Sandhills Community College WBL FORM 7
WORK-BASED LEARNING (CO-OP) TIME REPORT
Student Name
Semester
Program
Hours Required
Please list clock hours and sum at the end of the week; ex. 4:30pm-6:00 PM
The supervisor’s signature must not be dated prior to work listed on this timesheet.
Week of:
Hours
Total Hours
for the Week
Supervisors
Initials
Monday Date:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
SAMPLE:
May 23, 2020
1 2:00-05:00 2:00-7:00 8 THD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Extra
Total Hours:
I verify this is a true and accurate of hours worked.
Student Signature_________________________________________ DATE_________________
I approve this statement of work hours.
Supervisor Signature______________________________________ DATE_________________
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signature
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signature
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