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Time and Effort Log with Start/End Times
Adult Education Program		Is My Time and Effort Ready To Submit?
(See bottom of page for possible mistakes)		NO!
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Name:Employee ID Number:>Select the Pay Period HERE<
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>Select Length of First Month and Day of 16th HERE<Week 1Week 2Week 3Week 4Week 5Total
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#N/A#N/A#N/A#N/A#N/A#N/A#N/A#N/A#N/A#N/A#N/A#N/A#N/A#N/A#N/A#N/A#N/A#N/A#N/A#N/A#N/A#N/A#N/A#N/A#N/A#N/A#N/A#N/A#N/A#N/A#N/A
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Start Time AM/PM
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End Time AM/PM
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Start Time AM/PM
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End Time AM/PM
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Start Time AM/PM
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End Time AM/PM
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Hours worked per day - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
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Funding SourceProject #HoursPercentNotes: (Hold ALT and press Enter to skip lines)
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*Instructional Categories:
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State Matching Funds (Program)019380.00
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State Matching Funds (Administrative)019380010.00
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Federal WIOA Section 231 General Adult Education (Program)2645A0.00
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Federal WIOA Section 231 General Adult Education (Administrative)2645A0010.00
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Federal WIOA Section 225 Corrections (Program)2665A0.00
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Federal WIOA Section 225 Corrections (Administrative)2665A0010.00
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Federal WIOA Section 243 Integrated English Language & Civics Education (Program)2675A0.00
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Federal WIOA Section 243 Integrated English Language & Civics Education (Administrative)2675A0010.00
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Other (please note)0.00
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Professional Development0.00
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TOTAL0.000.00%What's wrong
with my
Time and Effort Page?
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Employee's Position:Select Employee Position
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Employee's Signature/Date:John Doe 7/15/2024Supervisor's Signature/Date __________________________________
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*All paid hours for the time period in adult education should be reported under the appropriate funding source. The report must reflect an after-the-fact distribution of the employee's actual activitiy. Reports must be signed by the employee and supervisor.You forgot your name in cell D4.
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My signature assures that the hours listed are correct and accurate for the period indicated.
I understand that falsifying hours worked is grounds for disciplinary action against me which can include termination of employment. I understand that I will follow my work schedule on file in the Office of Human Resources.
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 This form may not be altered without express written consent from the Office of Adult Education. Updated July 1, 2018.
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Citation: OMB Circular A-7, Attachment B, Paragraph 8, h.Support of salaries and wages
(4) "Where employees work on multiple activities or cost objectives, a distribution of their salaries or wages will be supported by
personnel activity reports or equivalent documentation . . . Such documentary support will be required where employees work on:
(a) More than one Federal award, (b) A Federal award and a non Federal award . . ."
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