WORK-BASED LEARNING WEEKLY HOURLY REPORT Week of (L($/14 - I2|(U 14 Student (print) Mesto Natives Work Siteyinternship \Unoagy |LOES. Telephone(IOW) TL. “eerie wanes Rice Rate of Pay Fo (fivthe cap) i, Hours of Training | Total Hours Worked | Earnings | 3 |_[ie.2:80:5:30) | (ie. 3%hours) | (ie. $15.75) _| Sunday Wie MIR NR | — {ef | Monday 7:00-5:08 3 hours Ny | acne | Be _ 5 eee ca | Tuesday 205 - 2.55 50 mMinUKs NiP | [escstsaelaa piece gene | | — 3:40 \_ nour ‘ | | Wednesday | 50 5D PINs NIB sees See ea os eee ee Thursday A V5: 355 1D wits Wer | fees ee pees nee eens Friday “arats jean WA SIA | Saturday we wir NIA | GRAND TOTALS: Weekly Hours: “) \\urs 20 (xnv} Accumulated Hours: WP Weekly Pay: Ni Accumulated Pay: W\(X ‘Supervisor Veh, 2 Date «This time sheet is not valid without a supervisor's signature. All information must be filled out.