CIMR 2023-2024 Monthly Reporting Form (Google Sheet Version)

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1	CIMR 2023-2024 Monthly Reporting Form (MRF)
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4	Scholar Name:
5	Reporting Period:		Program:
6	Due Dates and Reporting Periods
7	Due Date	Reporting Period	Due Date	Reporting Period
8	7/15/2023	URISE C2 only7/1 - 7/15	1/15/2024	12/16-1/15
9	8/15/2023	7/11-8/15 URISE C2 only: 7/16-8/15	2/15/2024	1/16-2/15
10	9/15/2023	8/16-9/15	3/15/2024	2/16-3/15
11	10/15/2023	9/16-10/15	4/15/2024	3/16-4/15
12	11/15/2023	10/16-11/15	5/15/2024	4/16-5/15
13	12/15/2023	11/16-12/15	Due on last day of reporting period	BUILD: 5/16-6/26 DREAM, PROA, URISE: 5/16-6/30
14	RLC Hours - Weekly & Monthly Total
15	Instructions: RLC Weekly and Monthly Hour totals import from back page of MRF. Completing the back page is required. The total number of RLC hours listed on this side will be the number of hours logged by EXITO and URISE.
16	RLC Hours		This space intentionally left blank.
17	Week 1	0:00:00
18	Week 2	0:00:00
19	Week 3	0:00:00
20	Week 4	0:00:00
21	Week 5	0:00:00
22	Total RLC Hours	0:00:00
23	Signatures
24	Research Mentor Signature: I have reviewed and verified that the RLC hours reported are accurate.		Scholar Signature: I certify that the information on this MRF accurately represents hours completed for my CIMR program during this reporting period.
25	Signature:		Signature:
26	Date:		Date:
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