Date
(mm/dd/yy)
Hours Hours
Hours
Saturday Saturday Saturday
Sunday Sunday Sunday
Monday Monday Monday
Tuesday Tuesday Tuesday
Wednesday Wednesday Wednesday
Thursday Thursday Thursday
Friday Friday Friday
* Indicates a required field.
Please print
Intergovernmental Internship Cooperative
Intern Hourly Reporting Form
This does not constitute submitting your time for pay. This form is solely used for agency mentors to verify intern time.
*IIC Intern Name: *IIC Intern T Number:
*
Agency:
* Intern Signature:
*
Agency Mentor Signature:
Please print
*Pay Period Total
WEEK 3WEEK 1 WEEK 2
*Week Total *Week Total *Week Total
*
Agency Mentor Name:
This does not constitute submitting your time for pay. This form is solely used for agency Mentors to verify intern time. Interns must officially submit time using the
mysuu.edu portal. Any time not submitted in the mysuu.edu portal will be late and will require a late time sheet. This form DOES NOT count as a late time sheet and will
not be accepted in place of a late time sheet.
Overtime is accrued if over 40 hours
Overtime is accrued if over 40 hours Overtime is accrued if over 40 hours
Date
(mm/dd/yy)
Date
(mm/dd/yy)
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