Reset Form

Federal Work-Study Program Office of Student Financial Services The University of Texas at Austin
Student Services Building 3.200 Mail Code E3700 (512) 475-6247
E-Mail: work.study@austin.utexas.edu Website: www.hirealonghorn.org

Print Form

0B

ON-CAMPUS WORK-STUDY TIMESHEET

WNCG Ari J Garcia
10 31 11 11 30 11 Payroll period: ___/___/___--___/___/___
(MM/DD/YY) (MM/DD/YY)

Hiring Department: Name of Student: Account Number:

Students UT EID: Hourly Rate:

ajg2762

Week

Number of Hours

Total Hours

M
11 04 10 31 From___/___ To ___/___

TH

SU

4
4
4 3

4 3

5 4
5

16.00 11.00
12.00

11 11 11 07 From ___/___ To ___/___

11 14 11 18 From ___/___ To___/___
11 21 11 25 From ___/___ To___/___

4.00 0.00

From ___/___ To___/___

Totals

43.00

11/30/2011
Work-Study Employees Signature Date I hereby certify that the above is a true statement of the hours worked by the above-named student, and that he/she has performed his/her job in a satisfactory manner.

11/30/2011
Supervisors Signature Supervisors Name & Telephone #: Date

Janet Preuss
U

/ /

Payroll Contacts Name & Telephone #:

Payroll Contacts Email: _________________________________________________Departments Mail Code:

C0806

NOTE: Work-Study Timesheets must be submitted to the Work-Study Office immediately after paying the student. Please double check the top portion of the Work-Study Timesheets as incorrect UT EIDs and account numbers cause delays in processing.
FALJM 4/1/11