Name: ______________________________
Student ID# _______________________________
Month:____________ Hours: ________ Work Area: ___________________________________
Day of Week Day
Beginning Time
Ending Time Total Hours Per Day
Student work performance this month was: Excellent _____ Good _____ Fair _____ Unsatisfactory _____
(Approved) Supervisor's Signature: __________________________________ Date: ___________
Business Office Use Only:
Employee No. Payroll Code Hours Rate Total Pay
______________
__________________
___________ ___________ _______________
Student's Signature: ______________________________________________ Date: _______________
WESTERN PIEDMONT COMMUNITY COLLEGE
Student Work-Study Time Report
To be turned in to the Financial Aid Office
by close of business on the last
working day of each month.
0
(Use 00:00 am or 00:00 pm format in time slots)