DLR WIOA Form 13 Time Sheet Journal REV 05/2019
SOUTH DAKOTA DEPARTMENT OF LABOR AND REGULATION
WORKFORCE SERVICES
sdjobs.org
TIME SHEET JOURNAL
Participant Name: __________________________________ Type of Training: _____________________________
(JSAP, Soft Skills, Computer, Youth Work Experience, etc..)
Instructions: For Orientation (SCSEP ONLY), check the box next to “Orientation” below and complete the timesheet and journal entries through Saturday.
For SCSEP Training or Youth Work Experience, skip the first row, check the “Training” box and complete the timesheet and journal through Sunday.
DATES
HOURS
JOURNAL AND TIME IN/OUT
Reflect on or note anything you learned or experienced.
ORIENTATION (starts on Sunday*)
Sunday: ____/_____/____
MM DD YY
Journal Entry:
TRAINING (Or Youth Work Experience)
(starts on Monday*)
Monday: ____/_____/____
Journal Entry:
Tuesday: ____/_____/____
Journal Entry:
Wednesday: ____/_____/____
Journal Entry:
Thursday: ____/_____/____
Journal Entry:
Friday: ____/_____/____
Journal Entry:
Saturday: ____/_____/____
Journal Entry:
TRAINING ONLY*
Sunday: ____/_____/____
Journal Entry:
Total hours worked this week:
Minutes after the hour:
1-7
8-22
23-37
53-59
Round
:00
:15
:30
:00
Decimal
.25
.50
+1.00
*SCSEP: Orientation week is logged Sunday through Saturday and the Training week is logged Monday through Sunday.
I confirm the accuracy of this log: _________________________________________ ___/___/____
PARTICIPANT SIGNATURE DATE
AUTHORIZED BY: _______________________ _________________________________________ __/___/_____
(Name of DLR Staff, supervisor of training, etc…) SIGNATURE DATE
SUMBIT TO: Email: Fax: Drop Off: