Bldg. Room #
Pay Period Beginning: Ending:
(Enter Beginning Date Only--Other Dates are Formula-Driven)
College of Agriculture and Technology
STUDENT PAYROLL - Knapp Hall 123
FEDERAL WORK STUDY PROGRAM
Department Account Number:______________________________________
Student Name: ____________________________
A work period cannot extend beyond six hours without taking a lunch break of at least one-half hour, which must be
shown on the time sheet. The appropriate amount of time will be deducted where applicable.
All hours worked on a holiday must be initialed by the supervisor before payment can be made.
Record hours "in" and "out" daily. Hours worked must be recorded in quarter hour units (e.g. 9:15 A, 12:30 P) in ink.
Student: Complete ALL blanks, sign and submit to your supervisor when you finish work for the pay period. Late time sheets cannot be paid
until the following pay period.
Student's Signature Date Supervisor's Signature
Supervisor: Review time sheet for accuracy, initial all approved holiday work, sign certification and submit only the original copy to the Payroll
Office for payment.
Hourly Rate: Office Phone Number:
I certify that the days and hours worked as recorded above are correct. I certify that the days and hours indicated above represent time
worked by the student including any holiday hours noted and
initialed by me, and that the student is entitled to payment
Total Amount $
In Out In
Record Hours 'In' and 'Out' Daily
(Format: In: 9:15 A Out: 12:30 P)
click to sign
click to edit