Work Activity (Time Sheet) Log
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1STEM Professional Services
One University Plaza, Moser Hall, Rm 2055
Youngstown, Ohio 44555
330.941.2151
330.941.1567 (Fax)
STEM.jobs@ysu.edu (email)
“WORK ACTIVITY (T
S
) LOG”
IME
HEET
Semester/Year: __________
Total Number of Onsite Hours Required: _________
Course Number: _________
(Please Print)
STUDENT’S INFORMATION
Co-op/Intern Name: ___________________________________________________________________
Major: ______________________________________________
Class Rank: _________________
Faculty Advisor: ______________________________________
Department: ________________
WORKSITE INFORMATION
Work Site: ___________________________________________________________________________
Site Supervisor: _________________________________________
Title: _______________________________________
Inclusive dates of
SUN
MON
TUES
WED
THUR
FRI
SAT
Total hours
Total hours to
the Work Week
this week
date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
The signatures below indicate that the co-op/intern has completed all of the co-op/interns hours on this log sheet.
________________________________________
_________________________________________
Co-op/Intern Signature
Site Supervisor’s Signature
The Weekly Time Log
MUST
be turned in when employer submits invoice for reimbursement
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Parent category: Miscellaneous