STUDENT NAME:
_____________________________
WORKSITE:
____________________________________________________________
SUPERVISOR _________________________ WORK TELEPHONE _________________
Record number of hours worked each day and document
what you did while at work.
(This counts as your journal)
FOR
WEEK OF: ___________________________________
SUN
MON TUE WED THUR FRI SAT TOTAL
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EX: 2-5 |
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Describe weekly activities:
____________________________________________________________________________________________________________________________________________________
FOR
WEEK OF: __________________________________
SUN MON TUE WED THUR FRI SAT TOTAL
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Describe weekly activities:
____________________________________________________________________________________________________________________________________________________
Total
Biweekly Hours ____________
_______________________
SUPERVISOR SIGNATURE
NOTE:
It is the policy of the school district that no person on the basis of
race, color, religion, national origin or ancestry, age, sex, marital status, handicap,
or disadvantage should be discriminated against, excluded from participation
in, denied the benefits of or otherwise be subjected to discrimination in any
program or activity.