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EXTENDED DAY PROGRAM

EMPLOYEE SIGN-IN / SIGN-OUT SHEET

SCHOOL NAME WEEK OF

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY


TOTAL EMPLOYEE
EMPLOYEE NAME TIME TIME TIME TIME TIME
TIME IN TIME IN TIME IN TIME IN TIME IN HOURS INITIALS
OUT OUT OUT OUT OUT

AM

PM

AM

PM

AM

PM

AM

PM

AM

PM

AM

PM

AM

PM

AM

PM

* NOTE: The total hours added across must NOT include any time past 6:00 PM. Overtime fees collected from parents for hours after 6:00 PM will be payment
for worker(s) who stay with students past 6:00. Fees collected must be deposited. Late Sign-out Sheet should accompany Supplemental Payroll form.

C16

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