JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
OJT Time Reporting
Accurately fill out this sheet to the best of your knowledge and hit submit once finished.
A new form should be filled out monthly or if you change contractors
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Your Name
*
First and Last Name
Your answer
Last 4 of Social
*
Your answer
Local Union #
*
Choose
1353
1149
1085
984
379
616
980
Employer
*
Your answer
Employer Phone #
*
Your answer
Employer Address
(Street, City, State, Zip)
(Can be found on your paystubs)
Your answer
Month and Year
*
Your answer
Week 1 Total
*
This Week Starts on the 1st day of the month
. (This includes the 1st even if it falls on the last day of the week)
Your answer
Week 2 Total
*
Your answer
Week 3 Total
*
Your answer
Week 4 Total
*
Your answer
Week 5 Total
*
Your answer
Week 6 Total
*
If there is not a 6th week this month enter "0"
Your answer
Total Hours
*
Add up Weeks 1- 6
Your answer
Areas of Concentration
Check All That Apply
(Swipe for more options)
Building Construction
Heavy / Highway
Pipeline
Demolition
Landscaping
Enviromental Remediation
Masonry
Tunneling
Week 1
Week 2
Week 3
Week 4
Week 5
Week 6
Building Construction
Heavy / Highway
Pipeline
Demolition
Landscaping
Enviromental Remediation
Masonry
Tunneling
Week 1
Week 2
Week 3
Week 4
Week 5
Week 6
Wage Percentage
*
Choose
100%
90%
80%
70%
60% or $15 minimum
85% Maryland
95% Maryland / Virginia
92.5% Virgina
97.5% Virginia
Information Verification
*
Yes, I Verify That The Information Provided Is Accurate To The Best Of My Knowledge.
Required
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
