AAMU Title III Strengthening Grants Program |Telephone: Ext. 5550/Fax Ext.5549 Time & Effort Form 7 Updated 10-1-16 | Page 1 of 3
TIME AND EFFORT MONTHLY REPORT FORM
INSTRUCTIONS: This report is to be completed by all Title III Activity Directors and all personnel paid with Title III funds. Submit this completed
form to the Title III Office (Patton Hall, Room 215), by no later than the 5
th
day of the following month.
This form must be accompanied with Time & Effort Daily Report Form.
Name:
Period Month:
Year:
Position Title:
Activity Director Name:
Program Name, Activity Number and Name:
Description of Major Grant-Related Tasks Performed (Please list explicitly and in past tense)
Related to
Objective #:
# of Hours
Percent of Time & Effort Budgeted:
State
Title III
%
%
# of Hours
TIME AND EFFORT CERTIFICATIONS
I certify that this distribution of time and effort represents a reasonable estimate of the effort devoted to this grant or sponsored activity during
this reporting period.
__________________________________________________________ __________________________
Employee Date
I certify that I have first-hand knowledge of the above employee’s contribution to the activity or activities listed above and that it is an accurate
representation of effort during this reporting period to the best of my knowledge.
__________________________________________________________ __________________________
Activity Director Date
This is to certify that this Time & Effort Monthly Report and the Daily Report have been reviewed for accuracy and serves as the basis for payroll
charges, including earned leave time, and actual fringe benefits, for this reporting period.
__________________________________________________________ __________________________
Title III Director Date
- - -
- - -
0.00
0.0
0.00
0.00
- - -
AAMU Title III Strengthening Grants Program |Telephone: Ext. 5550/Fax Ext.5549 Time & Effort Form 7 Updated 10-1-16 | Page 2 of 3
TIME AND EFFORT DAILY REPORT FORM This form must be accompanied with Time & Effort Monthly Report Form
Date
# of
Hours
Leave
Hours
Activity Performed (Provide brief overview of grant related task performed for each day)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Totals:
Employee:
Period Month:
Year:
Signature of Employee:
Date:
Signature of Activity Director:
Date:
Signature of Title III Director:
Date:
0.00
0.0
- - -
AAMU Title III Strengthening Grants Program |Telephone: Ext. 5550/Fax Ext.5549 Time & Effort Form 7 Updated 10-1-16 | Page 3 of 3
TIME AND EFFORT DAILY REPORT FORM (OPTIONAL: additional description of task performed)
Employee:
Period Month:
Year:
Use this section for any additional or specific detail that space was not available to enter on previous daily description of task performed.
Day
Task:
- - -