APPENDIX C
TIME CARDS
Every Cooperative Work Experience Student is required to submit a completed and verified (by
supervisor) Time Card covering each and every month of the semester. Time cards are due within fine (5)
days after the end of the month covered by the Time Card.
Indicate the actual number of hours worked for each appropriate date. Also indicate days off for
sickness, vacation or temporary layoffs. An accurate report is necessary to assure full course credit at the
end of the semester. Use cards in proper order (1, 2, 3, etc.) by cutting along dotted lines.
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Student Name: ___________________________________ For Month of _______________ 20 ______
Company Name: _________________________________
Student Number: ____________________
DAILY HOURS WORKED
1. ______ 6. ______ 11. _____ 16. _____ 21. _____ 26. _____ 31. _____
2. ______ 7. ______ 12. _____ 17. _____ 22. _____ 27. _____
Total
3. ______ 8. ______ 13. _____ 18. _____ 23. _____ 28. _____
4. ______ 9. ______ 14. _____ 19. _____ 24. _____ 29. _____
5. ______ 10. _____ 15. _____ 20. _____ 25. _____ 30. _____
Supervisor’s Name:
_________________________________
Supervisor’s Signature:
_________________________________
T
I
M
E
C
A
R
D
1
click to sign
signature
click to edit