McLain/Long View High School Work Hours
Last Name *
Your answer
First Name *
Your answer
Program *
Place of Employment *
Your answer
Date on Check *
Please use mm/dd/yyyy format.
Your answer
Total Hours *
Your answer
Signature *
By typing my name, I certify the information is true.
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Jefferson County Public Schools.