KI BOIS HEAD START



KI BOIS HEAD START

PAYROLL TIME AND ATTENDANCE

CENTER____________________________PAY PERIOD – FROM:________________TO:______________

NAME_____________________________________________TITLE_________________________________

| | |HOURS WORKED | |

| |DATE | |DETAILED DESCRIPTION OF WORK OTHER THAN IN CLASS TIME WITH CHILDREN |

|SUN | | | |

|MON | | | |

|TUE | | | |

|WED | | | |

|THUR | | | |

|FRI | | | |

|SAT | | | |

|SUN | | | |

|MON | | | |

|TUE | | | |

|WED | | | |

|THUR | | | |

|FRI | | | |

|SAT | | | |

*Examples: Home visit (Name of family), Taking child/family to service,

Pick up supplies, Training, Parent Meetings.

EXTRA HOURS SPENT IN CDA CLASSES AND OTHER TRAINING REQUIRED BY FEDERAL OR STATE REGULATIONS WILL NOT BE PAID

ANNUAL LEAVE SICK LEAVE PERSONAL LEAVE

HOURS HOURS HOURS

LEAVE BROUGHT FORWARD FROM PREVIOUS MONTH ________________ ________________ ________________

ADD LEAVE EARNED CURRENT MONTH ________________ ________________ ________________

LESS LEAVE TAKEN CURRENT MONTH ________________ ________________ ________________

BALANCE OF LEAVE TO BE CARRIED FORWARD ________________ ________________ ________________

I CERTIFY THAT THE ABOVE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE

___________________________________________________

EMPLOYEE

I CERTIFY THAT I HAVE FIRST HAND KNOWLEDGE OF THE ACTIVITIES PERFORMED

BY THE EMPLOYEE AND THAT THE ABOVE REPRESENTS A REASONABLE ESTIMATE

OF THE ACTUAL WORK PERFORMED DURING THE PERIOD.

_________ _________________________________

SUPERVISOR

KHS-1127-13

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