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Multi-Funded Time Report (MFTR)
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Employee Name:First Name HereLast Name HerePosition Title:Family LiaisonMonth:May
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Location:School/Dept. Name HereEmployee ID:12345Position #:01234567Year:2023
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Date:5/25/35/45/55/65/95/105/115/125/135/165/175/185/195/205/235/245/255/265/275/305/31
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Program/Resource Name:Title IProgram/Resource Code:31500
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MTWTHFMTWTHFMTWTHFMTWTHFMTWTHF
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# of Hrs 7.50 6.50 6.00 7.00 7.50 6.25 7.50 7.50 5.00 6.50 7.50 7.50 6.00 7.00 7.50 6.50 7.50 7.00 6.00 6.50 7.00 6.50
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Activities1,21,32,61,3,42,31,23,4,52,52,42,31,21,32,61,6,72,31,23,4,52,52,42,31,41,3
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Program/Resource Name:UnrestrictedProgram/Resource Code:00000
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MTWTHFMTWTHFMTWTHFMTWTHFMTWTHF
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# of Hrs 0.50 1.50 2.00 1.00 0.50 1.75 0.50 0.50 2.00 1.50 0.50 0.50 2.00 1.00 0.50 1.50 0.50 1.00 2.00 1.50 1.00 1.50
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Activitiesaa,cdaaa,caaa,baaadaaa,caaa,baaa,c
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Daily Total 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 0.00 0.00 0.00
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Categorically Allowable Activities (1-8) should be listed under your Federal resource only:
Check with Supervisor for allowable program activities (based on Federal, State, and/or local requirements) and list below.
General (Unrestricted Only) Resource Funded Activities (a-h): Check with Supervisor for activities and list any additional below.Resource NameResource Code# of Hours%
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1Facilitating access of academic and community supports for families and students5Coordination of special intervention programsaRecess/yard/lunch supervisionTitle I31500149.7585.57%
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bStandardized test coordination/monitoring
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2Serving as liaison between students, family members, staff, and the broader community6Planning/facilitating PD around student services for teachers & staffcSchool-wide general meetingsUnrestricted0000025.2514.43%
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dDistrict-wide general meetings
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3Supporting communication to families, including translation7Plan, organanize, coordinate parent/family education workshops e
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f
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4Maintain Parent/Family Room--supplemental support resources for students and families8g
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h
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Total175.00100.00%
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Please type your name into the signature box on the right. Version history view will verify your signature. Certification: "I certify that the information recorded on this monthly Time Report is true and correct to the best of my knowledge."
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Employee SignatureDateSupervisor SignatureDate
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