Time Sheet - Belmont University
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1BELMONT UNIVERSITY STUDENT EMPLOYEE MONTHLY TIME SHEET
This form is to be used for both Federal Work-Study and Belmont Student Employees
25765 / 10020 / 60130 / 705
NAME AND BU ID# OF STUDENT EMPLOYEE
ORGN / PROG CODES (REQUIRED)
MONTH OF
YEAR
DEPARTMENT NAME
RECORD TOTAL NUMBER OF HOURS WORKED DAILY TO THE NEAREST QUARTER HOUR
WORK WEEK
TOTAL
ENDING
MON.
TUES.
WED.
THURS
FRI
SAT
SUN
HOURS
IN
IN
IN
IN
IN
IN
IN
OUT
OUT
OUT
OUT
OUT
OUT
OUT
IN
IN
IN
IN
IN
IN
IN
OUT
OUT
OUT
OUT
OUT
OUT
OUT
# HRS
# HRS
# HRS
# HRS
# HRS
# HRS
# HRS
IN
IN
IN
IN
IN
IN
IN
OUT
OUT
OUT
OUT
OUT
OUT
OUT
IN
IN
IN
IN
IN
IN
IN
OUT
OUT
OUT
OUT
OUT
OUT
OUT
# HRS
# HRS
# HRS
# HRS
# HRS
# HRS
# HRS
IN
IN
IN
IN
IN
IN
IN
OUT
OUT
OUT
OUT
OUT
OUT
OUT
IN
IN
IN
IN
IN
IN
IN
OUT
OUT
OUT
OUT
OUT
OUT
OUT
# HRS
# HRS
# HRS
# HRS
# HRS
# HRS
# HRS
IN
IN
IN
IN
IN
IN
IN
OUT
OUT
OUT
OUT
OUT
OUT
OUT
IN
IN
IN
IN
IN
IN
IN
OUT
OUT
OUT
OUT
OUT
OUT
OUT
# HRS
# HRS
# HRS
# HRS
# HRS
# HRS
# HRS
IN
IN
IN
IN
IN
IN
IN
OUT
OUT
OUT
OUT
OUT
OUT
OUT
IN
IN
IN
IN
IN
IN
IN
OUT
OUT
OUT
OUT
OUT
OUT
OUT
# HRS
# HRS
# HRS
# HRS
# HRS
# HRS
# HRS
______
STUDENT RATE OF PAY $ __________
TOTAL MONTHLY HOURS WORKED:
Federal Work-Study awards are individually based and cleared through Belmont Central prior to the student authorization being approved.
I CERTIFY THAT THE ABOVE IS A TRUE STATEMENT OF THE HOURS WORKED BY THE NAMED STUDENT DURING WEEKS SPECIFIED.
SIGNATURE OF EMPLOYER-SUPERVISOR
DATE
SIGNATURE OF EMPLOYEE
DATE
Student time sheets must be submited to the Payroll Office on the first working day of the month. Student
payroll checks will be issued on the second working Friday of the month available for pickup at
Belmont Central, or through Direct Deposit.
EOE/AA Under all applicable civil rights law
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