacc.edu
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